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Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...

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Clinicians' Visual Attention During Suicide Screening Encounters: An Exploratory Eye-Tracking Study.

Doaa Alrefaei1,2, Kaidi Huang2, Ashwin Sukumar2

  • 1King Abdulaziz University, KSA.

Medrxiv : the Preprint Server for Health Sciences
|February 27, 2026
PubMed
Summary
This summary is machine-generated.

Primary care clinicians using electronic health records (EHRs) show increased visual attention on the EHR, impacting patient communication. This eye-tracking study reveals EHRs can delay crucial suicide-related discussions.

Keywords:
CAT-MH®Cognitive workloadElectronic health recordsEye trackingPrimary careSuicide screening

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Area of Science:

  • Clinical Informatics
  • Human-Computer Interaction
  • Cognitive Science

Background:

  • Eye tracking is a validated method for assessing visual attention and cognitive load.
  • Electronic Health Records (EHRs) are integral to modern primary care but can create dual demands for clinicians.
  • Understanding how clinicians interact with EHRs during patient encounters is crucial for optimizing workflows.

Purpose of the Study:

  • To investigate how primary care providers' visual attention is allocated between patient communication and EHR navigation.
  • To examine the impact of EHR-embedded suicide risk screening tools on clinical decision-making and encounter flow.
  • To analyze the interplay between eye movements and verbalized thought processes during simulated patient visits.

Main Methods:

  • Utilized wearable eye tracking to capture visual information processing behavior.
  • Employed a retrospective think-aloud protocol to gather qualitative insights into clinicians' cognitive processes.
  • Conducted simulated patient visits incorporating an EHR-embedded suicide risk assessment tool (CAT-MH®).

Main Results:

  • Eye-movement data indicated significant visual attention directed towards the EHR interface.
  • Clinicians frequently navigated multiple EHR sections to verify suicide risk indicators.
  • Retrospective data revealed a tendency to postpone suicide-related discussions until information verification was complete.

Conclusions:

  • EHR design and embedded tools can significantly influence clinical attention distribution and communication timing.
  • The integration of screening tools within EHRs introduces information-processing demands that affect encounter dynamics.
  • Further research is needed to optimize EHR usability and minimize disruptions to patient-clinician communication.