Impact of integrated graphical display on expert and novice diagnostic performance in critical care.
circulatory shock
critical care
expert
information display
novice
physician
Journal
Journal of the American Medical Informatics Association : JAMIA
ISSN: 1527-974X
Titre abrégé: J Am Med Inform Assoc
Pays: England
ID NLM: 9430800
Informations de publication
Date de publication:
01 08 2020
01 08 2020
Historique:
received:
19
01
2020
revised:
17
04
2020
accepted:
28
04
2020
pubmed:
18
6
2020
medline:
27
3
2021
entrez:
18
6
2020
Statut:
ppublish
Résumé
To determine the impact of a graphical information display on diagnosing circulatory shock. This was an experimental study comparing integrated and conventional information displays. Participants were intensivists or critical care fellows (experts) and first-year medical residents (novices). The integrated display was associated with higher performance (87% vs 82%; P < .001), less time (2.9 vs 3.5 min; P = .008), and more accurate etiology (67% vs 54%; P = .048) compared to the conventional display. When stratified by experience, novice physicians using the integrated display had higher performance (86% vs 69%; P < .001), less time (2.9 vs 3.7 min; P = .03), and more accurate etiology (65% vs 42%; P = .02); expert physicians using the integrated display had nonsignificantly improved performance (87% vs 82%; P = .09), time (2.9 vs 3.3; P = .28), and etiology (69% vs 67%; P = .81). The integrated display appeared to support efficient information processing, which resulted in more rapid and accurate circulatory shock diagnosis. Evidence more strongly supported a difference for novices, suggesting that graphical displays may help reduce expert-novice performance gaps.
Identifiants
pubmed: 32548627
pii: 5858303
doi: 10.1093/jamia/ocaa086
pmc: PMC7481028
doi:
Types de publication
Comparative Study
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
1287-1292Subventions
Organisme : NLM NIH HHS
ID : R56 LM011925
Pays : United States
Organisme : NLM NIH HHS
ID : T15 LM007124
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR001067
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR002538
Pays : United States
Informations de copyright
© The Author(s) 2020. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For permissions, please email: journals.permissions@oup.com.
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