Abstract

Background“Artificial intelligence” (AI) is often referred to as “augmented human intelligence” (AHI). The latter term implies that computers support—rather than replace—human decision-making. It is unclear whether the terminology used affects attitudes and perceptions in practice.MethodsIn the context of a quality improvement project implementing AI/AHI-based decision support in a regional health system, we surveyed staff’s attitudes about AI/AHI, randomizing question prompts to refer to either AI or AHI.ResultsNinety-three staff completed surveys. With a power of 0.95 to detect a difference larger than 0.8 points on a 5-point scale, we did not detect a significant difference in responses to six questions regarding attitudes when respondents were alternatively asked about AI versus AHI (mean difference range: 0.04–0.22 points; p > 0.05).ConclusionAlthough findings may be setting-specific, we observed that use of the terms “AI” and “AHI” in a survey on attitudes of clinical staff elicited similar responses.

Highlights

  • In 2018, the American Medical Association released a policy statement on augmented intelligence in medicine [1]

  • An electronic survey was emailed in the context of a quality improvement project that included implementation of two decision support systems powered by artificial intelligence” (AI)/augmented human intelligence” (AHI)

  • The response rate was 46% for staff involved with diabetes-related AI/AHI and 38% for staff involved with hospital readmissionrelated AI/AHI, yielding an overall response rate of 41% (Table 1)

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Summary

Introduction

In 2018, the American Medical Association released a policy statement on augmented intelligence in medicine [1]. The wording “augmented intelligence” was carefully chosen in contradistinction to the more colloquial term “artificial intelligence” (AI) to emphasize that while computing systems have the capability to augment human medical decision making, these systems are not a replacement for rational human thought. Perhaps in response to these public perceptions, major cloud computing vendors, including IBM [3] and Microsoft [4] have stated a preference to refer to the technology as “augmented” rather than “artificial” intelligence. The idea of “augmented human intelligence” (AHI) has been around for over 50 years, [5] the term “artificial intelligence” continues

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