Automation complacency: risks of abdicating medical decision making

This work investigates automation complacency in relation to decision support systems used in healthcare contexts, especially their impact on clinicians, patients, and the quality of care. While AI and decision support systems can enhance efficiency and outcomes in healthcare, the potential for automation bias risks clinical perils. These include eroded vigilance, impoverished therapeutic relationships, and potentially poorer outcomes regarding overall well-being. This work highlights these concerns to urge actors in the health sector to effectively integrate technology in a way that spares cognitive resources without compromising the essential role of human experts in making medical decisions. To ensure decision support improves patient care, it is crucial to balance computational processing of information with embodied local expertise; we provide a possible starting point for mindful integration. The implementation of systems in the clinical context should encourage vigilance and guard against fatigue and complacency. There is reason to be excited about increasingly efficient and available care. If the risks of automation complacency are avoided, shared time and resources can be used to preserve and promote valuable interactions, insights, and holistic aspects of care.

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Publication Details

Journal
AI and Ethics
Published
2025-08-28
DOI
https://doi.org/10.1007/s43681-025-00825-2
Citations
2
Primary Topic
Healthcare Technology and Patient Monitoring
Type
article
Field-Weighted Citation Impact
4.01

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article

Automation complacency: risks of abdicating medical decision making

David N. Hoffman, Michael Saadeh, E. S. de Beer, Joel Janhonen et al.
2 citations
AI and Ethics
Healthcare Technology and Patient Monitoring
4.01
article

Automation complacency: risks of abdicating medical decision making

David N. Hoffman, Michael Saadeh, E. S. de Beer, Joel Janhonen, Camille Castelyn
article en
2 citations

Abstract

This work investigates automation complacency in relation to decision support systems used in healthcare contexts, especially their impact on clinicians, patients, and the quality of care. While AI and decision support systems can enhance efficiency and outcomes in healthcare, the potential for automation bias risks clinical perils. These include eroded vigilance, impoverished therapeutic relationships, and potentially poorer outcomes regarding overall well-being. This work highlights these concerns to urge actors in the health sector to effectively integrate technology in a way that spares cognitive resources without compromising the essential role of human experts in making medical decisions. To ensure decision support improves patient care, it is crucial to balance computational processing of information with embodied local expertise; we provide a possible starting point for mindful integration. The implementation of systems in the clinical context should encourage vigilance and guard against fatigue and complacency. There is reason to be excited about increasingly efficient and available care. If the risks of automation complacency are avoided, shared time and resources can be used to preserve and promote valuable interactions, insights, and holistic aspects of care.

AI and EthicsVol. 5(6)
University of Turku (FI), Center for Practical Bioethics (US), Institute for Molecular Medicine Finland (FI), University of Pretoria (ZA), Columbia University (US)
Turun Yliopisto
Gender equality
Openalex Percentile: Top 6%
Healthcare Technology and Patient Monitoring
4.01
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Automation complacency: risks of abdicating medical decision making — David N. Hoffman, Michael Saadeh, et al. · AI and Ethics (2025) | TGRS Research Map | TGRS