Handle with care: Assessing performance measures of medical AI for shared clinical decision-making

In this article I consider two pertinent questions that practitioners must consider when they deploy an algorithmic system as support in clinical shared decision-making. The first question concerns how to interpret and assess the significance of different performance measures for clinical decision-m...

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Bibliographic Details
Main Author: Holm, Sune (Author)
Format: Electronic Article
Language:English
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Published: Wiley-Blackwell 2022
In: Bioethics
Year: 2022, Volume: 36, Issue: 2, Pages: 178-186
IxTheo Classification:NCH Medical ethics
NCJ Ethics of science
Further subjects:B Decision-making
B Ethics
B Fair play
B Ai
B Algorithm
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Summary:In this article I consider two pertinent questions that practitioners must consider when they deploy an algorithmic system as support in clinical shared decision-making. The first question concerns how to interpret and assess the significance of different performance measures for clinical decision-making. The second question concerns the professional obligations that practitioners have to communicate information about the quality of an algorithm's output to patients in light of the principles of autonomy, beneficence, and justice. In the article I review the four standard performance measures used to evaluate and validate algorithms, outline their role in the discussion of algorithmic fairness, and discuss the professional responsibilities that practitioners face when communicating information about these measures to patients.
ISSN:1467-8519
Contains:Enthalten in: Bioethics
Persistent identifiers:DOI: 10.1111/bioe.12930