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AI explainability and ultimate human responsibility within the medical field

Bibliographic Data

ID21703530
AuthorsMarkus Herrmann (0000-0001-8893-9685, German Cancer Research Center, corresponding author), Andreas Wabro (0009-0006-0424-6181, Heidelberg University), Eva C Winkler (0000-0001-7460-0154, Heidelberg University)
Year2024
Volume26
Issue2
Publication date2024-06-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueEthics and Information Technology (JOURNAL)
Journal identifiersISSN: 1388-1957 • E-ISSN: 1572-8439
PublisherSpringer Science and Business Media LLC (PUBLISHER)
DOI10.1007/s10676-024-09764-8
OpenAlexW4394617203
LanguageEN
References cited25

With regard to current debates on the ethical implementation of AI, especially two demands are linked: the call for explainability and for ultimate human responsibility. In the medical field, both are condensed into the role of one person: It is the physician to whom AI output should be explainable and who should thus bear ultimate responsibility for diagnostic or treatment decisions that are based on such AI output. In this article, we argue that a black box AI indeed creates a rationally irresolvable epistemic situation for the physician involved. Specifically, strange errors that are occasionally made by AI sometimes detach its output from human reasoning. Within this article it is further argued that such an epistemic situation is problematic in the context of ultimate human responsibility. Since said strange errors limit the promises of explainability and the concept of explainability frequently appears irrelevant or insignificant when applied to a diverse set of medical applications, we deem it worthwhile to reconsider the call for ultimate human responsibility

Engineering ethics · Environmental ethics · Sociology · Artificial Intelligence in Healthcare and Education · Engineering · Ethics in Clinical Research · Explainable Artificial Intelligence (XAI · Mathematics · Philosophy · Psychology

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    Open Access•Galen Strawson•Philosophical Studies•1994

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    Open Access•Thomas Grote, Philipp Berens•Journal of Medical Ethics•2020

  • Explainability, Public Reason, and Medical Artificial Intelligence

    Open Access•Michael Da Silva•Ethical Theory and Moral Practice•2023

  • Learning to Live with Strange Error

    Open Access•Charles Rathkopf, Bert Heinrichs•Cambridge Quarterly of Healthcare…•2024

  • Artificial Intelligence and Black‐Box Medical Decisions

    Open Access•Alex John London•The Hastings Center Report•2019

  • Solving the Black Box Problem

    Open Access•Carlos Zednik•Philosophy & Technology•2021

  • Beyond generalization

    Open Access•Timo Freiesleben, Thomas Grote•Synthese•2023

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Highly citedNo

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