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Ethical considerations of using artificial intelligence to drive clinical decision support in pediatric medical settings

Pediatric Research volume 94, pages 10–11 (2023)Cite this article

TO THE EDITOR:

The Tuskegee Syphilis Study resulted in the deliberate poisoning of 187 African Americans with syphilis,1 neglecting the principles of respect for persons, beneficence, and justice later codified by the Belmont Report.2 Ending only 50 years ago, its consequences remind us to consider the “n-th order” effects of our scientific advancements; even the most serendipitous of discoveries may very well lead to catastrophe. This is especially pertinent regarding the applications of artificial intelligence (AI). Although this rapidly advancing technology shows promise for use in pediatric medical settings, its application must be balanced with ethical considerations of its potential to harm.

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References

  1. Kim, O. & Magner, L. N. A History of Medicine (Taylor & Francis, 2018).

  2. National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. The Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects of Research (Bethesda, Maryland, USA, 1978).

  3. Ramgopal, S. AI-based Models with CDS in Pediatric Clinical Practice (Pediatric Academic Societies, 2022).

  4. Sullivan, B. Predictive Analytics for Neonatal Sepsis (Pediatric Academic Societies, 2022).

  5. Moorman, J. R. et al. Mortality reduction by heart rate characteristic monitoring in very low birth weight neonates: a randomized trial. J. Pediatr. 159, 900–906.e1 (2011).

    Article  PubMed  PubMed Central  Google Scholar 

  6. Lewis, M., Dauphin, Y., Parikh, D., Batra, D. & Yarats, D. Deal or no deal? End-to-end learning for negotiation dialogues. arXiv (2017).

  7. Schwartz, R. et. al. Towards a Standard for Identifying and Managing Bias in Artificial Intelligence. Special Publication (NIST SP) (National Institute of Standards and Technology, 2022).

  8. Mckay, C. Predicting risk in criminal procedure: actuarial tools, algorithms, AI and judicial decision-making. Curr. Issues Crim. Justice 32, 22–39 (2020).

    Article  Google Scholar 

  9. Angwin, J., Larson, J., Mattu, S., & Kirchner, L. Machine bias. 2022. https://www.propublica.org/article/machine-bias-risk-assessments-in-criminal-sentencing (2016).

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  1. Department of Psychiatry, University of Colorado School of Medicine, Aurora, CO, USA

    Hisham Nsier

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  1. Hisham Nsier
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H.N. is the sole author of this manuscript and wholly contributed to its preparation.

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Correspondence to Hisham Nsier.

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Nsier, H. Ethical considerations of using artificial intelligence to drive clinical decision support in pediatric medical settings. Pediatr Res 94, 10–11 (2023). https://doi.org/10.1038/s41390-022-02452-7

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