{"doi":"10.1093/jamia/ocaa086","title":"Impact of integrated graphical display on expert and novice diagnostic performance in critical care","abstract":"OBJECTIVE: To determine the impact of a graphical information display on diagnosing circulatory shock. MATERIALS AND METHODS: This was an experimental study comparing integrated and conventional information displays. Participants were intensivists or critical care fellows (experts) and first-year medical residents (novices). RESULTS: The integrated display was associated with higher performance (87% vs 82%; P < .001), less time (2.9 vs 3.5 min; P = .008), and more accurate etiology (67% vs 54%; P = .048) compared to the conventional display. When stratified by experience, novice physicians using the integrated display had higher performance (86% vs 69%; P < .001), less time (2.9 vs 3.7 min; P = .03), and more accurate etiology (65% vs 42%; P = .02); expert physicians using the integrated display had nonsignificantly improved performance (87% vs 82%; P = .09), time (2.9 vs 3.3; P = .28), and etiology (69% vs 67%; P = .81). DISCUSSION: The integrated display appeared to support efficient information processing, which resulted in more rapid and accurate circulatory shock diagnosis. Evidence more strongly supported a difference for novices, suggesting that graphical displays may help reduce expert-novice performance gaps.","journal":"Journal of the American Medical Informatics Association","year":2020,"id":90044,"datarank":0.32958368660043297,"base_score":2.1972245773362196,"endowment":2.1972245773362196,"self_citation_contribution":0.32958368660043297,"citation_network_contribution":0.0,"self_endowment_contribution":0.32958368660043297,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":8,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9186,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2020-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":454525,"name":"Guilherme Del Fiol","orcid":"0000-0001-9954-6799","position":1,"is_corresponding":false},{"id":107464,"name":"Joseph E. Tonna","orcid":"0000-0001-8879-2628","position":2,"is_corresponding":false},{"id":32954,"name":"Kensaku Kawamoto","orcid":"0000-0003-4282-9338","position":3,"is_corresponding":false},{"id":454526,"name":"Noa Segall","orcid":"0000-0001-7403-7816","position":4,"is_corresponding":false},{"id":336639,"name":"Charlene Weir","orcid":"0000-0002-8297-2860","position":5,"is_corresponding":false},{"id":455641,"name":"Brekk C Macpherson","orcid":null,"position":6,"is_corresponding":false},{"id":336637,"name":"Polina Kukhareva","orcid":"0000-0002-5576-1486","position":7,"is_corresponding":false},{"id":454527,"name":"Melanie C. Wright","orcid":"0000-0001-7121-504X","position":8,"is_corresponding":false},{"id":72928,"name":"Thomas S. Reese","orcid":"0000-0002-1081-1670","position":0,"is_corresponding":true}],"reference_count":35,"raw_metadata":{"citation_network_status":"fetched"},"created_at":"2026-07-18T22:02:48.683291Z","pmid":"32548627","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}