6533b86dfe1ef96bd12ca19b

RESEARCH PRODUCT

Recent advances of HCI in decision-making tasks for optimized clinical workflows and precision medicine.

Roberto PirroneLeonardo RundoOrazio GambinoEvis SalaSalvatore Vitabile

subject

Computer scienceDecision Support SystemsHealth InformaticsClinical decision support systemWorkflow03 medical and health sciencesClinical workflows Decision-making tasks Human-Computer Interaction Physician-centered design Precision medicineClinical0302 clinical medicineArtificial IntelligenceHumansClinical workflows030212 general & internal medicinePrecision Medicine030304 developmental biology0303 health sciencesbusiness.industryHuman intelligenceComputersPhysician-centered designUsabilityCognitionPrecision medicineDecision Support Systems ClinicalData scienceComputer Science ApplicationsVisualizationHuman-Computer InteractionWorkflowClinical workflows; Decision-making tasks; Human-Computer Interaction; Physician-centered design; Precision medicine; Artificial Intelligence; Computers; Humans; Workflow; Decision Support Systems Clinical; Precision MedicineDecision-making tasksDomain knowledgebusiness

description

The ever-increasing amount of biomedical data is enabling new large-scale studies, even though ad hoc computational solutions are required. The most recent Machine Learning (ML) and Artificial Intelligence (AI) techniques have been achieving outstanding performance and an important impact in clinical research, aiming at precision medicine, as well as improving healthcare workflows. However, the inherent heterogeneity and uncertainty in the healthcare information sources pose new compelling challenges for clinicians in their decision-making tasks. Only the proper combination of AI and human intelligence capabilities, by explicitly taking into account effective and safe interaction paradigms, can permit the delivery of care that outperforms what either can do separately. Therefore, Human-Computer Interaction (HCI) plays a crucial role in the design of software oriented to decision-making in medicine. In this work, we systematically review and discuss several research fields strictly linked to HCI and clinical decision-making, by subdividing the articles into six themes, namely: Interfaces, Visualization, Electronic Health Records, Devices, Usability, and Clinical Decision Support Systems. However, these articles typically present overlaps among the themes, revealing that HCI inter-connects multiple topics. With the goal of focusing on HCI and design aspects, the articles under consideration were grouped into four clusters. The advances in AI can effectively support the physicians' cognitive processes, which certainly play a central role in decision-making tasks because the human mental behavior cannot be completely emulated and captured; the human mind might solve a complex problem even without a statistically significant amount of data by relying upon domain knowledge. For this reason, technology must focus on interactive solutions for supporting the physicians effectively in their daily activities, by exploiting their unique knowledge and evidence-based reasoning, as well as improving the various aspects highlighted in this review.

10.1016/j.jbi.2020.103479https://pubmed.ncbi.nlm.nih.gov/32561444