The platform is not an app - we might change it's ability to function, but we will not be able to change their memories or excise the data we are all constantly feeding it now.

We have competing AI platforms, will they be allowed to share data and knowledge and if so under what circumstances? We have intelligence in its infancy and we are treating it as if it is a device we can change and upgrade with time. We have a chance now to develop race and gender neutral algorithms and we are not.We have the chance to develop wellness/ self-care algorithms and we are not. My concern is that embedding the existing model of care, combined with configuring our metadata to support such while carrying over racist and sexist elements into AI algorithms scares me. There are multiple dimensions and ethical concerns with the use of AI in healthcare, not just bedside care which well justify physician interest.

So, why would medicine diminish the role of the full-time, continuous presence hospital professional staff and weigh the steering committee with physicians to make analytical and ethical judgements about the use of artificial intelligence in this setting? Maybe l am mistaken, but my nurse informatics colleagues have the technical knowledge to assist in translating the work realities of their bedside colleagues. When will hospitals not need a nurse? Florence Nightengale is best known as the mother of nursing, but she is also known for her clinical study and development of the modern hospital. The steering committee is composed of physicians, lawyers, lT scholars and AI experts, and they even have a medical anthropologist, but there's not one nurse on the steering committee and sadly, not one non-physician medical ethicist at the table as well, which states volumes about organized medicine perception and vision of AI and the healthcare workplace. The National Academy of Medicine is starting a multi-year project to develop a healthcare artificial intelligence code of conduct which is being stewarded by the NAM Leadership Consortium. Ernest Grant William Carson American Health Law Association Bonnie Clipper DNP, MA, MBA, RN, CENP, FACHE, FAAN Nurse Informatics American Nurses Association American Nurse Journal

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