@inproceedings{wolf2025clinical, abstract = {Recent advancements in artificial intelligence have sparked discussions on how clinical decision-making can be supported. New clinical decision support systems (CDSSs) have been developed and evaluated through workshops and interviews. However, limited research exists on how CDSSs affect decision-making as it unfolds, particularly in settings such as acute care, where decisions are made collaboratively under time pressure and uncertainty. Using a mixed-method study, we explored the impact of a CDSS on decision-making in anesthetic teams during simulated operating room crises. Fourteen anesthetic teams participated in high-fidelity simulations, half using a CDSS prototype for comparative analysis. Qualitative findings from conversation analysis and quantitative results on decision-making efficiency and workload revealed that the CDSS changed team structure, communication, and diagnostic processes. It homogenized decision-making, empowered nursing staff, and introduced friction between analytical and intuitive thinking. We discuss whether these changes are beneficial or detrimental and offer insights to guide future CDSS design.}, added-at = {2025-04-28T22:03:12.000+0200}, address = {New York, NY, USA}, articleno = {257}, author = {Wolf, Sara and Grundgeiger, Tobias and Zähringer, Raphael and Shishkova, Lora and Maas, Franzisca and Dilling, Christina and Happel, Oliver}, biburl = {https://www.bibsonomy.org/bibtex/25593101c17855e1a3982cf353e89f160/wolfssara}, booktitle = {Proceedings of the 2025 CHI Conference on Human Factors in Computing Systems}, doi = {10.1145/3706598.3713372}, interhash = {a499a8570857e51fffc4552177bb5b4c}, intrahash = {5593101c17855e1a3982cf353e89f160}, isbn = {9798400713941}, keywords = {myown}, numpages = {23}, publisher = {Association for Computing Machinery}, series = {CHI '25}, timestamp = {2025-04-28T22:03:12.000+0200}, title = {How a Clinical Decision Support System Changed the Diagnosis Process: Insights from an Experimental Mixed-Method Study in a Full-Scale Anesthesiology Simulation}, year = {2025} }