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Zoe Porter

Publications and source records attributed to Zoe Porter.

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The case for delegated AI autonomy for Human AI teaming in healthcare

In this paper we propose an advanced approach to integrating artificial intelligence (AI) into healthcare: autonomous decision support. This approach allows the AI algorithm to act autonomously for a subset of patient cases whilst serving a supportive role in other subsets of patient cases based on defined delegation criteria. By leveraging the complementary strengths of both humans and AI, it aims to deliver greater overall performance than existing human-AI teaming models. It ensures safe handling of patient cases and potentially reduces clinician review time, whilst being mindful of AI tool limitations. After setting the approach within the context of current human-AI teaming models, we outline the delegation criteria and apply them to a specific AI-based tool used in histopathology. The potential impact of the approach and the regulatory requirements for its successful implementation are then discussed.

cs.AI

Fair by design: A sociotechnical approach to justifying the fairness of AI-enabled systems across the lifecycle

Fairness is one of the most commonly identified ethical principles in existing AI guidelines, and the development of fair AI-enabled systems is required by new and emerging AI regulation. But most approaches to addressing the fairness of AI-enabled systems are limited in scope in two significant ways: their substantive content focuses on statistical measures of fairness, and they do not emphasize the need to identify and address fairness considerations across the whole AI lifecycle. Our contribution is to present an assurance framework and tool that can enable a practical and transparent method for widening the scope of fairness considerations across the AI lifecycle and move the discussion beyond mere statistical notions of fairness to consider a richer analysis in a practical and context-dependent manner. To illustrate this approach, we first describe and then apply the framework of Trustworthy and Ethical Assurance (TEA) to an AI-enabled clinical diagnostic support system (CDSS) whose purpose is to help clinicians predict the risk of developing hypertension in patients with Type 2 diabetes, a context in which several fairness considerations arise (e.g., discrimination against patient subgroups). This is supplemented by an open-source tool and a fairness considerations map to help facilitate reasoning about the fairness of AI-enabled systems in a participatory way. In short, by using a shared framework for identifying, documenting and justifying fairness considerations, and then using this deliberative exercise to structure an assurance case, research on AI fairness becomes reusable and generalizable for others in the ethical AI community and for sharing best practices for achieving fairness and equity in digital health and healthcare in particular.

cs.CY

What's my role? Modelling responsibility for AI-based safety-critical systems

AI-Based Safety-Critical Systems (AI-SCS) are being increasingly deployed in the real world. These can pose a risk of harm to people and the environment. Reducing that risk is an overarching priority during development and operation. As more AI-SCS become autonomous, a layer of risk management via human intervention has been removed. Following an accident it will be important to identify causal contributions and the different responsible actors behind those to learn from mistakes and prevent similar future events. Many authors have commented on the "responsibility gap" where it is difficult for developers and manufacturers to be held responsible for harmful behaviour of an AI-SCS. This is due to the complex development cycle for AI, uncertainty in AI performance, and dynamic operating environment. A human operator can become a "liability sink" absorbing blame for the consequences of AI-SCS outputs they weren't responsible for creating, and may not have understanding of. This cross-disciplinary paper considers different senses of responsibility (role, moral, legal and causal), and how they apply in the context of AI-SCS safety. We use a core concept (Actor(A) is responsible for Occurrence(O)) to create role responsibility models, producing a practical method to capture responsibility relationships and provide clarity on the previously identified responsibility issues. Our paper demonstrates the approach with two examples: a retrospective analysis of the Tempe Arizona fatal collision involving an autonomous vehicle, and a safety focused predictive role-responsibility analysis for an AI-based diabetes co-morbidity predictor. In both examples our primary focus is on safety, aiming to reduce unfair or disproportionate blame being placed on operators or developers. We present a discussion and avenues for future research.

cs.CY

Unravelling Responsibility for AI

It is widely acknowledged that we need to establish where responsibility lies for the outputs and impacts of AI-enabled systems. This is important to achieve justice and compensation for victims of AI harms, and to inform policy and engineering practice. But without a clear, thorough understanding of what "responsibility" means, deliberations about where responsibility lies will be, at best, unfocused and incomplete and, at worst, misguided. Furthermore, AI-enabled systems exist within a wider ecosystem of actors, decisions, and governance structures, giving rise to complex networks of responsibility relations. To address these issues, this paper presents a conceptual framework of responsibility, accompanied with a graphical notation and general methodology for visualising these responsibility networks and for tracing different responsibility attributions for AI. Taking the three-part formulation "Actor A is responsible for Occurrence O," the framework unravels the concept of responsibility to clarify that there are different possibilities of who is responsible for AI, senses in which they are responsible, and aspects of events they are responsible for. The notation allows these permutations to be represented graphically. The methodology enables users to apply the framework to specific scenarios. The aim is to offer a foundation to support stakeholders from diverse disciplinary backgrounds to discuss and address complex responsibility questions in hypothesised and real-world cases involving AI. The work is illustrated by application to a fictitious scenario of a fatal collision between a crewless, AI-enabled maritime vessel in autonomous mode and a traditional, crewed vessel at sea.

cs.AI

Ethics in conversation: Building an ethics assurance case for autonomous AI-enabled voice agents in healthcare

The deployment and use of AI systems should be both safe and broadly ethically acceptable. The principles-based ethics assurance argument pattern is one proposal in the AI ethics landscape that seeks to support and achieve that aim. The purpose of this argument pattern or framework is to structure reasoning about, and to communicate and foster confidence in, the ethical acceptability of uses of specific real-world AI systems in complex socio-technical contexts. This paper presents the interim findings of a case study applying this ethics assurance framework to the use of Dora, an AI-based telemedicine system, to assess its viability and usefulness as an approach. The case study process to date has revealed some of the positive ethical impacts of the Dora platform, as well as unexpected insights and areas to prioritise for evaluation, such as risks to the frontline clinician, particularly in respect of clinician autonomy. The ethics assurance argument pattern offers a practical framework not just for identifying issues to be addressed, but also to start to construct solutions in the form of adjustments to the distribution of benefits, risks and constraints on human autonomy that could reduce ethical disparities across affected stakeholders. Though many challenges remain, this research represents a step in the direction towards the development and use of safe and ethically acceptable AI systems and, ideally, a shift towards more comprehensive and inclusive evaluations of AI systems in general.

cs.CY

A Principles-based Ethics Assurance Argument Pattern for AI and Autonomous Systems

An assurance case is a structured argument, typically produced by safety engineers, to communicate confidence that a critical or complex system, such as an aircraft, will be acceptably safe within its intended context. Assurance cases often inform third party approval of a system. One emerging proposition within the trustworthy AI and autonomous systems (AI/AS) research community is to use assurance cases to instil justified confidence that specific AI/AS will be ethically acceptable when operational in well-defined contexts. This paper substantially develops the proposition and makes it concrete. It brings together the assurance case methodology with a set of ethical principles to structure a principles-based ethics assurance argument pattern. The principles are justice, beneficence, non-maleficence, and respect for human autonomy, with the principle of transparency playing a supporting role. The argument pattern, shortened to the acronym PRAISE, is described. The objective of the proposed PRAISE argument pattern is to provide a reusable template for individual ethics assurance cases, by which engineers, developers, operators, or regulators could justify, communicate, or challenge a claim about the overall ethical acceptability of the use of a specific AI/AS in a given socio-technical context. We apply the pattern to the hypothetical use case of an autonomous robo-taxi service in a city centre.

cs.CY