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University of California Press

About the Book

Encoding Bioethics addresses important ethical concerns from the perspective of each of the stakeholders who will develop, deploy, and use artificial intelligence systems to support clinical decisions. Utilizing an applied ethical model of patient-centered care, this book considers the viewpoints of programmers, health system and health insurance leaders, clinicians, and patients when AI is used in clinical decision-making. The authors build on their respective experiences as a surgeon-bioethicist and a surgeon–AI developer to give the reader an accessible account of the relevant ethical considerations raised when AI systems are introduced into the physician-patient relationship.

About the Author

Charles Binkley is a liver and pancreas surgeon, bioethicist, Director of Bioethics at Hackensack Meridian Health, and Associate Professor of Surgery at Hackensack Meridian School of Medicine. His work focuses on the ethical use of AI to improve clinical decision making.

Tyler Loftus is a trauma and acute care surgeon and intensive care unit doctor at the University of Florida who is passionate about surgical education, technical skills training, and research focused on machine learning augmentation of patient-centered care.

Table of Contents

Contents

List of Illustrations 
Preface 
Acknowledgments 

1. Introduction to AI Clinical Decision Support Systems:
Ethical Considerations

2. The Physician and AI Clinical Decision
Support Systems

3. The Patient and AI Clinical Decision
Support Systems

4. The Developer and AI Clinical Decision
Support Systems

5. The Health System Executive and AI Clinical
Decision Support Systems

6. Incorporating Ethics into the AI Clinical Decision
Support System Life Cycle

Notes 
Bibliography 
Index 
 

Reviews

"Engages the reader to think strategically about the nuance in a problem so the solution can match the complexities involved instead of another vague checkbox of considerations existing in the literature today. I applaud the authors for providing space for us to consider the entire system and the responsibilities we all have in solving emerging problems."—Lindsey Jarrett, Vice President of Ethical AI, Center for Practical Bioethics

"If you work in bioethics and healthcare, you need to read Encoding Bioethics. AI is here, not going anywhere, and will expand as a tool. Charles Binkley and Tyler Loftus offer an analysis of the many clinical applications of AI that is both timely and prescient."—Joel Reynolds, author of The Life Worth Living: Disability, Pain, and Morality