The ‘Hippocratic Oath’ for AI-based clinical decision support systems
摘要
The implementation of Artificial Intelligence assisted Clinical Decision Support Systems (AI-CDSS) shows significant potential to improve healthcare. However, implementing AI-CDSS has many associated challenges. This article introduces the ‘Hippocratic Oath’ for AI which promotes safe and effective AI-CDSS development and implementation.
MethodsThis paper summarises discussions which took place during the Turing-Roche Clinical AI Interest Group Joint Workshop. The workshop began with scoping lectures from AI experts, leading into focus group discussions of key themes surrounding AI-CDSS implementation. These include the ethics, trust, evaluation, regulation, human factors and challenges involved with implementing AI-CDSS into healthcare settings. Focus group outcomes, alongside insight from lectures, were used to formulate the arguments in this paper.
ResultsThis article presents a consensus definition of AI-CDSS and outlines a comprehensive table of implementation challenges alongside mitigation measures. It introduces the ‘Hippocratic Oath for AI’ and discusses its potential to promote safe and effective AI-CDSS implementation through addressing human factors and explainability.
ConclusionsThe ‘Hippocratic Oath for AI’, can be used by AI-CDSS implementers and developers as a framework to mitigate challenges involved with implementing AI-CDSS into healthcare settings. This framework is likely to promote safe and effective implementation and maximise HCP uptake of the AI-CDSS. Through facilitating AI-CDSS use, this oath can transform health care practice via reducing medical errors, healthcare costs and improving patient outcomes.