On 01.07.2020 a new MIRACUM junior research group started its work at the partner location Dresden. Under the title “Prospective User-Centered Design of Clinical Decision Support Systems in the Context of Personalized Medicine” the new group CDS2USE will research the user-centered development of clinical decision support systems. The junior research group is funded by the Federal Ministry of Education and Research (BMBF) for 5 years and is headed by Dr. Brita Sedlmayr, engineering psychologist with over 15 years of interdisciplinary research experience in the field of user-centered system development.
Specifically, the junior research group CDS2USE will pursue the following three scientific objectives:
- Development of algorithms for context-sensitive decision support: A major challenge in the development of clinical decision support systems (CDSS) is the provision and use of context-sensitive data, since the identification and delimitation of different contexts is largely unexplored in the medical field. Therefore, already existing algorithms should be adapted, combined and supplemented in such a way that the systems are able to present the ‘right’ information to the ‘right’ person at the ‘right’ time, in the ‘right’ place, and in the ‘right’ way. In doing so, competing factors and values that influence clinical decision-making should be considered appropriately.
- Development of transparent and comprehensible decision support to promote user empowerment: Currently, existing concepts and approaches of human-computer interaction are not sufficient for healthcare professionals to understand CDSS. Therefore, concepts should be developed, which present the system’s decision proposals in an explainable and transparent way and enable users to gain individual control over the system on the basis of intelligent explanation tools (“user empowerment”).
- Further development of existing evaluation methods for a fit to CDSS: Although there are numerous recommendations for user-centered design and evaluation of interactive systems, these do not take into account the specific medical context. Existing evaluation methods should therefore be further developed, adapted or extended for CDSS in the context of personalized medicine. In particular, new methods for evaluation should be developed with regard to the understandability and transparency of system proposals, as well as new methods for testing intelligent visualizations.
The group’s research will focus on a systems engineering approach that considers the end user, the technology used and the work processes equally. This should ensure that a comprehensive understanding of specific clinical work processes is achieved and that concepts will be developed based on established recommendations for the ergonomic design of IT systems. In addition, the group will conduct “participatory research” involving medical professionals, patients and decision-makers (depending on the respective work) to ensure that the results obtained address the actual needs and the specific situation of the persons directly affected.
Further information on the junior research group CDS2USE can be found here: https://www.uniklinikum-dresden.de/de/das-klinikum/universitaetscentren/zentrum-fuer-medizinische-informatik/leistungen/nachwuchsgruppe-cds2us