The INNOVATE framework to foster ethics of artificial intelligence

ChatGPT, the latest advancement in Artificial Intelligence (AI), represents one of the most advanced and rapidly evolving chatbot technologies to date. Its capability to provide swift and intelligent responses has garnered admiration from scientists and educators globally. Particularly, the healthcare sector stands to gain significantly from the integration of systems like ChatGPT, with benefits including enhanced productivity, reduced expenses, and improved patient outcomes. However, to ensure their equitable and appropriate implementation, it is crucial to address the ethical challenges associated with these technologies. While numerous studies have highlighted these ethical quandaries, there lacks a comprehensive discussion and resolution framework. This review aims to fill this gap by offering a detailed exploration of the ethical concerns associated with using AI tools like ChatGPT in healthcare. This exploration is structured into five main categories: Bias and discrimination, privacy and data security, disinformation and misinformation, autonomy and human interaction, and accountability and responsibility. Additionally, this review discusses the necessity of establishing a clear ethical framework for deploying AI tools in healthcare, introducing the INNOVATE framework. The detailed description and application of the INNOVATE framework aim to promote ethical practices in AI, ensuring a responsible and beneficial integration into healthcare, thereby addressing the identified ethical concerns.