Title
Patient Safety And Quality Improvement: Ethical Principles For A Regulatory Approach To Bias In Healthcare Machine Learning
Abstract
Accumulating evidence demonstrates the impact of bias that reflects social inequality on the performance of machine learning (ML) models in health care. Given their intended placement within healthcare decision making more broadly, ML tools require attention to adequately quantify the impact of bias and reduce its potential to exacerbate inequalities. We suggest that taking a patient safety and quality improvement approach to bias can support the quantification of bias-related effects on ML. Drawing from the ethical principles underpinning these approaches, we argue that patient safety and quality improvement lenses support the quantification of relevant performance metrics, in order to minimize harm while promoting accountability, justice, and transparency. We identify specific methods for operationalizing these principles with the goal of attending to bias to support better decision making in light of controllable and uncontrollable factors.
Year
DOI
Venue
2020
10.1093/jamia/ocaa085
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
Keywords
DocType
Volume
machine learning, systematic bias, healthcare delivery, patient safety, quality improvement
Journal
27
Issue
ISSN
Citations 
12
1067-5027
1
PageRank 
References 
Authors
0.34
0
6
Name
Order
Citations
PageRank
Melissa D McCradden110.34
Shalmali Joshi211.02
James A Anderson310.34
Mjaye Mazwi410.68
Anna Goldenberg527626.12
Randi Zlotnik Shaul610.34