دورية أكاديمية

Improved Task Performance, Low Workload, and User-Centered Design in Medical Diagnostic Equipment Enhance Decision Confidence of Anesthesia Providers: A Meta-Analysis and a Multicenter Online Survey.

التفاصيل البيبلوغرافية
العنوان: Improved Task Performance, Low Workload, and User-Centered Design in Medical Diagnostic Equipment Enhance Decision Confidence of Anesthesia Providers: A Meta-Analysis and a Multicenter Online Survey.
المؤلفون: Budowski AD; Department of Anesthesiology, University of Zurich, University Hospital Zurich, 8091 Zurich, Switzerland., Bergauer L; Department of Anesthesiology, University of Zurich, University Hospital Zurich, 8091 Zurich, Switzerland., Castellucci C; Department of Anesthesiology, University of Zurich, University Hospital Zurich, 8091 Zurich, Switzerland., Braun J; Department of Epidemiology and Biostatistics, University of Zurich, 8006 Zurich, Switzerland., Nöthiger CB; Department of Anesthesiology, University of Zurich, University Hospital Zurich, 8091 Zurich, Switzerland., Spahn DR; Department of Anesthesiology, University of Zurich, University Hospital Zurich, 8091 Zurich, Switzerland., Tscholl DW; Department of Anesthesiology, University of Zurich, University Hospital Zurich, 8091 Zurich, Switzerland., Roche TR; Department of Anesthesiology, University of Zurich, University Hospital Zurich, 8091 Zurich, Switzerland.
المصدر: Diagnostics (Basel, Switzerland) [Diagnostics (Basel)] 2022 Jul 29; Vol. 12 (8). Date of Electronic Publication: 2022 Jul 29.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: MDPI AG Country of Publication: Switzerland NLM ID: 101658402 Publication Model: Electronic Cited Medium: Print ISSN: 2075-4418 (Print) Linking ISSN: 20754418 NLM ISO Abbreviation: Diagnostics (Basel) Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Basel, Switzerland : MDPI AG, [2011]-
مستخلص: Decision confidence—the subjective belief to have made the right decision—is central in planning actions in a complex environment such as the medical field. It is unclear by which factors it is influenced. We analyzed a pooled data set of eight studies and performed a multicenter online survey assessing anesthesiologists’ opinions on decision confidence. By applying mixed models and using multiple imputation to determine the effect of missing values from the dataset on the results, we investigated how task performance, perceived workload, the utilization of user-centered medical diagnostic devices, job, work experience, and gender affected decision confidence. The odds of being confident increased with better task performance (OR: 1.27, 95% CI: 0.94 to 1.7; p = 0.12; after multiple imputation OR: 3.19, 95% CI: 2.29 to 4.45; p < 0.001) and when user-centered medical devices were used (OR: 5.01, 95% CI: 3.67 to 6.85; p < 0.001; after multiple imputation OR: 3.58, 95% CI: 2.65 to 4.85; p < 0.001). The odds of being confident decreased with higher perceived workload (OR: 0.94, 95% CI: 0.93 to 0.95; p < 0.001; after multiple imputation, OR: 0.94, 95% CI: 0.93 to 0.95; p < 0.001). Other factors, such as gender, job, or professional experience, did not affect decision confidence. Most anesthesiologists who participated in the online survey agreed that task performance (25 of 30; 83%), perceived workload (24 of 30; 80%), work experience (28 of 30; 93%), and job (21 of 30; 70%) influence decision confidence. Improved task performance, lower perceived workload, and user-centered design in medical equipment enhanced the decision confidence of anesthesia providers.
References: J Clin Pharmacol. 2015 Jul;55(7):825-30. (PMID: 25650568)
Neuron. 2015 Oct 7;88(1):78-92. (PMID: 26447574)
J Clin Monit Comput. 2020 Dec;34(6):1369-1378. (PMID: 31768924)
Science. 2009 May 8;324(5928):759-64. (PMID: 19423820)
BMC Anesthesiol. 2018 Dec 11;18(1):188. (PMID: 30537934)
Br J Anaesth. 2021 May;126(5):1046-1054. (PMID: 33879327)
Palliat Med. 2008 Sep;22(6):750-9. (PMID: 18715975)
Neuron. 2006 Mar 2;49(5):757-63. (PMID: 16504950)
J Med Internet Res. 2020 Sep 7;22(9):e19472. (PMID: 32780712)
Nat Neurosci. 2016 Mar;19(3):366-74. (PMID: 26906503)
Anaesthesia. 2021 Jul;76(7):902-910. (PMID: 33210309)
Psychon Bull Rev. 2009 Feb;16(1):204-13. (PMID: 19145033)
J Med Internet Res. 2021 May 3;23(5):e27124. (PMID: 33843602)
BMC Med Inform Decis Mak. 2016 Nov 3;16(1):138. (PMID: 27809908)
PLoS One. 2014 May 09;9(5):e96511. (PMID: 24816801)
Br J Anaesth. 2019 Jun;122(6):723-725. (PMID: 30954239)
Diagnostics (Basel). 2022 May 19;12(5):. (PMID: 35626425)
Clin Teach. 2019 Jun;16(3):197-202. (PMID: 29786947)
J Crit Care. 2021 Aug;64:144-153. (PMID: 33906103)
Nature. 2008 Sep 11;455(7210):227-31. (PMID: 18690210)
Am J Surg. 2005 Jun;189(6):647-50. (PMID: 15910713)
Br J Anaesth. 2021 Nov;127(5):769-777. (PMID: 34454710)
BMC Med Inform Decis Mak. 2012 Oct 03;12:113. (PMID: 23034048)
J Pers Soc Psychol. 1999 Dec;77(6):1121-34. (PMID: 10626367)
Nat Neurosci. 2005 Dec;8(12):1704-11. (PMID: 16286932)
Anesthesiology. 2018 Jul;129(1):58-66. (PMID: 29698253)
Acad Pediatr. 2019 Sep - Oct;19(7):822-827. (PMID: 31229695)
BMC Med Inform Decis Mak. 2020 Feb 10;20(1):26. (PMID: 32041584)
Cogn Affect Behav Neurosci. 2008 Dec;8(4):429-53. (PMID: 19033240)
Am J Surg. 2018 Feb;215(2):266-271. (PMID: 29174166)
Anaesthesia. 2020 Aug;75(8):1059-1069. (PMID: 32030729)
Psychol Rev. 2000 Apr;107(2):384-96. (PMID: 10789203)
فهرسة مساهمة: Keywords: diagnostic; diagnostic confidence; gender; online survey; over-confidence; self-assessment; under-confidence; user-centered design; workload
تواريخ الأحداث: Date Created: 20220826 Latest Revision: 20230308
رمز التحديث: 20230309
مُعرف محوري في PubMed: PMC9406815
DOI: 10.3390/diagnostics12081835
PMID: 36010187
قاعدة البيانات: MEDLINE
الوصف
تدمد:2075-4418
DOI:10.3390/diagnostics12081835