Evidence map›Paper›PMID 37626155›Full record

ReviewNPJ digital medicine2023

How AI can learn from the law: putting humans in the loop only on appeal.

I Glenn Cohen, Boris Babic, Sara Gerke, Qiong Xia, Theodoros Evgeniou, Klaus Wertenbroch

Abstract readReview
In one paragraph

Review in NPJ digital medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Article
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  13. Review
  14. Reasons underdetermination in meaningful human control.Ethics and information technology · 2025
    Article
  15. Article
  16. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

I Glenn CohenThe Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School, The Project on Precision Medicine, Artificial Intelligence, and the Law (PMAIL), Cambridge, MA, USA. igcohen@law.harvard.edu.ORCID http://orcid.org/0000-0002-0223-3305
Boris BabicUniversity of Toronto, Toronto, ON, Canada.
Sara GerkeThe Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School, The Project on Precision Medicine, Artificial Intelligence, and the Law (PMAIL), Cambridge, MA, USA.ORCID http://orcid.org/0000-0002-5718-3982
Qiong XiaINSEAD, Fontainebleau, France.
Theodoros EvgeniouINSEAD, Fontainebleau, France.ORCID http://orcid.org/0000-0001-9525-6110
Klaus WertenbrochINSEAD, Fontainebleau, France.ORCID http://orcid.org/0000-0003-1730-568X

Funding

PREMIERE: A PREdictive Model Index and Exchange REpositoryR01EB027650 · NIBIB · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI BUI, ALEX · 2019 to 2023
$3.0M
NIBIB NIH HHS R01 EB027650
6 · The paper itself

Abstract

While the literature on putting a "human in the loop" in artificial intelligence (AI) and machine learning (ML) has grown significantly, limited attention has been paid to how human expertise ought to be combined with AI/ML judgments. This design question arises because of the ubiquity and quantity of algorithmic decisions being made today in the face of widespread public reluctance to forgo human expert judgment. To resolve this conflict, we propose that human expert judges be included via appeals processes for review of algorithmic decisions. Thus, the human intervenes only in a limited number of cases and only after an initial AI/ML judgment has been made. Based on an analogy with appellate processes in judiciary decision-making, we argue that this is, in many respects, a more efficient way to divide the labor between a human and a machine. Human reviewers can add more nuanced clinical, moral, or legal reasoning, and they can consider case-specific information that is not easily quantified and, as such, not available to the AI/ML at an initial stage. In doing so, the human can serve as a crucial error correction check on the AI/ML, while retaining much of the efficiency of AI/ML's use in the decision-making process. In this paper, we develop these widely applicable arguments while focusing primarily on examples from the use of AI/ML in medicine, including organ allocation, fertility care, and hospital readmission.

Identifiers

PMID37626155
PMCPMC10457290

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.