Towards a Design Science of Ethical Decision Support

Mathieson, Kieran

doi:10.1007/s10551-006-9281-4

Cited by 19 publications

(21 citation statements)

References 105 publications

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“…Indeed Mathieson (2007) suggested that ethical decisions commonly involve uncertainty and confliction and therefore are some of the most complex and difficult decisions that individuals make.…”

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confidence: 99%

Affect in Ethical Decision Making: Mood Matters

Guzak

2014

Ethics & Behavior

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mentioning

confidence: 99%

Affect in Ethical Decision Making: Mood Matters

Guzak

2014

Ethics & Behavior

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“…Individuals ranging from military commanders to manufacturing floor managers to trial juries may be subject to cognitive distortions that include availability, representativeness, anchoring and adjustment, and confirmation biases [17,28,33,37]. Humans’ probabilistic reasoning ability is poor, and both physicians and patients may inaccurately interpret single probabilities, conditional probabilities, and relative risks when making decisions [52].…”

Section: Resultsmentioning

confidence: 99%

Advancing clinical decision support using lessons from outside of healthcare: an interdisciplinary systematic review

Davis

Bell

2012

BMC Med Inform Decis Mak

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BackgroundGreater use of computerized decision support (DS) systems could address continuing safety and quality problems in healthcare, but the healthcare field has struggled to implement DS technology. This study surveys DS experience across multiple non-healthcare disciplines for new insights that are generalizable to healthcare provider decisions. In particular, it sought design principles and lessons learned from the other disciplines that could inform efforts to accelerate the adoption of clinical decision support (CDS).MethodsOur systematic review drew broadly from non-healthcare databases in the basic sciences, social sciences, humanities, engineering, business, and defense: PsychINFO, BusinessSource Premier, Social Sciences Abstracts, Web of Science, and Defense Technical Information Center. Because our interest was in DS that could apply to clinical decisions, we selected articles that (1) provided a review, overview, discussion of lessons learned, or an evaluation of design or implementation aspects of DS within a non-healthcare discipline and (2) involved an element of human judgment at the individual level, as opposed to decisions that can be fully automated or that are made at the organizational level.ResultsClinical decisions share some similarities with decisions made by military commanders, business managers, and other leaders: they involve assessing new situations and choosing courses of action with major consequences, under time pressure, and with incomplete information. We identified seven high-level DS system design features from the non-healthcare literature that could be applied to CDS: providing broad, system-level perspectives; customizing interfaces to specific users and roles; making the DS reasoning transparent; presenting data effectively; generating multiple scenarios covering disparate outcomes (e.g., effective; effective with side effects; ineffective); allowing for contingent adaptations; and facilitating collaboration. The article provides examples of each feature. The DS literature also emphasizes the importance of organizational culture and training in implementation success. The literature contrasts “rational-analytic” vs. “naturalistic-intuitive” decision-making styles, but the best approach is often a balanced approach that combines both styles. It is also important for DS systems to enable exploration of multiple assumptions, and incorporation of new information in response to changing circumstances.ConclusionsComplex, high-level decision-making has common features across disciplines as seemingly disparate as defense, business, and healthcare. National efforts to advance the health information technology agenda through broader CDS adoption could benefit by applying the DS principles identified in this review.

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“…However, IS academics (Ackoff, 1989;Fricke, 2009;Intezari & Pauleen, 2014;Jennex, 2009) have questioned this formulation of the knowledge hierarchy. For example, in a paper on ethical decision support, Mathieson (2007) states that accumulating wisdom may be the most important outcome of ethical decision-making, one that can be fed back into ethical DSSs to make the results available to others. It is important to reiterate that while knowledge may be necessary for wisdom, it is not sufficient.…”

Section: (A Abstractearch In Googlementioning

confidence: 99%

“…Even outside of IS journals, we find explicit mention of wisdom in relation to IS with regard to ethics. For example, in a paper on ethical decision support, Mathieson (2007) states that accumulating wisdom may be the most important outcome of ethical decision-making, one that can be fed back into ethical DSSs to make the results available to others. However, ethics and values are better seen as facets of wisdom, not wisdom itself.…”

Section: (A Abstractearch In Googlementioning

confidence: 99%

The wisdom nexus: Guiding information systems research, practice, and education

Dalal

Pauleen

2018

Information Systems Journal

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“Wisdom” has been at the heart of practical, philosophical, and spiritual disciplines since antiquity and is now increasingly receiving organizational as well as academic attention in scholarly areas that include psychology and organizational studies among others. However, practical wisdom has not received adequate focus in the information systems (IS) discipline. In this commentary, we make the case for a systemic focus on the role of wisdom in IS research, teaching, and practice. We introduce underlying theoretical concepts of wisdom; review relevant key research linking wisdom and IS; propose a framework to link wisdom with IS research, practice, and education; and discuss the implications of the framework and illustrate how it can be used to generate research opportunities for IS. We conclude that wisdom, whose goal is the common good, can provide a foundation to discover, view, understand, and resolve myriad issues that lie at the nexus of wisdom and information technologies.

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Towards a Design Science of Ethical Decision Support

Abstract: Cognition, decision support systems, design science, emotion, ethics, group support systems, philosophy,

Cited by 19 publications

References 105 publications

Affect in Ethical Decision Making: Mood Matters

Affect in Ethical Decision Making: Mood Matters

Advancing clinical decision support using lessons from outside of healthcare: an interdisciplinary systematic review

The wisdom nexus: Guiding information systems research, practice, and education

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