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Operationalizing AI ethics in medicine-a co-creation workshop study.

Luis M Lopez-Ramos1, Gabriele Pluktaite2, Cathrine K T Bui2

  • 1Department of Holistic Systems, Simula Metropolitan Center for Digital Engineering, Oslo, Norway.

BMC Medical Ethics
|October 30, 2025
PubMed
Summary
This summary is machine-generated.

This study introduces a co-creation workshop method to operationalize AI ethics, translating high-level principles into actionable requirements for AI projects. The approach successfully elicited concrete ethical requirements, enhancing AI system development.

Keywords:
AI ethicsCo-creationContent analysisEthical principles

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Area of Science:

  • Artificial Intelligence Ethics
  • Human-Computer Interaction
  • Participatory Design

Background:

  • Existing AI ethics frameworks often lack practical, actionable guidance for implementation in real-world projects.
  • Operationalizing AI ethics requires translating abstract principles into concrete project requirements.
  • Co-creation workshops offer a novel approach to bridge this gap.

Purpose of the Study:

  • To propose and evaluate a novel method for operationalizing AI ethics through co-creation workshops.
  • To elicit low-level ethical requirements from stakeholders for an AI-based clinical decision support system.
  • To identify ethical requirements not covered by existing EU guidelines.

Main Methods:

  • A qualitative, participatory research approach involving diverse stakeholder teams.
  • Workshops utilized storytelling, content analysis, and Planguage for requirement elicitation.
  • Procedural feedback mechanisms were employed for iterative refinement.

Main Results:

  • Key ethical issues identified include explainability, privacy, robustness, validity, fairness, and transparency.
  • Concrete, quantifiable requirements were drafted for privacy, explainability, transparency, and validity.
  • Six critical issues, including time sensitivity and patient harm prevention, were not mapped to EU guidelines.

Conclusions:

  • The co-creation workshop methodology effectively elicits actionable, project-specific AI ethics requirements.
  • The method is resource-efficient and adaptable, requiring fewer AI ethics experts.
  • Further training in Planguage and addressing power dynamics are recommended for optimal outcomes.