Radiologists' perspectives on the workflow integration of an artificial intelligence-based computer-aided detection system: A qualitative study.

Journal: Applied ergonomics
PMID:

Abstract

In healthcare, artificial intelligence (AI) is expected to improve work processes, yet most research focuses on the technical features of AI rather than its real-world clinical implementation. To evaluate the implementation process of an AI-based computer-aided detection system (AI-CAD) for prostate MRI readings, we interviewed German radiologists in a pre-post design. We embedded our findings in the Model of Workflow Integration and the Technology Acceptance Model to analyze workflow effects, facilitators, and barriers. The most prominent barriers were: (i) a time delay in the work process, (ii) additional work steps to be taken, and (iii) an unstable performance of the AI-CAD. Most frequently named facilitators were (i) good self-organization, and (ii) good usability of the software. Our results underline the importance of a holistic approach to AI implementation considering the sociotechnical work system and provide valuable insights into key factors of the successful adoption of AI technologies in work systems.

Authors

  • Katharina Wenderott
    Institute for Patient Safety, University Hospital Bonn, Germany. Electronic address: katharina.wenderott@ukbonn.de.
  • Jim Krups
    Institute for Patient Safety, University Hospital Bonn, Germany.
  • Julian A Luetkens
    Department of Radiology, University Hospital Bonn, Sigmund-Freud-Str. 25, 53127, Bonn, Germany.
  • Matthias Weigl
    Institute for Patient Safety, University Hospital Bonn, Germany.