The progressive dissemination of artificial intelligence (AI) systems in work settings raises numerous questions and concerns regarding their consequences, whether positive or negative, on work activities and organizations. This paper presents an empirical study that was designed to identify and analyze these consequences in radiology. This study focuses on two AI systems: a voice recognition dictation system for radiological reports and a system for detecting fractures on X-rays images. Based on a qualitative analysis of field observations of work activities and (...) interviews with radiologists, emergency physicians, and medical secretaries, our findings help to provide a nuanced view on how AI may affect work in this sector. In contrast to the speculative discourse where AI is seen as a “positive” technology or as “threat” for workers, this study shows, on the one hand, how these kinds of AI systems help or may help these workers in their activities, and, on the other hand, how these systems raise problematic issues regarding their consequences not only for physicians but also for other workers such as medical assistants. (shrink)

The emergence of new digital technologies in modern work organizations is also changing the way employees and employers communicate, design work processes and responsibilities, and delegate. This paper takes an interdisciplinary—namely sociological and philosophical—perspective on the use of AI in healthcare work organizations. Using this example, structural power relations in modern work organizations are first examined from a sociological perspective, and it is shown how these structural power relations, decision-making processes, and areas of responsibility shift when AI is used. In (...) the subsequent ethical part, opportunities for a fairer organization of work, but also dangers due to possibly changed power relations are elaborated and evaluated by presenting a realistic scenario from everyday clinical practice. After combining a proceduralist account of organizational ethics with a virtue-ethical approach, it is argued that certain organizational and character dispositions are necessary for employers and employees to meet the challenge of changing structural power relations in the future. With the same goal, a summative sociological perspective discusses challenges to workplace co-determination. (shrink)