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Enhancing trust in clinical decision support systems: a framework for developers

Caroline Jones Orcid Logo, James Thornton, Jeremy C Wyatt

BMJ Health & Care Informatics, Volume: 28, Issue: 1, Pages: e100247 - 8

Swansea University Author: Caroline Jones Orcid Logo

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DOI (Published version): 10.1136/bmjhci-2020-100247

Abstract

Systematic reviews show that clinical decision support systems (CDSSs) can improve clinical management and patient outcomes; but clinicians have reported their reluctance to use CDSSs, citing concerns about accuracy and reliability. Trust is crucial for relationships between the developers of inform...

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Published in: BMJ Health & Care Informatics
ISSN: 2632-1009
Published: London BMJ 2021
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URI: https://cronfa.swan.ac.uk/Record/cronfa56101
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first_indexed 2021-01-22T11:35:23Z
last_indexed 2021-11-19T04:21:38Z
id cronfa56101
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spelling 2021-11-18T12:59:15.0486891 v2 56101 2021-01-22 Enhancing trust in clinical decision support systems: a framework for developers 8201817d55a832f7c23f406402904a2b 0000-0001-7632-9468 Caroline Jones Caroline Jones true false 2021-01-22 LAWD Systematic reviews show that clinical decision support systems (CDSSs) can improve clinical management and patient outcomes; but clinicians have reported their reluctance to use CDSSs, citing concerns about accuracy and reliability. Trust is crucial for relationships between the developers of information systems and their users, and is a contemporary concern for policymakers. We applied O’Neill’s trust and trustworthiness framework in our analysis of the problem of clinicians’ concerns over the use of CDSSs (as reported in a recent pilot survey), to enhance our understanding of how to improve trust and trustworthiness in health and care informatics, and explore how CDSS developers can use the framework to increase their trustworthiness. Applying O’Neill’s framework generated suggestions for CDSS developers to adopt to improve clinical trust in them and their products. We discuss how this might support informaticians in their quest to understand and improve user-system relationships. Journal Article BMJ Health & Care Informatics 28 1 e100247 8 BMJ London 2632-1009 Trust, trustworthiness, clinical decision support systems, developers, regulation 4 6 2021 2021-06-04 10.1136/bmjhci-2020-100247 COLLEGE NANME Law COLLEGE CODE LAWD Swansea University Payment of the OA fee split between two institutions Hillary Rodham Clinton School of Law & Nottingham Law School (using staff research budgets) 2021-11-18T12:59:15.0486891 2021-01-22T11:25:06.1401009 Faculty of Humanities and Social Sciences Hilary Rodham Clinton School of Law Caroline Jones 0000-0001-7632-9468 1 James Thornton 2 Jeremy C Wyatt 3 56101__20225__b831a7a98222448d9a081eb09db0ed9a.pdf 56101.pdf 2021-06-23T12:45:54.4974325 Output 598250 application/pdf Version of Record true © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. true eng http://creativecommons.org/licenses/by-nc/4.0/
title Enhancing trust in clinical decision support systems: a framework for developers
spellingShingle Enhancing trust in clinical decision support systems: a framework for developers
Caroline Jones
title_short Enhancing trust in clinical decision support systems: a framework for developers
title_full Enhancing trust in clinical decision support systems: a framework for developers
title_fullStr Enhancing trust in clinical decision support systems: a framework for developers
title_full_unstemmed Enhancing trust in clinical decision support systems: a framework for developers
title_sort Enhancing trust in clinical decision support systems: a framework for developers
author_id_str_mv 8201817d55a832f7c23f406402904a2b
author_id_fullname_str_mv 8201817d55a832f7c23f406402904a2b_***_Caroline Jones
author Caroline Jones
author2 Caroline Jones
James Thornton
Jeremy C Wyatt
format Journal article
container_title BMJ Health & Care Informatics
container_volume 28
container_issue 1
container_start_page e100247
publishDate 2021
institution Swansea University
issn 2632-1009
doi_str_mv 10.1136/bmjhci-2020-100247
publisher BMJ
college_str Faculty of Humanities and Social Sciences
hierarchytype
hierarchy_top_id facultyofhumanitiesandsocialsciences
hierarchy_top_title Faculty of Humanities and Social Sciences
hierarchy_parent_id facultyofhumanitiesandsocialsciences
hierarchy_parent_title Faculty of Humanities and Social Sciences
department_str Hilary Rodham Clinton School of Law{{{_:::_}}}Faculty of Humanities and Social Sciences{{{_:::_}}}Hilary Rodham Clinton School of Law
document_store_str 1
active_str 0
description Systematic reviews show that clinical decision support systems (CDSSs) can improve clinical management and patient outcomes; but clinicians have reported their reluctance to use CDSSs, citing concerns about accuracy and reliability. Trust is crucial for relationships between the developers of information systems and their users, and is a contemporary concern for policymakers. We applied O’Neill’s trust and trustworthiness framework in our analysis of the problem of clinicians’ concerns over the use of CDSSs (as reported in a recent pilot survey), to enhance our understanding of how to improve trust and trustworthiness in health and care informatics, and explore how CDSS developers can use the framework to increase their trustworthiness. Applying O’Neill’s framework generated suggestions for CDSS developers to adopt to improve clinical trust in them and their products. We discuss how this might support informaticians in their quest to understand and improve user-system relationships.
published_date 2021-06-04T04:10:48Z
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score 11.012678

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