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Related Experiment Video

Updated: Oct 6, 2025

Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis
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Physicians' perceptions of two ways of algorithm presentation: graphic versus text-based approach.

Lisa Bergauer1, Ezequiel D Kataife2, Federico G Mileo2

  • 1Institute of Anaesthesiology, University of Zurich and University Hospital Zurich, Zurich, Switzerland.

Ergonomics
|January 13, 2022
PubMed
Summary

Physicians prefer graphic cognitive aids for managing acute bleeding, finding them more effective than text-based options. This study highlights user-centered design

Keywords:
Algorithmscognitive aiddecision-makinggraphic presentationqualitative researchuser-centred design

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Area of Science:

  • Medical Education
  • Surgical Hemostasis
  • Clinical Decision Support

Background:

  • Acute bleeding during surgery or trauma presents significant clinical challenges.
  • Cognitive aids and established protocols can assist physicians in managing such critical situations.
  • Effective presentation of clinical algorithms is crucial for their practical utility.

Purpose of the Study:

  • To investigate physician opinions on graphic versus text-based cognitive aids for coagulation management.
  • To identify the strengths and limitations of different presentation modalities for clinical algorithms.
  • To inform the design of user-centered cognitive aids for acute bleeding scenarios.

Main Methods:

  • A dual-centre qualitative study involving 84 physicians.
  • Random assignment of participants to either a graphic ('Haemostasis Traffic Light') or text-based cognitive aid.
  • Analysis of 447 usable statements using inductive coding to identify themes and patterns.

Main Results:

  • Physicians recognized the importance of cognitive aids in managing acute bleeding.
  • The graphic cognitive aid received significantly more positive comments (64%) compared to the text-based version (39%).
  • Participants perceived the user-centered designed graphic algorithm more favorably.

Conclusions:

  • Graphic cognitive aids, particularly those designed with user-centered principles, are generally preferred by physicians.
  • Presentation modality significantly impacts the perceived utility and acceptance of clinical algorithms.
  • Key components for an ideal algorithm can be identified to improve clinical decision-making in hemostasis.