Sian Taylor-Phillips
Fatigue and vigilance in medical experts detecting breast cancer
Taylor-Phillips, Sian; Jenkinson, David; Stinton, Chris; Kunar, Melina A.; Watson, Derrick G.; Freeman, Karoline; Mansbridge, Alice; Wallis, Matthew G.; Kearins, Olive; Hudson, Sue; Clarke, Aileen
Authors
David Jenkinson d.j.jenkinson@keele.ac.uk
Chris Stinton
Melina A. Kunar
Derrick G. Watson
Karoline Freeman
Alice Mansbridge
Matthew G. Wallis
Olive Kearins
Sue Hudson
Aileen Clarke
Abstract
An abundance of laboratory-based experiments has described a vigilance decrement of reducing accuracy to detect targets with time on task, but there are few real-world studies, none of which have previously controlled the environment to control for bias. We describe accuracy in clinical practice for 360 experts who examined >1 million women’s mammograms for signs of cancer, whilst controlling for potential biases. The vigilance decrement pattern was not observed. Instead, test accuracy improved over time, through a reduction in false alarms and an increase in speed, with no significant change in sensitivity. The multiple-decision model explains why experts miss targets in low prevalence settings through a change in decision threshold and search quit threshold and propose it should be adapted to explain these observed patterns of accuracy with time on task. What is typically thought of as standard and robust research findings in controlled laboratory settings may not directly apply to real-world environments and instead large, controlled studies in relevant environments are needed.
Citation
Taylor-Phillips, S., Jenkinson, D., Stinton, C., Kunar, M. A., Watson, D. G., Freeman, K., …Clarke, A. (2024). Fatigue and vigilance in medical experts detecting breast cancer. Proceedings of the National Academy of Sciences of the United States of America, 121(11), https://doi.org/10.1073/pnas.2309576121
Journal Article Type | Article |
---|---|
Acceptance Date | Dec 19, 2023 |
Online Publication Date | Mar 4, 2024 |
Publication Date | Mar 12, 2024 |
Deposit Date | Mar 7, 2024 |
Publicly Available Date | Mar 19, 2024 |
Journal | Proceedings of the National Academy of Sciences |
Print ISSN | 0027-8424 |
Electronic ISSN | 1091-6490 |
Publisher | National Academy of Sciences |
Peer Reviewed | Peer Reviewed |
Volume | 121 |
Issue | 11 |
DOI | https://doi.org/10.1073/pnas.2309576121 |
Keywords | Multidisciplinary |
Additional Information | Received: 2023-06-08; Accepted: 2023-12-19; Published: 2024-03-04 |
Files
PNAS Manuscript Author Accepted Version Combined
(1.9 Mb)
PDF
Licence
https://creativecommons.org/licenses/by/4.0/
Publisher Licence URL
https://creativecommons.org/licenses/by/4.0/
Copyright Statement
Copyright © 2024 the Author(s). Published by PNAS. This open access article is distributed under Creative Commons Attribution License 4.0 (CC BY)
You might also like
Optimizing the Pairs of Radiologists That Double Read Screening Mammograms
(2023)
Journal Article
Downloadable Citations
About Keele Repository
Administrator e-mail: research.openaccess@keele.ac.uk
This application uses the following open-source libraries:
SheetJS Community Edition
Apache License Version 2.0 (http://www.apache.org/licenses/)
PDF.js
Apache License Version 2.0 (http://www.apache.org/licenses/)
Font Awesome
SIL OFL 1.1 (http://scripts.sil.org/OFL)
MIT License (http://opensource.org/licenses/mit-license.html)
CC BY 3.0 ( http://creativecommons.org/licenses/by/3.0/)
Powered by Worktribe © 2024
Advanced Search