Published, Version of Record (VoR)Open Access via Drexel Libraries Read and Publish Program 2025CC BY V4.0, Open
Abstract
Empirical studies in HCI Human computer interaction (HCI) Human-centered computing
AI-enabled decision-support systems aim to help medical providers rapidly make decisions with limited information during medical emergencies. A critical challenge in developing these systems is supporting providers in interpreting the system output to make optimal treatment decisions. In this study, we designed and evaluated an AI-enabled decision-support system to aid providers in treating patients with traumatic injuries. We first conducted user research with physicians to identify and design information types and AI outputs for a decision-support display. We then conducted an online experiment with 35 medical providers from six health systems to evaluate two human-AI interaction strategies: (1) AI information synthesis and (2) AI information and recommendations. We found that providers were more likely to make correct decisions when AI information and recommendations were provided compared to receiving no AI support. We also identified two socio-technical barriers to providing AI recommendations during time-critical medical events: (1) an accuracy-time trade-off in providing recommendations and (2) polarizing perceptions of recommendations between providers. We discuss three implications for developing AI-enabled decision support used in time-critical events, contributing to the limited research on human-AI interaction in this context.
To Recommend or Not to Recommend: Designing and Evaluating AI-Enabled Decision Support for Time-Critical Medical Events
Creators
Angela Mastrianni (Corresponding Author) - Drexel University, Information Science
Mary Suhyun Kim - Children's National
Travis M Sullivan - Children's National
Genevieve Jayne Sippel - Children's National
Randall S Burd - Children's National
Krzysztof Z. Gajos - Harvard University, Allston, MA, USA
Aleksandra Sarcevic - Drexel University, Information Science
Publication Details
Proceedings of the ACM on human-computer interaction, v 9(7), pp 1-33
Publisher
Association for Computing Machinery
Number of pages
33
Grant note
204177 / National Science Foundation Graduation Research Fellowship
IS-2107391 / National Science Foundation (https://doi.org/10.13039/100000001)
R01LM011834-05 / National Institutes of Health (https://doi.org/10.13039/100000002)
Resource Type
Conference proceeding
Language
English
Academic Unit
Information Science
Web of Science ID
WOS:001615107800001
Scopus ID
2-s2.0-105019333053
Other Identifier
991022122860304721
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