Exploring the Requirements of Clinicians for Explainable AI Decision Support Systems in Intensive Care

Fuente: arXiv
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Main Authors: Clark, Jeffrey N., Wragg, Matthew, Nielsen, Emily, Perello-Nieto, Miquel, Keshtmand, Nawid, Ambler, Michael, Sharma, Shiv, Bourdeaux, Christopher P., Brigden, Amberly, Santos-Rodriguez, Raul
Format: Preprint
Published: 2024
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author Clark, Jeffrey N.
Wragg, Matthew
Nielsen, Emily
Perello-Nieto, Miquel
Keshtmand, Nawid
Ambler, Michael
Sharma, Shiv
Bourdeaux, Christopher P.
Brigden, Amberly
Santos-Rodriguez, Raul
author_facet Clark, Jeffrey N.
Wragg, Matthew
Nielsen, Emily
Perello-Nieto, Miquel
Keshtmand, Nawid
Ambler, Michael
Sharma, Shiv
Bourdeaux, Christopher P.
Brigden, Amberly
Santos-Rodriguez, Raul
contents There is a growing need to understand how digital systems can support clinical decision-making, particularly as artificial intelligence (AI) models become increasingly complex and less human-interpretable. This complexity raises concerns about trustworthiness, impacting safe and effective adoption of such technologies. Improved understanding of decision-making processes and requirements for explanations coming from decision support tools is a vital component in providing effective explainable solutions. This is particularly relevant in the data-intensive, fast-paced environments of intensive care units (ICUs). To explore these issues, group interviews were conducted with seven ICU clinicians, representing various roles and experience levels. Thematic analysis revealed three core themes: (T1) ICU decision-making relies on a wide range of factors, (T2) the complexity of patient state is challenging for shared decision-making, and (T3) requirements and capabilities of AI decision support systems. We include design recommendations from clinical input, providing insights to inform future AI systems for intensive care.
format Preprint
id arxiv_https___arxiv_org_abs_2411_11774
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle Exploring the Requirements of Clinicians for Explainable AI Decision Support Systems in Intensive Care
Clark, Jeffrey N.
Wragg, Matthew
Nielsen, Emily
Perello-Nieto, Miquel
Keshtmand, Nawid
Ambler, Michael
Sharma, Shiv
Bourdeaux, Christopher P.
Brigden, Amberly
Santos-Rodriguez, Raul
Human-Computer Interaction
Artificial Intelligence
There is a growing need to understand how digital systems can support clinical decision-making, particularly as artificial intelligence (AI) models become increasingly complex and less human-interpretable. This complexity raises concerns about trustworthiness, impacting safe and effective adoption of such technologies. Improved understanding of decision-making processes and requirements for explanations coming from decision support tools is a vital component in providing effective explainable solutions. This is particularly relevant in the data-intensive, fast-paced environments of intensive care units (ICUs). To explore these issues, group interviews were conducted with seven ICU clinicians, representing various roles and experience levels. Thematic analysis revealed three core themes: (T1) ICU decision-making relies on a wide range of factors, (T2) the complexity of patient state is challenging for shared decision-making, and (T3) requirements and capabilities of AI decision support systems. We include design recommendations from clinical input, providing insights to inform future AI systems for intensive care.
title Exploring the Requirements of Clinicians for Explainable AI Decision Support Systems in Intensive Care
topic Human-Computer Interaction
Artificial Intelligence
url https://arxiv.org/abs/2411.11774