To Recommend or Not to Recommend: Designing and Evaluating AI-Enabled Decision Support for Time-Critical Medical Events

TL;DR

This study designs and evaluates an AI decision-support system for traumatic injury treatment, showing that AI recommendations improve decision accuracy but face challenges like accuracy trade-offs and provider perceptions.

Contribution

It introduces a novel AI-enabled decision support system tailored for time-critical medical emergencies and evaluates human-AI interaction strategies in this context.

Findings

AI recommendations increase correct decision rates

Providers have polarized perceptions of AI recommendations

Trade-offs exist between AI accuracy and response time

Abstract

AI-enabled decision-support systems aim to help medical providers rapidly make decisions with limited information during medical emergencies. A critical challenge in developing these systems is supporting providers in interpreting the system output to make optimal treatment decisions. In this study, we designed and evaluated an AI-enabled decision-support system to aid providers in treating patients with traumatic injuries. We first conducted user research with physicians to identify and design information types and AI outputs for a decision-support display. We then conducted an online experiment with 35 medical providers from six health systems to evaluate two human-AI interaction strategies: (1) AI information synthesis and (2) AI information and recommendations. We found that providers were more likely to make correct decisions when AI information and recommendations were provided compared to receiving no AI support. We also identified two socio-technical barriers to providing AI recommendations during time-critical medical events: (1) an accuracy-time trade-off in providing recommendations and (2) polarizing perceptions of recommendations between providers. We discuss three implications for developing AI-enabled decision support used in time-critical events, contributing to the limited research on human-AI interaction in this context.