SPICED-ACS: Study of the potential impact of a computer-generated ECG diagnostic algorithmic certainty index in STEMI diagnosis: Towards transparent AI.

Journal: Journal of electrocardiology
PMID: 31472927

Abstract

BACKGROUND: Computerised electrocardiogram (ECG) interpretation diagnostic algorithms have been developed to guide clinical decisions like with ST segment elevation myocardial infarction (STEMI) where time in decision making is critical. These computer-generated diagnoses have been proven to strongly influence the final ECG diagnosis by the clinician; often called automation bias. However, the computerised diagnosis may be inaccurate and could result in a wrong or delayed treatment harm to the patient. We hypothesise that an algorithmic certainty index alongside a computer-generated diagnosis might mitigate automation bias. The impact of reporting a certainty index on the final diagnosis is not known.

Authors

  • C R Knoery
    Division of Rural Health and Wellbeing, University of Highlands and Islands, Inverness IV2 3JH, UK; Cardiology Department, Altnagelvin Hospital, Londonderry BT47 6SB, Northern Ireland, UK. Electronic address: charles.knoery@uhi.ac.uk.
  • R Bond
    Ulster University, Jordanstown Campus, Shore Rd, Newtownabbey BT37 0QB, Northern Ireland, UK.
  • A Iftikhar
    Ulster University, Jordanstown Campus, Shore Rd, Newtownabbey BT37 0QB, Northern Ireland, UK.
  • K Rjoob
    Ulster University, Jordanstown Campus, Shore Rd, Newtownabbey BT37 0QB, Northern Ireland, UK.
  • V McGilligan
    Centre for Personalised Medicine, Ulster University, Londonderry BT47 6SB, Northern Ireland, UK.
  • A Peace
    Centre for Personalised Medicine, Ulster University, Londonderry BT47 6SB, Northern Ireland, UK; Cardiology Department, Altnagelvin Hospital, Londonderry BT47 6SB, Northern Ireland, UK.
  • J Heaton
    Division of Rural Health and Wellbeing, University of Highlands and Islands, Inverness IV2 3JH, UK.
  • S J Leslie
    Division of Rural Health and Wellbeing, University of Highlands and Islands, Inverness IV2 3JH, UK; Cardiac Unit, Raigmore Hospital, NHS Highland, Inverness IV2 3UJ, UK.

Keywords

External Resources

Popular Topics
Recent Journals