Ethical Integration of AI in Healthcare Project Management: Islamic and Cultural Perspectives

Abstract

Artificial intelligence is reshaping healthcare project management in Saudi Arabia, yet most deployments lack culturally grounded ethics. This paper synthesises global AI-ethics guidance and Islamic bioethics, then proposes a maqāṣid-al-sharīʿah-aligned conceptual framework for ANN-based decision support. Ethical signals derived from the preservation of life, dignity, justice, faith, and intellect are embedded as logic-gate filters on ANN outputs. The framework specifies a dual-metric evaluation that reports predictive performance (e.g., accuracy, MAE, AUC) alongside ethical compliance, with auditable thresholds for fairness (δ = 0.1) and confidence (α = 0.8) calibrated through stakeholder workshops. It incorporates a co-design protocol with clinicians, patients, Islamic scholars, and policymakers to ensure cultural and clinical legitimacy. Unlike UNESCO and EU frameworks, which remain principle-oriented, this study introduces a measurable dual-layer assessment that combines technical accuracy with ethical compliance, supported by audit artefacts such as model cards, traceability logs, and human override records. The framework yields technically efficient and Shariah-compliant recommendations and sets a roadmap for empirical pilots under Vision 2030. The paper moves beyond a general review by formalising an Islamic-values-driven conceptual framework that operationalises ethical constraints inside ANN–DSS pipelines and defines auditable compliance metrics. This paper combines a critical review of AI in healthcare project management with the development of a maqāṣid-aligned conceptual framework, thereby bridging systematic synthesis with an implementable proposal for ethical AI.