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An Ethically Supported Framework for Determining Patient Notification and Informed Consent Practices When Using

Susannah L Rose1, Devora Shapiro2

  • 1Center for Bioethics and Society, Department of Bioinformatics, Vanderbilt University Medical Center, Vanderbilt University, Nashville, TN.

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Summary
This summary is machine-generated.

Hospital leaders need clear guidelines on informing patients about artificial intelligence (AI) in healthcare. This study proposes a framework to determine when notification or informed consent is necessary for AI use, fostering patient trust.

Keywords:
artificial intelligencebioethicsinformed consentpatient-centered

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Area of Science:

  • Healthcare Technology
  • Medical Ethics
  • Artificial Intelligence

Background:

  • Artificial intelligence (AI) is rapidly integrating into healthcare delivery.
  • Lack of standardized ethical guidelines for AI notification risks patient mistrust.
  • Hospital leaders require guidance on patient communication regarding AI in care.

Purpose of the Study:

  • To provide a framework for hospital leaders to determine when patients should be informed about AI use.
  • To establish criteria for categorizing AI technologies based on notification and informed consent requirements.
  • To promote ethical and transparent AI implementation in healthcare.

Main Methods:

  • Proposed a 5-criteria framework for evaluating AI use-cases: autonomy, departure from standards, patient-facing nature, clinical risk, and administrative burden.
  • Utilized case examples to illustrate the application of the proposed framework.
  • Categorized AI technologies into: no notification/informed consent, notification only, and formal informed consent.

Main Results:

  • The proposed framework offers a structured approach to AI use-case evaluation.
  • Identified key factors influencing the level of patient notification and informed consent required.
  • Demonstrated how to apply the framework using a healthcare AI case example.

Conclusions:

  • The proposed framework can serve as a foundation for developing consensus on AI notification and informed consent standards.
  • Ethical and transparent communication about AI in patient care is crucial for building trust.
  • Standardized guidelines are needed as AI becomes more prevalent in healthcare.