Diagnostic Reasoning and Decision Making in the Context of Health Information Technology

Vimla Patel, David Kaufman, Thomas G. Kannampallil

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Diagnostic reasoning and medical decision making have been focal areas of research in the fields of medical education, cognition, and artificial intelligence in medicine. Drawing on several decades worth of research, we propose an integrated summary of prior research on diagnostic reasoning and decision making-in terms of both historical development and theoretical shifts. We also characterize the changes in research and theory resulting from the incorporation and adoption of health information technology in the clinical work place. In this paper, we differentiate between the various forms of diagnostic reasoning and trace the evolution of the various models of reasoning, including knowledge-based, exemplar-based, and visual strategies. We also discuss the effect of clinical expertise on reasoning processes. Within the medical decision-making research, we delineate the various approaches highlighting decision-making errors that arise due to the nature of heuristics and biases and other factors. Although there has been significant progress in our understanding, there is still a need for greater theoretical integration of disparate empirical phenomena. Specifically, there is a need to reconcile the various characterizations of reasoning and to evaluate the similarity and differences in the context of current health care practice. Finally, we discuss the role of human factors research in the study of clinical environments and also in relation to devising approaches and methodologies for understanding, evaluating, and supporting the diagnostic reasoning and decision processes.

Original languageEnglish (US)
Pages (from-to)149-190
Number of pages42
JournalReviews of Human Factors and Ergonomics
Volume8
Issue number1
DOIs
StatePublished - Oct 2013

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Medical Informatics
health information
Information technology
Decision Making
diagnostic
Decision making
information technology
Health
decision making
Research
Medical education
Artificial Intelligence
artificial intelligence
historical development
Medical Education
Human engineering
Health care
Workplace
Cognition
Medicine

Keywords

  • diagnostic reasoning
  • expertise
  • heuristic and biases
  • knowledge-based solution strategies
  • medical decision making
  • naturalistic decision making
  • technology-mediated cognition

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Human Factors and Ergonomics

Cite this

Diagnostic Reasoning and Decision Making in the Context of Health Information Technology. / Patel, Vimla; Kaufman, David; Kannampallil, Thomas G.

In: Reviews of Human Factors and Ergonomics, Vol. 8, No. 1, 10.2013, p. 149-190.

Research output: Contribution to journalArticle

Patel, Vimla ; Kaufman, David ; Kannampallil, Thomas G. / Diagnostic Reasoning and Decision Making in the Context of Health Information Technology. In: Reviews of Human Factors and Ergonomics. 2013 ; Vol. 8, No. 1. pp. 149-190.
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