Evidence map›Paper›PMID 42719723›Full record

ArticleACI open2022

Power of Heuristics to Improve Health Information Technology System Design.

Don Roosan, Justin Clutter, Brian Kendall, Charlene Weir

Abstract read
In one paragraph

Article in ACI open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Don RoosanDepartment of Pharmacy Practice and Administration, Western University of Health Sciences, Pomona, California, United States.
Justin ClutterDivision of Internal Medicine, Deaconess Health System, Evansville, Indiana, United States.
Brian KendallDivision of Infectious Diseases, Providence Milwaukie Hospital, Portland, Oregon, United States.
Charlene WeirDepartment of Biomedical Informatics, University of Utah, Salt Lake City, Utah, United States.

Funding

AHRQ HHS R36 HS023349
6 · The paper itself

Abstract

Background: Clinical decision-making can be prone to error if health system design does not match expert clinicians' higher cognitive skills. There is a gap in understanding the need for the importance of heuristics in clinical decision-making. The heuristic approach can provide cognitive support in designing intuitive health information systems for complex cases. Objective: We explored complex decision-making by infectious diseases (ID) clinicians focusing on fast and frugal heuristics. We hypothesized that ID clinicians use simple heuristics to understand complex cases using their experience. Methods: The study utilized cognitive task analysis and heuristics-based decision modeling. We conducted cognitive interviews and provided clinicians with a fast-and-frugal tree algorithm to convert complex information into simple decision algorithms. We conducted a critical decision method-based analysis to generate if-then logic sentences from the transcript. We conducted a thematic analysis of heuristics and calculated the average time to complete and the number of crucial information in the decision nodes. Results: A total of 27 if-then logic heuristics sentences were generated from analyzing the data. The average time to construct the fast-and-frugal trees was 1.65 ± 0.37 minutes, and the average number of crucial pieces of information clinicians focused on was 5.4 ± 3.1. Conclusion: Clinicians use shortcut mental models to reduce complex cases into simple mental model algorithms. The innovative use of artificial intelligence could allow clinical decision support systems to focus on creative and intuitive interface design matching the higher cognitive skills of expert clinicians.

Indexed as

algorithmclinical decision supportdata processingexpert systemheuristics

Identifiers

PMID42719723
PMCPMC13556268

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.