Cited by 1,162Human-Automation Interaction and SafetyClinical Reasoning and Diagnostic SkillsElectronic Health Records Systems

The DOI matches its Crossref record; 78 of the 79 references it cites were found in a registry or an index.

Automation bias: a systematic review of frequency, effect mediators, and mitigators

Open access
Goddard, Kate, Roudsari, Abdul, Wyatt, Jeremy C·2012·Journal of the American Medical Informatics Association

Abstract

Automation bias (AB)--the tendency to over-rely on automation--has been studied in various academic fields. Clinical decision support systems (CDSS) aim to benefit the clinical decision-making process. Although most research shows overall improved performance with use, there is often a failure to recognize the new errors that CDSS can introduce. With a focus on healthcare, a systematic review of the literature from a variety of research fields has been carried out, assessing the frequency and severity of AB, the effect mediators, and interventions potentially mitigating this effect. This is discussed alongside automation-induced complacency, or insufficient monitoring of automation output. A mix of subject specific and freetext terms around the themes of automation, human-automation interaction, and task performance and error were used to search article databases. Of 13 821 retrieved papers, 74 met the inclusion criteria. User factors such as cognitive style, decision support systems (DSS), and task specific experience mediated AB, as did attitudinal driving factors such as trust and confidence. Environmental mediators included workload, task complexity, and time constraint, which pressurized cognitive resources. Mitigators of AB included implementation factors such as training and emphasizing user accountability, and DSS design factors such as the position of advice on the screen, updated confidence levels attached to DSS output, and the provision of information versus recommendation. By uncovering the mechanisms by which AB operates, this review aims to help optimize the clinical decision-making process for CDSS developers and healthcare practitioners.

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Crossref · 10.1136/amiajnl-2011-000089

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Research works printed but not linked: 2

  1. Wyatt J . Lessons learned from the field trial of ACORN, an expert system to advise on chest pain. In: Barber B Cao D Qin D , eds. Proc. Sixth World Conference on Medical Informatics, Singapore. Amsterdam: North Holland, 1989:111–15.
  2. Prinzel LJ Freeman FG Prinzel HD . Individual differences in complacency and monitoring for automation failures. Individual Differences Research 2005;3:27–49.

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Metadata

Authors
Goddard, K., Roudsari, A., & Wyatt, J. C.
Affiliations
  • City, University of London (GB)
  • University of Warwick (GB)
Corresponding author
Goddard, Kate
Venue
Journal of the American Medical Informatics Association
Published
2012-01
Volume
19
Issue
1
Pages
121-127
ISSN
  • 1067-5027 (ISSN-L)
  • 1527-974X
OpenAlex
W2281090488
Cited by
1,162
References
77
Citations by year
2026: 513 · 2025: 180 · 2024: 111 · 2023: 88 · 2022: 78 · 2021: 61 · 2020: 39 · 2019: 29 · 2018: 23 · 2017: 8 · 2016: 7 · 2015: 4 · 2014: 6 · 2013: 11 · 2012: 4
FWCI
0.85
Type
journal article
Language
en
Open access
Locations
  • Journal of the American Medical Informatics Association (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
Engineering and Physical Sciences Research Council
Topics
  • Social Sciences › Human Factors and Ergonomics › Human-Automation Interaction and Safety
  • Health Sciences › Medicine › Family Practice › Clinical Reasoning and Diagnostic Skills
  • Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
Keywords
automation bias, clinical decision support systems, human-automation interaction, over-reliance on automation, trust in automation, cognitive style, workload, task complexity, time constraints, user accountability, DSS design, clinical decision-making
MeSH terms
Attitude to Computers, Automation, Aviation, Humans, Task Performance and Analysis, Decision Support Systems, Clinical

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