Research Trends in Artificial Intelligence Applications in Human Factors Health Care: Mapping Review
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Abstract
Background: Despite advancements in artificial intelligence (AI) to develop prediction and classification models, little research has been devoted to real-world translations with a user-centered design approach. AI development studies in the health care context have often ignored two critical factors of ecological validity and human cognition, creating challenges at the interface with clinicians and the clinical environment. Objective: The aim of this literature review was to investigate the contributions made by major human factors communities in health care AI applications. This review also discusses emerging research gaps, and provides future research directions to facilitate a safer and user-centered integration of AI into the clinical workflow. Methods: We performed an extensive mapping review to capture all relevant articles published within the last 10 years in the major human factors journals and conference proceedings listed in the “Human Factors and Ergonomics” category of the Scopus Master List. In each published volume, we searched for studies reporting qualitative or quantitative findings in the context of AI in health care. Studies are discussed based on the key principles such as evaluating workload, usability, trust in technology, perception, and user-centered design. Results: Forty-eight articles were included in the final review. Most of the studies emphasized user perception, the usability of AI-based devices or technologies, cognitive workload, and user’s trust in AI. The review revealed a nascent but growing body of literature focusing on augmenting health care AI; however, little effort has been made to ensure ecological validity with user-centered design approaches. Moreover, few studies (n=5 against clinical/baseline standards, n=5 against clinicians) compared their AI models against a standard measure. Conclusions: Human factors researchers should actively be part of efforts in AI design and implementation, as well as dynamic assessments of AI systems’ effects on interaction, workflow, and patient outcomes. An AI system is part of a greater sociotechnical system. Investigators with human factors and ergonomics expertise are essential when defining the dynamic interaction of AI within each element, process, and result of the work system.
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Usability of and satisfaction with AI tools are generally high.
“researchers are starting to pay attention to end users [35] and are finding that usability of and satisfaction with AI tools are generally high [35-37].”
From An Assessment of How Clinicians and Staff Members Use a Diabetes Artificial Intelligence Prediction Tool: Mixed Methods Study (2023) · cites this paper as [35]
The Results’ Summary of Included Studies reports that most patients found one AI symptom checker easy to use and that 19 of 20 children found a chatbot easy to use. These examples support positive usability findings, but the review does not establish that usability and satisfaction with AI tools are generally high across the studies it covers; its Perception, Usability, Workload, and Trust section also describes usability barriers. No page numbers were provided in our copy. (LLM, conf=0.84)
Experimental — accuracy not yet measuredMost of these studies used quantitative methods and examined tools that have already been developed.
“Most of these studies used quantitative methods and examined tools that have already been developed [35-37].”
From An Assessment of How Clinicians and Staff Members Use a Diabetes Artificial Intelligence Prediction Tool: Mixed Methods Study (2023) · cites this paper as [35]
The Results, Summary of Included Studies (page unavailable), says that most of the 48 studies evaluated AI from the user perspective, which supports the claim that they examined tools. It does not establish that most used quantitative methods or that the tools had already been developed; it also describes studies focused on algorithm development. (LLM, conf=0.78)
Experimental — accuracy not yet measuredOur respondents asked for steps that could be taken in response to predictions and wanted to know that those actions would lead to better health, echoing the sentiment found in other studies.
“Although usability and accuracy were deemed important, our respondents asked for steps that could be taken in response to predictions and wanted to know that those actions would lead to better health, echoing the sentiment found in other studies [35].”
From An Assessment of How Clinicians and Staff Members Use a Diabetes Artificial Intelligence Prediction Tool: Mixed Methods Study (2023) · cites this paper as [35]
In Results > Summary of Included Studies (page unavailable), the review reports that tailored recommendations were important to stakeholders designing a risk-prediction tool and that some patients lacked information about self-management. This supports the desire for steps to take, but our copy does not report that users wanted assurance those steps would lead to better health. (LLM, conf=0.79)
Experimental — accuracy not yet measuredOur respondents regarded the technology with skepticism, similar to others.
“Similar to others, they also regarded the technology with skepticism [35,41,42].”
From An Assessment of How Clinicians and Staff Members Use a Diabetes Artificial Intelligence Prediction Tool: Mixed Methods Study (2023) · cites this paper as [35]
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Cited by
Sorted by citations
Vasey, B., Nagendran, M., Campbell, B., Clifton, D. A., Collins, G. S., Denaxas, S., Denniston, A. K., Faes, L., Geerts, B., Ibrahim, M., et al. (2022) · Nature Medicine · doi:10.1038/s41591-022-01772-9 · Cited by 1,039 · see citing works
Vasey, B., Nagendran, M., Campbell, B., Clifton, D. A., Collins, G. S., Denaxas, S., Denniston, A. K., Faes, L., Geerts, B., Ibrahim, M., et al. (2022) · BMJ · doi:10.1136/bmj-2022-070904 · Cited by 665 · see citing works
Feng, J., Phillips, R. V., Malenica, I., Bishara, A., Hubbard, A. E., Celi, L. A., & Pirracchio, R. (2022) · npj Digital Medicine · doi:10.1038/s41746-022-00611-y · Cited by 423 · see citing works
Wenderott, K., Krups, J., Luetkens, J. A., & Weigl, M. (2024) · Applied Ergonomics · doi:10.1016/j.apergo.2024.104243 · Cited by 33 · see citing works
Liaw, W. R., Ramos Silva, Y., Soltero, E. G., Krist, A., & Stotts, A. L. (2023) · JMIR AI · doi:10.2196/45032 · Cited by 14 · see citing works
“As the absence of engagement has the potential to reduce trust and increase errors, researchers are starting to pay attention to end users [35] and are finding that usability of and satisfaction with AI tools are generally high [35-37].”
BackgroundResultInfluential
- Authors
- Asan, O., & Choudhury, A.
- Affiliations
- Stevens Institute of Technology (US)
- Corresponding author
- Asan, Onur
- Venue
- JMIR Human Factors
- Publisher
- JMIR Publications Inc.
- Published
- 2021-06-18
- Volume
- 8
- Issue
- 2
- Pages
- e28236
- ISSN
- 2292-9495 (ISSN-L)
- PMC
- PMC8277302
- OpenAlex
- W3157986414
- Cited by
- 114
- References
- 13
- Citations by year
- 2026: 31 · 2025: 20 · 2024: 26 · 2023: 19 · 2022: 15 · 2021: 3
- FWCI
- 1.28
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- JMIR Human Factors (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
- Social Sciences › Psychology › Social Psychology › Human-Automation Interaction and Safety
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Keywords
- artificial intelligence in healthcare, human factors, user-centered design, clinical workflow integration, usability, mental workload, trust in AI, user perception, ecological validity, socio-technical systems
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