什么时候和什么患者需要知道关于临床护理中的AI
David Shaw1,2, Giorgia Lorenzini1, Laura Arbelaez Ossa1
1Institute for Biomedical Ethics, University of Basel, Basel, Switzerland.
Swiss medical weekly
|February 14, 2025
概括
患者通常不需要被告知医疗保健中的人工智能 (AI). 然而,当人工智能做出决定或与第三方共享数据时,具体的患者同意至关重要.
科学领域:
- 医疗信息学 医疗信息学
- 生物伦理学生物伦理学
- 临床决策 - 临床决策
背景情况:
- 人工智能 (AI) 越来越多地融入临床护理.
- 人工智能对患者互动的伦理影响需要仔细考虑.
- 目前在医疗保健中使用人工智能的指导方针正在发展.
研究的目的:
- 定义患者在临床环境中需要什么时候以及什么样的AI信息.
- 为获得人工智能应用患者同意建立明确的协议.
- 为临床医生指导在患者护理中道德AI实施.
主要方法:
- 分析当前在医疗保健中的AI应用.
- 对道德框架和同意原则的审查.
- 基于案例的场景来说明同意要求.
主要成果:
- 人工智能作为支持工具通常不需要特定的患者通知.
- 当人工智能在决策中自主运作时,具体的患者同意是强制性的.
- 将患者数据传输到第三方AI系统需要明确的同意.
结论:
- 清晰的沟通和同意对于在医疗保健中负责任地采用人工智能至关重要.
- 当AI参与度显著时,临床医生必须在寻求同意时谨慎行事.
- 建立标准化的同意程序将促进患者对人工智能驱动的医疗保健的信任.
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