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Radiologists’ Usage of Diagnostic AI Systems

Author

Listed:
  • Ekaterina Jussupow

    (Universität Mannheim)

  • Kai Spohrer

    (Frankfurt School of Finance and Management)

  • Armin Heinzl

    (Universität Mannheim)

Abstract

While diagnostic AI systems are implemented in medical practice, it is still unclear how physicians embed them in diagnostic decision making. This study examines how radiologists come to use diagnostic AI systems in different ways and what role AI assessments play in this process if they confirm or disconfirm radiologists’ own judgment. The study draws on rich qualitative data from a revelatory case study of an AI system for stroke diagnosis at a University Hospital to elaborate how three sensemaking processes revolve around confirming and disconfirming AI assessments. Through context-specific sensedemanding, sensegiving, and sensebreaking, radiologists develop distinct usage patterns of AI systems. The study reveals that diagnostic self-efficacy influences which of the three sensemaking processes radiologists engage in. In deriving six propositions, the account of sensemaking and usage of diagnostic AI systems in medical practice paves the way for future research.

Suggested Citation

  • Ekaterina Jussupow & Kai Spohrer & Armin Heinzl, 2022. "Radiologists’ Usage of Diagnostic AI Systems," Business & Information Systems Engineering: The International Journal of WIRTSCHAFTSINFORMATIK, Springer;Gesellschaft für Informatik e.V. (GI), vol. 64(3), pages 293-309, June.
  • Handle: RePEc:spr:binfse:v:64:y:2022:i:3:d:10.1007_s12599-022-00750-2
    DOI: 10.1007/s12599-022-00750-2
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    References listed on IDEAS

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    1. Chiara Longoni & Andrea Bonezzi & Carey K Morewedge, 2019. "Resistance to Medical Artificial Intelligence," Journal of Consumer Research, Journal of Consumer Research Inc., vol. 46(4), pages 629-650.
    2. Dennis A. Gioia & Kumar Chittipeddi, 1991. "Sensemaking and sensegiving in strategic change initiation," Strategic Management Journal, Wiley Blackwell, vol. 12(6), pages 433-448, September.
    3. Victoria A. Shaffer & C. Adam Probst & Edgar C. Merkle & Hal R. Arkes & Mitchell A. Medow, 2013. "Why Do Patients Derogate Physicians Who Use a Computer-Based Diagnostic Support System?," Medical Decision Making, , vol. 33(1), pages 108-118, January.
    4. Andrew Burton-Jones & Olga Volkoff, 2017. "How Can We Develop Contextualized Theories of Effective Use? A Demonstration in the Context of Community-Care Electronic Health Records," Information Systems Research, INFORMS, vol. 28(3), pages 468-489, September.
    5. Hal R. Arkes & Victoria A. Shaffer & Mitchell A. Medow, 2007. "Patients Derogate Physicians Who Use a Computer-Assisted Diagnostic Aid," Medical Decision Making, , vol. 27(2), pages 189-202, March.
    6. Jussupow, Ekaterina & Spohrer, Kai & Heinzl, Armin & Gawlitza, Joshua, 2021. "Augmenting Medical Diagnosis Decisions? An Investigation into Physicians’ Decision-Making Process with Artificial Intelligence," Publications of Darmstadt Technical University, Institute for Business Studies (BWL) 137446, Darmstadt Technical University, Department of Business Administration, Economics and Law, Institute for Business Studies (BWL).
    7. Stella Pachidi & Hans Berends & Samer Faraj & Marleen Huysman, 2021. "Make Way for the Algorithms: Symbolic Actions and Change in a Regime of Knowing," Organization Science, INFORMS, vol. 32(1), pages 18-41, January.
    8. Sturm, Timo & Gerlach, Jin & Pumplun, Luisa & Mesbah, Neda & Peters, Felix & Tauchert, Christoph & Nan, Ning & Buxmann, Peter, 2021. "Coordinating Human and Machine Learning for Effective Organizational Learning," Publications of Darmstadt Technical University, Institute for Business Studies (BWL) 125653, Darmstadt Technical University, Department of Business Administration, Economics and Law, Institute for Business Studies (BWL).
    9. J. J. Po-An Hsieh & Arun Rai & Sean Xin Xu, 2011. "Extracting Business Value from IT: A Sensemaking Perspective of Post-Adoptive Use," Management Science, INFORMS, vol. 57(11), pages 2018-2039, November.
    10. Karl E. Weick & Kathleen M. Sutcliffe & David Obstfeld, 2005. "Organizing and the Process of Sensemaking," Organization Science, INFORMS, vol. 16(4), pages 409-421, August.
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    Cited by:

    1. Williams, Robin & Anderson, Stuart & Cresswell, Kathrin & Kannelønning, Mari Serine & Mozaffar, Hajar & Yang, Xiao, 2024. "Domesticating AI in medical diagnosis," Technology in Society, Elsevier, vol. 76(C).

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