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
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 asses...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-07-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/12/8/1835 |
| _version_ | 1827628622090862592 |
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| author | Alexandra D. Budowski Lisa Bergauer Clara Castellucci Julia Braun Christoph B. Nöthiger Donat R. Spahn David W. Tscholl Tadzio R. Roche |
| author_facet | Alexandra D. Budowski Lisa Bergauer Clara Castellucci Julia Braun Christoph B. Nöthiger Donat R. Spahn David W. Tscholl Tadzio R. Roche |
| author_sort | Alexandra D. Budowski |
| collection | DOAJ |
| description | 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; <i>p</i> = 0.12; after multiple imputation OR: 3.19, 95% CI: 2.29 to 4.45; <i>p</i> < 0.001) and when user-centered medical devices were used (OR: 5.01, 95% CI: 3.67 to 6.85; <i>p</i> < 0.001; after multiple imputation OR: 3.58, 95% CI: 2.65 to 4.85; <i>p</i> < 0.001). The odds of being confident decreased with higher perceived workload (OR: 0.94, 95% CI: 0.93 to 0.95; <i>p</i> < 0.001; after multiple imputation, OR: 0.94, 95% CI: 0.93 to 0.95; <i>p</i> < 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. |
| first_indexed | 2024-03-09T13:35:05Z |
| format | Article |
| id | doaj.art-72d7f8679f5948cf965f181197b91aab |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-09T13:35:05Z |
| publishDate | 2022-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-72d7f8679f5948cf965f181197b91aab2023-11-30T21:12:44ZengMDPI AGDiagnostics2075-44182022-07-01128183510.3390/diagnostics12081835Improved 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 SurveyAlexandra D. Budowski0Lisa Bergauer1Clara Castellucci2Julia Braun3Christoph B. Nöthiger4Donat R. Spahn5David W. Tscholl6Tadzio R. Roche7Department of Anesthesiology, University of Zurich, University Hospital Zurich, 8091 Zurich, SwitzerlandDepartment of Anesthesiology, University of Zurich, University Hospital Zurich, 8091 Zurich, SwitzerlandDepartment of Anesthesiology, University of Zurich, University Hospital Zurich, 8091 Zurich, SwitzerlandDepartment of Epidemiology and Biostatistics, University of Zurich, 8006 Zurich, SwitzerlandDepartment of Anesthesiology, University of Zurich, University Hospital Zurich, 8091 Zurich, SwitzerlandDepartment of Anesthesiology, University of Zurich, University Hospital Zurich, 8091 Zurich, SwitzerlandDepartment of Anesthesiology, University of Zurich, University Hospital Zurich, 8091 Zurich, SwitzerlandDepartment of Anesthesiology, University of Zurich, University Hospital Zurich, 8091 Zurich, SwitzerlandDecision 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; <i>p</i> = 0.12; after multiple imputation OR: 3.19, 95% CI: 2.29 to 4.45; <i>p</i> < 0.001) and when user-centered medical devices were used (OR: 5.01, 95% CI: 3.67 to 6.85; <i>p</i> < 0.001; after multiple imputation OR: 3.58, 95% CI: 2.65 to 4.85; <i>p</i> < 0.001). The odds of being confident decreased with higher perceived workload (OR: 0.94, 95% CI: 0.93 to 0.95; <i>p</i> < 0.001; after multiple imputation, OR: 0.94, 95% CI: 0.93 to 0.95; <i>p</i> < 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.https://www.mdpi.com/2075-4418/12/8/1835diagnostic confidencediagnosticgenderover-confidenceself-assessmentonline survey |
| spellingShingle | Alexandra D. Budowski Lisa Bergauer Clara Castellucci Julia Braun Christoph B. Nöthiger Donat R. Spahn David W. Tscholl Tadzio R. Roche 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 Diagnostics diagnostic confidence diagnostic gender over-confidence self-assessment online survey |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| topic | diagnostic confidence diagnostic gender over-confidence self-assessment online survey |
| url | https://www.mdpi.com/2075-4418/12/8/1835 |
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