Cited by 114Artificial Intelligence in Healthcare and EducationHuman-Automation Interaction and SafetyElectronic Health Records Systems

Research Trends in Artificial Intelligence Applications in Human Factors Health Care: Mapping Review

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Asan, Onur, Choudhury, Avishek·2021·JMIR Human Factors

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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 measured
  • Most 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 measured
  • 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.

    “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 measured
  • Our respondents regarded the technology with skepticism, similar to others.

    “Similar to others, they also regarded the technology with skepticism [35,41,42].”

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Authors
Asan, O., & Choudhury, A.
Affiliations
Stevens Institute of Technology (US)
Corresponding author
Asan, Onur
Venue
JMIR Human Factors
Published
2021-06-18
Volume
8
Issue
2
Pages
e28236
ISSN
2292-9495 (ISSN-L)
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
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

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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