How a Clinical Decision Support System Changed the Diagnosis Process: Insights from an Experimental Mixed-Method Study in a Full-Scale Anesthesiology Simulation

要旨

Recent advancements in artificial intelligence have sparked discussions on how clinical decision-making can be supported. New clinical decision support systems (CDSSs) have been developed and evaluated through workshops and interviews. However, limited research exists on how CDSSs affect decision-making as it unfolds, particularly in settings such as acute care, where decisions are made collaboratively under time pressure and uncertainty. Using a mixed-method study, we explored the impact of a CDSS on decision-making in anesthetic teams during simulated operating room crises. Fourteen anesthetic teams participated in high-fidelity simulations, half using a CDSS prototype for comparative analysis. Qualitative findings from conversation analysis and quantitative results on decision-making efficiency and workload revealed that the CDSS changed team structure, communication, and diagnostic processes. It homogenized decision-making, empowered nursing staff, and introduced friction between analytical and intuitive thinking. We discuss whether these changes are beneficial or detrimental and offer insights to guide future CDSS design.

受賞
Honorable Mention
著者
Sara Wolf
Julius-Maximilians-Universität Würzburg, Würzburg, Germany
Tobias Grundgeiger
Julius-Maximilians-Universität Würzburg, Würzburg, Germany
Raphael Zähringer
Julius-Maximilians-Universität Würzburg, Würzburg, Germany
Lora Shishkova
Julius-Maximilians-Universität Würzburg, Würzburg, Germany
Franzisca Maas
Julius-Maximilians-Universität Würzburg, Würzburg, Germany
Christina Dilling
Universitätsklinikum Würzburg, Würzburg, Germany
Oliver Happel
Universitätsklinikum Würzburg, Würzburg, Germany
DOI

10.1145/3706598.3713372

論文URL

https://dl.acm.org/doi/10.1145/3706598.3713372

会議: CHI 2025

The ACM CHI Conference on Human Factors in Computing Systems (https://chi2025.acm.org/)

セッション: Decision Making with AI

Annex Hall F203
7 件の発表
2025-05-01 18:00:00
2025-05-01 19:30:00
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