Ethical, Legal, and Financial Considerations of Artificial Intelligence in Surgery.

Journal: The American surgeon
Published Date:

Abstract

Machine learning systems have become integrated into some of the most vital decision-making aspects of humanity, including hiring decisions, loan applications, and automobile safety, to name just a few. As applications increase in both gravity and complexity, the data quality and algorithmic interpretability of the systems must rise to meet those challenges. This is especially vital for navigating the nuances of health care, particularly among the high stakes of surgical operations. In addition to inherent ethical challenges of enabling a "black box" system to influence decision-making in patient care, the creation of biased datasets leads to biased algorithms with the power to perpetuate discrimination and reinforce disparities. Transparency and responsibility are paramount to the implementation of artificial intelligence in surgical decision-making and autonomous robotic surgery. Machine learning has been permeating health care across diverse clinical and surgical contexts but continues to face sizable obstacles, including apprehension from patients and providers alike. To integrate the technology fully while upholding standard of care and patient-provider trust, one must acknowledge and address the ethical, financial, and legal implications of using artificial intelligence for patient care.

Authors

  • Miranda X Morris
    12277Duke University School of Medicine, Durham, NC, USA.
  • Ethan Y Song
    Division of Plastic, Maxillofacial, and Oral Surgery, Department of Surgery, 14742Duke University Hospital, Durham, NC, USA.
  • Aashish Rajesh
    Department of Surgery, University of Texas Health Science Center, San Antonio, TX, USA.
  • Malke Asaad
    From the Division of Plastic Surgery, Department of Surgery, Mayo Clinic; the Division of Plastic Surgery, Department of Surgery, Sidra Medicine; and the Department of Surgery, Weill-Cornell Medical College-Qatar.
  • Brett T Phillips
    Division of Plastic, Maxillofacial, and Oral Surgery, Department of Surgery, 14742Duke University Hospital, Durham, NC, USA.