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伦理与创新的平衡:人工智能可以安全地改变紧急手术吗? 一个叙事视角
Belinda De Simone1,2, Genevieve Deeken3, Fausto Catena4,5
1Department of Emergency and Digestive Minimally Invasive Surgery, Infermi Hospital, AUSL Romagna, 47921 Rimini, Italy.
Journal of clinical medicine
|May 14, 2025
概括
紧急外科手术中的人工智能 (AI) 提供决策支持,但也引发了伦理方面的担忧. 负责任的整合需要透明度,公平性和明确的患者安全和信任指南.
科学领域:
- 医学伦理 医学伦理
- 手术创新 在外科创新.
- 医疗信息学 医疗信息学
背景情况:
- 人工智能 (AI) 正在通过增强的诊断和工作流程改变急诊手术.
- 人工智能实施伴随着重大的伦理挑战,包括问责制,透明度,患者自主性和偏见.
研究的目的:
- 探索人工智能在紧急手术中的伦理困境.
- 建议未来的方向,负责和公平的AI整合在这个领域.
主要方法:
- 从2010年1月到2024年12月的文献进行叙事审查.
- 在PubMed,Scopus,Web of Science和谷歌学者中进行的搜索.
- 主题分析综合了人工智能的伦理,法律和监管问题,用于手术和紧急护理.
主要成果:
- 确定了关键的伦理问题:人工智能决策中的问责制,算法偏见,数据隐私和监管差距.
- 主题领域包括自治,公益,正义,透明度和知情同意.
- 算法的"黑子"效应是一个重大挑战.
结论:
- 在紧急手术中,负责任的人工智能需要透明,可解释的模型和多样化的数据集.
- 强大的同意框架和明确的责任指导方针至关重要.
- 跨学科的合作对于道德合理,以患者为中心的AI实施至关重要.
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