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Automation Bias and Assistive AI: Risk of Harm From AI-Driven Clinical Decision Support
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“In a randomized vignette study, clinicians exposed to a systematically biased model had lower diagnostic accuracy, and explainability features did not fully mitigate this effect [81,82].”
From Artificial Intelligence to Facilitate SEP-1 Measure Compliance and Fluid Management in Sepsis (2026) · cites this paper as [82]
In the citing paper
“Automation bias refers to the tendency of individuals to rely excessively on automated systems, such as AI algorithms, and to disregard or underutilize their own judgment or critical thinking skills.42”
From Bias in artificial intelligence for medical imaging: fundamentals, detection, avoidance, mitigation, challenges, ethics, and prospects (2024) · cites this paper as [42]
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Metadata
- Authors
- Khera, R., Simon, M. A., & Ross, J. S.
- Affiliations
- Yale New Haven Hospital (US)
- Northwestern Medicine (US)
- Venue
- JAMA
- Publisher
- American Medical Association (AMA)
- Published
- 2023-12-19
- Volume
- 330
- Issue
- 23
- Pages
- 2255
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W4389948084
- Cited by
- 222
- References
- 13
- Citations by year
- 2026: 128 · 2025: 67 · 2024: 26 · 2023: 1
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- JAMA (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Heart, Lung, and Blood Institute (K23HL153775)
- Topics
- Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
- Social Sciences › Human Factors and Ergonomics › Human-Automation Interaction and Safety
- Health Sciences › Medicine › Family Practice › Clinical Reasoning and Diagnostic Skills
- Keywords
- automation bias, clinical decision support, clinical judgment
- MeSH terms
- Artificial Intelligence, Automation, Bias, Decision Support Systems, Clinical
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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