Automation Bias in AI-Assisted Medical Decision-Making under Time Pressure in Computational Pathology

Fuente: arXiv
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Autori principali: Rosbach, Emely, Ganz, Jonathan, Ammeling, Jonas, Riener, Andreas, Aubreville, Marc
Natura: Preprint
Pubblicazione: 2024
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author Rosbach, Emely
Ganz, Jonathan
Ammeling, Jonas
Riener, Andreas
Aubreville, Marc
author_facet Rosbach, Emely
Ganz, Jonathan
Ammeling, Jonas
Riener, Andreas
Aubreville, Marc
contents Artificial intelligence (AI)-based clinical decision support systems (CDSS) promise to enhance diagnostic accuracy and efficiency in computational pathology. However, human-AI collaboration might introduce automation bias, where users uncritically follow automated cues. This bias may worsen when time pressure strains practitioners' cognitive resources. We quantified automation bias by measuring the adoption of negative system consultations and examined the role of time pressure in a web-based experiment, where trained pathology experts (n=28) estimated tumor cell percentages. Our results indicate that while AI integration led to a statistically significant increase in overall performance, it also resulted in a 7% automation bias rate, where initially correct evaluations were overturned by erroneous AI advice. Conversely, time pressure did not exacerbate automation bias occurrence, but appeared to increase its severity, evidenced by heightened reliance on the system's negative consultations and subsequent performance decline. These findings highlight potential risks of AI use in healthcare.
format Preprint
id arxiv_https___arxiv_org_abs_2411_00998
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle Automation Bias in AI-Assisted Medical Decision-Making under Time Pressure in Computational Pathology
Rosbach, Emely
Ganz, Jonathan
Ammeling, Jonas
Riener, Andreas
Aubreville, Marc
Human-Computer Interaction
Artificial intelligence (AI)-based clinical decision support systems (CDSS) promise to enhance diagnostic accuracy and efficiency in computational pathology. However, human-AI collaboration might introduce automation bias, where users uncritically follow automated cues. This bias may worsen when time pressure strains practitioners' cognitive resources. We quantified automation bias by measuring the adoption of negative system consultations and examined the role of time pressure in a web-based experiment, where trained pathology experts (n=28) estimated tumor cell percentages. Our results indicate that while AI integration led to a statistically significant increase in overall performance, it also resulted in a 7% automation bias rate, where initially correct evaluations were overturned by erroneous AI advice. Conversely, time pressure did not exacerbate automation bias occurrence, but appeared to increase its severity, evidenced by heightened reliance on the system's negative consultations and subsequent performance decline. These findings highlight potential risks of AI use in healthcare.
title Automation Bias in AI-Assisted Medical Decision-Making under Time Pressure in Computational Pathology
topic Human-Computer Interaction
url https://arxiv.org/abs/2411.00998