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. 2023 Jul 6;24:48. doi: 10.1186/s12910-023-00929-6

Table 3.

AI applications for clinical ethical decision-making as occurring in the sample

Name Technological Basis Field of Application Use Implemented/Conjectured
Medical Ethical Advisor (METHAD) [17] Machine Learning, Fuzzy Cognitive Maps General clinical practice, education

- encompasses the bioethical principles (Beauchamp, Childress) [20] in machine-readable form

- input: patient status and preferences in machine-comparable values

- general evaluation; numerical value of zero (against) to one (in favour of)

Implemented (“proof of concept”)
Patient Preference Predictor (PPP) [23] Machine Learning, Population-based General clinical practice, incapacitated patients

- takes defining characteristics and circumstances of the patient in question and empirical data on treatment preferences into account

- approximates preferences of incapacitated patients regarding treatments

Conjectured
Do not attempt resuscitation—Algorithm (DNAR) [24] Machine Learning Emergency medicine

- predicts patients’ preferences on resuscitation measures in emergency situations

- compares the patient’s data with that of other patients

Conjectured
Surgery Algorithm [25] Machine Learning Surgery

- strives to de-bias decision-making in the selection of patients for major surgery

- gives an objective and equitable risk assessment for the patients

- improves i.a. racial and socioeconomic justice

Conjectured
Autonomy Algorithm [26] Machine Learning, based on healthcare records and social media General clinical practice, incapacitated patients

- harvests information on patients with impaired capacity

- predicts their preferences on important healthcare decisions

Conjectured