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 design and use


Review launched into impact of potential bias in the design and use of medical devices

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be future-focused and consider the enhanced risk of bias in the emerging range of algorithmic based data / artificial intelligence tools.


WHO FOR AI FOR HEALTHCARE

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The past year or so has been a binge-watch of web series for many of us. I have been going through several episodes of Star Trek and a couple of them stand out for the ethical questions they try to tackle. Most Star Trek fans would be aware of an "Android" named "Data" aboard the starship Enterprise, filling in where humans or Klingons collectively failed. There are plenty of references to the marvel of artificial intelligence (AI) as exhibited by the android sentient,who has been manufactured to solve future issues for the human race. Most of the Star Trek episodes are from the 24th century and if we jump back to today in the real world, it is interesting to note that several of these futuristic developments have already started showing nascent signs of growth.


WHO issues first global report on Artificial Intelligence (AI) in health and six guiding principles for its design and use

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Artificial Intelligence (AI) holds great promise for improving the delivery of healthcare and medicine worldwide, but only if ethics and human rights are put at the heart of its design, deployment, and use, according to new WHO guidance published today. The report, Ethics and governance of artificial intelligence for health, is the result of 2 years of consultations held by a panel of international experts appointed by WHO. “Like all new technology, artificial intelligence holds enormous potential for improving the health of millions of people around the world, but like all technology it can also be misused and cause harm,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General. “This important new report provides a valuable guide for countries on how to maximize the benefits of AI, while minimizing its risks and avoiding its pitfalls.” Artificial intelligence can be, and in some wealthy countries is already being used to improve the speed and accuracy of diagnosis and screening for diseases; to assist with clinical care; strengthen health research and drug development, and support diverse public health interventions, such as disease surveillance, outbreak response, and health systems management. AI could also empower patients to take greater control of their own health care and better understand their evolving needs. It could also enable resource-poor countries and rural communities, where patients often have restricted access to health-care workers or medical professionals, to bridge gaps in access to health services.However, WHO’s new report cautions against overestimating the benefits of AI for health, especially when this occurs at the expense of core investments and strategies required to achieve universal health coverage.It also points out that opportunities are linked to challenges and risks, including unethical collection and use of health data; biases encoded in algorithms, and risks of AI to patient safety, cybersecurity, and the environment.       For example, while private and public sector investment in the development and deployment of AI is critical, the unregulated use of AI could subordinate the rights and interests of patients and communities to the powerful commercial interests of technology companies or the interests of governments in surveillance and social control. The report also emphasizes that systems trained primarily on data collected from individuals in high-income countries may not perform well for individuals in low- and middle-income settings. AI systems should therefore be carefully designed to reflect the diversity of socio-economic and health-care settings. They should be accompanied by training in digital skills, community engagement and awareness-raising, especially for millions of healthcare workers who will require digital literacy or retraining if their roles and functions are automated, and who must contend with machines that could challenge the decision-making and autonomy of providers and patients. Ultimately, guided by existing laws and human rights obligations, and new laws and policies that enshrine ethical principles, governments, providers, and designers must work together to address ethics and human rights concerns at every stage of an AI technology’s design, development, and deployment.  Six principles to ensure AI works for the public interest in all countriesTo limit the risks and maximize the opportunities intrinsic to the use of AI for health, WHO provides the following principles as the basis for AI regulation and governance:Protecting human autonomy: In the context of health care, this means that humans should remain in control of health-care systems and medical decisions; privacy and confidentiality should be protected, and patients must give valid informed consent through appropriate legal frameworks for data protection.Promoting human well-being and safety and the public interest. The designers of AI technologies should satisfy regulatory requirements for safety, accuracy and efficacy for well-defined use cases or indications. Measures of quality control in practice and quality improvement in the use of AI must be available. Ensuring transparency, explainability and intelligibility. Transparency requires that sufficient information be published or documented before the design or deployment of an AI technology. Such information must be easily accessible and facilitate meaningful public consultation and debate on how the technology is designed and how it should or should not be used. Fostering responsibility and accountability. Although AI technologies perform specific tasks, it is the responsibility of stakeholders to ensure that they are used under appropriate conditions and by appropriately trained people. Effective mechanisms should be available for questioning and for redress for individuals and groups that are adversely affected by decisions based on algorithms.Ensuring inclusiveness and equity. Inclusiveness requires that AI for health be designed to encourage the widest possible equitable use and access, irrespective of age, sex, gender, income, race, ethnicity, sexual orientation, ability or other characteristics protected under human rights codes. Promoting AI that is responsive and sustainable. Designers, developers and users should continuously and transparently assess AI applications during actual use to determine whether AI responds adequately and appropriately to expectations and requirements. AI systems should also be designed to minimize their environmental consequences and increase energy efficiency. Governments and companies should address anticipated disruptions in the workplace, including training for health-care workers to adapt to the use of AI systems, and potential job losses due to use of automated systems.          These principles will guide future WHO work to support efforts to ensure that the full potential of AI for healthcare and public health will be used for the benefits of all.


AI Bias Could Put Women's Lives At Risk - A Challenge For Regulators

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When the European Commission released the long awaited white paper "On Artificial Intelligence - A European approach to excellence and trust" on February 19, much of the initial public reaction focused on potential AI regulation further challenging the EU's position in light of fierce technological competition from China and the United States. Few discussed the European Commission's document mention of gender and ethical guidelines. Importantly, the white paper calls for "requirements to take reasonable measures aimed at ensuring that [the] use of AI systems does not lead to outcomes entailing prohibited discrimination." This is not simply about a theoretical approach to discrimination. It is largely also about saving (women's) lives - and ensuring that essential products and services meet the needs of both women and men.


How AI can be a force for good

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Artificial intelligence (AI) is not just a new technology that requires regulation. It is a powerful force that is reshaping daily practices, personal and professional interactions, and environments. For the well-being of humanity it is crucial that this power is used as a force of good. Ethics plays a key role in this process by ensuring that regulations of AI harness its potential while mitigating its risks. AI may be defined in many ways.


How AI can be a force for good

Science

Artificial intelligence (AI) is not just a new technology that requires regulation. It is a powerful force that is reshaping daily practices, personal and professional interactions, and environments. For the well-being of humanity it is crucial that this power is used as a force of good. Ethics plays a key role in this process by ensuring that regulations of AI harness its potential while mitigating its risks. AI may be defined in many ways.


MIT and IEEE Partner to Advance Extended Intelligence - InformationWeek

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There's a lot of discussion about autonomous and intelligent systems these days, but few realize the impact those technologies will soon have on technology design and use. Already, formal and informal groups are debating the potential impacts of AI systems with the goal of articulating values, principles, and best practices that help guide the responsible design and use of such systems. For example, MIT Media Lab and the IEEE Standards Association (IEEE-SA) jointly announced the formation of the Council on Extended Intelligence (CXI) which intends to "build a new narrative" for AI/intelligent systems (A/IS) technology, inspired by principles of systems dynamics and design. CXI's initial efforts focus on three areas: participatory design, digital data agency, and metrics that measure prosperity more holistically than traditional indicators such as Gross Domestic Product (GDP). The respective projects are described below; although, the group's first challenge is distinguishing Extended Intelligence from AI and Augmented Intelligence.