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Do Novice and Expert Users of Clinical Decision Support Tools Need Different Explanations?
Haadi Mombini1, Bengisu Tulu1, Diane Strong1
1WPI.
Proceedings of the ... Americas Conference on Information Systems. Americas Conference on Information Systems
|October 29, 2021
Summary
This study shows that both novice and expert clinicians prefer rule-tracing explanations from a Wound Clinical Decision Support System (CDSS) app. Novices prefer detailed explanations, while experts prefer concise summaries for wound management.
Area of Science:
- * Digital Health and Clinical Decision Support Systems (CDSS)
- * Medical Informatics and Artificial Intelligence in Healthcare
- * Wound Management and Clinical Practice
Background:
- * Clinical Decision Support Systems (CDSS) require reliable explanations for user adoption, particularly in complex areas like wound management.
- * Novice clinicians often experience decision uncertainties in wound care despite available guidelines.
- * Existing literature suggests rule-tracing explanations are primarily beneficial for novices.
Purpose of the Study:
- * To evaluate a Wound CDSS smartphone application providing rule-tracing explanations for its recommendations.
- * To investigate the preference for different forms of rule-tracing explanations (verbose-based vs. gist-based) among clinicians with varying expertise levels.
- * To test the hypothesis that both novice and expert clinicians prefer rule-tracing explanations, but in different formats.
Main Methods:
- * Development and utilization of a Wound CDSS smartphone app that analyzes wound images captured by clinicians.
- * Experimentation with two types of rule-tracing explanations: verbose-based (detailed) and gist-based (concise).
- * Comparative evaluation of clinician preferences for these explanation types based on decision-making theories.
Main Results:
- * The study hypothesizes that both novice and expert clinicians will prefer rule-tracing explanations.
- * Novice clinicians are expected to prefer verbose-based explanations for greater detail.
- * Expert clinicians are expected to prefer gist-based explanations for efficiency and conciseness.
Conclusions:
- * Rule-tracing explanations are valuable for wound management CDSS adoption across different expertise levels.
- * Tailoring explanation formats (verbose for novices, gist for experts) can enhance CDSS usability and effectiveness.
- * This approach addresses decision uncertainties faced by clinicians in wound care settings.
Keywords:
Clinical decision support systemsdecision explanationsdecision makingfuzzy-trace theorywound careMore Related Videos
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