Augmenting Clinical Decision-Making with an Interactive and Interpretable AI Copilot: A Real-World User Study with Clinicians in Nephrology and Obstetrics

要旨

Clinician skepticism toward opaque AI hinders adoption in high-stakes healthcare. We present AICare, an interactive and interpretable AI copilot for collaborative clinical decision-making. By analyzing longitudinal electronic health records, AICare grounds dynamic risk predictions in scrutable visualizations and LLM-driven diagnostic recommendations. Through a within-subjects counterbalanced study with 16 clinicians across nephrology and obstetrics, we comprehensively evaluated AICare using objective measures (task completion time and error rate), subjective assessments (NASA-TLX, SUS, and confidence ratings), and semi-structured interviews. Our findings indicate AICare's reduced cognitive workload. Beyond performance metrics, qualitative analysis reveals that trust is actively constructed through verification, with interaction strategies diverging by expertise: junior clinicians used the system as cognitive scaffolding to structure their analysis, while experts engaged in adversarial verification to challenge the AI's logic. This work offers design implications for creating AI systems that function as transparent partners, accommodating diverse reasoning styles to augment rather than replace clinical judgment.

著者
Yinghao Zhu
Peking University, Beijing, China
Dehao Sui
Peking University, Beijing, China
Zixiang Wang
Peking University, Beijing, China
Xuning Hu
Xi'an Jiaotong-Liverpool University, Suzhou, China
Lei Gu
Peking University, Beijing, China
Yifan Qi
Nankai University, Tianjin, China
Tianchen Wu
Peking University Third Hospital, Beijing, China
Ling Wang
Affiliated Xuzhou Municipal Hospital of Xuzhou Medical University, Jiangsu, China
Yuan Wei
Peking University Third Hospital, Beijing, China
Wen Tang
Peking University, Beijing, China
Zhihan Cui
Peking University, Beijing, China
Yasha Wang
Peking University, Beijing, China
Lequan Yu
The University of Hong Kong, Hong Kong, N/A, China
Ewen M Harrison
The University of Edinburgh, Edinburgh, United Kingdom
Junyi Gao
University of Edinburgh, Edinburgh, United Kingdom
Liantao Ma
Peking University, Beijing, China
動画

会議: CHI 2026

ACM CHI Conference on Human Factors in Computing Systems

セッション: AI Explanations and Decision Support in Healthcare

Auditorium
7 件の発表
2026-04-13 20:15:00
2026-04-13 21:45:00