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Investigating the Heart Pump Implant Decision Process: Opportunities for Decision Support Tools to Help

Published: 07 May 2016 Publication History

Abstract

Clinical decision support tools (DSTs) are computational systems that aid healthcare decision-making. While effective in labs, almost all these systems failed when they moved into clinical practice. Healthcare researchers speculated it is most likely due to a lack of user-centered HCI considerations in the design of these systems. This paper describes a field study investigating how clinicians make a heart pump implant decision with a focus on how to best integrate an intelligent DST into their work process. Our findings reveal a lack of perceived need for and trust of machine intelligence, as well as many barriers to computer use at the point of clinical decision-making. These findings suggest an alternative perspective to the traditional use models, in which clinicians engage with DSTs at the point of making a decision. We identify situations across patients' healthcare trajectories when decision supports would help, and we discuss new forms it might take in these situations.

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    cover image ACM Conferences
    CHI '16: Proceedings of the 2016 CHI Conference on Human Factors in Computing Systems
    May 2016
    6108 pages
    ISBN:9781450333627
    DOI:10.1145/2858036
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    Published: 07 May 2016

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    1. clinical decision support systems
    2. decision support tools
    3. field study
    4. qualitative methods
    5. service design

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    • NIH National Heart Lung and Blood Institute (NHLBI)

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    May 7 - 12, 2016
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    CHI '16 Paper Acceptance Rate 565 of 2,435 submissions, 23%;
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