Evidence map›Paper›PMID 38573370›Full record

ArticleJournal of clinical monitoring and computing2024

Algor-ethics: charting the ethical path for AI in critical care.

Jonathan Montomoli, Maria Maddalena Bitondo, Marco Cascella, Emanuele Rezoagli, Luca Romeo, Valentina Bellini, Federico Semeraro, Emiliano Gamberini, Emanuele Frontoni, Vanni Agnoletti and 3 more

Open access · hybridAbstract readLetter
In one paragraph

Article in Journal of clinical monitoring and computing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.1field-weighted citation impact, top 8% of its field
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

18 citing papers in PubMed, 26 citations in OpenAlex.

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  9. Algor-Ethics in Diabetes Care: Mapping the Route.Diabetes/metabolism research and reviews · 2026
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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

13 authors at 8 institutions in 1 country.

Jonathan MontomoliDepartment of Anesthesia and Intensive Care, Infermi Hospital, Romagna Local Health Authority, Viale Settembrini 2, Rimini, 47923, Italy. jonathan.montomoli@gmail.com.
Maria Maddalena BitondoDepartment of Anesthesia and Intensive Care, Infermi Hospital, Romagna Local Health Authority, Viale Settembrini 2, Rimini, 47923, Italy.
Marco CascellaUnit of Anesthesia and Pain Medicine, Department of Medicine, Surgery and Dentistry "Scuola Medica Salernitana, " University of Salerno, Baronissi, Salerno, Italy.
Emanuele RezoagliSchool of Medicine and Surgery, University of Milano-Bicocca, Via Cadore, 48, Monza, 20900, Italy.
Luca RomeoDepartment of Economics and Law, University of Macerata, Macerata, 62100, Italy.
Valentina BelliniAnesthesiology, Critical Care and Pain Medicine Division, Department of Medicine and Surgery, University of Parma, Via Gramsci 14, Parma, 43125, Italy.
Federico SemeraroDepartment of Anesthesia, Intensive Care and Prehospital Emergency, Ospedale Maggiore Carlo Alberto Pizzardi, Largo Bartolo Nigrisoli, 2, Bologna, 40133, Italy.
Emiliano GamberiniDepartment of Anesthesia and Intensive Care, Infermi Hospital, Romagna Local Health Authority, Viale Settembrini 2, Rimini, 47923, Italy.
Emanuele FrontoniDepartment of Political Sciences, Communication and International Relations, University of Macerata, Macerata, 62100, Italy.
Vanni AgnolettiDepartment of Surgery and Trauma, Anesthesia and Intensive Care Unit, Maurizio Bufalini Hospital, Romagna Local Health Authority, Viale Giovanni Ghirotti, 286, Cesena, 47521, Italy.
Mattia AltiniHospital Care Sector, Emilia-Romagna Region, Via Aldo Moro, 21, Bologna, 40127, Italy.
Paolo BenantiPontifical Gregorian University, Piazza della Pilotta 4, Roma, 00187, Italy.
Elena Giovanna BignamiAnesthesiology, Critical Care and Pain Medicine Division, Department of Medicine and Surgery, University of Parma, Via Gramsci 14, Parma, 43125, Italy.
University of Macerata · ITUniversity of Parma · ITAzienda Unità Sanitaria Locale Della Romagna · ITOspedale Maggiore Carlo Alberto Pizzardi · ITPontifical Gregorian University · ITRegione Emilia-RomagnaUniversity of Milano-Bicocca · ITUniversity of Salerno · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The integration of Clinical Decision Support Systems (CDSS) based on artificial intelligence (AI) in healthcare is groundbreaking evolution with enormous potential, but its development and ethical implementation, presents unique challenges, particularly in critical care, where physicians often deal with life-threating conditions requiring rapid actions and patients unable to participate in the decisional process. Moreover, development of AI-based CDSS is complex and should address different sources of bias, including data acquisition, health disparities, domain shifts during clinical use, and cognitive biases in decision-making. In this scenario algor-ethics is mandatory and emphasizes the integration of 'Human-in-the-Loop' and 'Algorithmic Stewardship' principles, and the benefits of advanced data engineering. The establishment of Clinical AI Departments (CAID) is necessary to lead AI innovation in healthcare, ensuring ethical integrity and human-centered development in this rapidly evolving field.

Indexed as

AlgorithmsArtificial IntelligenceCritical CareDecision Support Systems, ClinicalClinical Decision-MakingHumansAlgorethicsArtificial intelligenceData engineeringEthicsMachine learning

Identifiers

PMID38573370
PMCPMC11297831
OpenAlexW4393965904

What OpenQuestion holds

Textmetadata
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.