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    "When two wrongs don't make a right" - examining confirmation bias and the role of time pressure during human-aI collaboration in computational pathology (2025)

    Art
    Vortrag
    Autoren
    Rosbach, Emily
    Ammeling, Jonas
    Krügel, Sebastian
    Kießig, Angelika
    Fritz, Alexis
    Ganz, Jonathan
    Puget, Chloé (WE 12)
    Donovan, Taryn
    Klang, Andrea
    Köller, Maximilian C.
    Bolfa, Pompei
    Tecilla, Marco
    Denk, Daniela
    Kiupel, Matti
    Paraschou, Georgios
    Kok, Mun Keong
    Haake, Alexander (WE 12)
    de Krijger, Ronald R.
    Sonnen, Andreas F.-P.
    Kasantikul, Tanit
    Dorrestein, Gerry M.
    Smedley, Rebecca C.
    Stathonikos, Nikolas
    Uhl, Matthias
    Bertram, Christof A.
    Riener, Andreas
    Aubreville, Marc
    Kongress
    CHI '25: Proceedings of the 2025 CHI Conference on Human Factors in Computing Systems
    Yokohama, Japan, 26.04. – 01.05.2025
    Quelle
    CHI '25: proceedings of the 2025 CHI conference on human factors in computing systems — Naomi Yamashita,Vanessa Evers, Koji Yatani, Xianghua (Sharon) Ding, Bongshin Lee, Marshini Chetty, Phoebe Toups-Dugas (Hrsg.)
    New York, NY, United States: Association for Computing Machinery, 2025 — S. 1–18
    ISBN: 979-8-4007-1394-1
    Sprache
    Englisch
    Verweise
    URL (Volltext): https://dl.acm.org/doi/pdf/10.1145/3706598.3713319
    DOI: 10.1145/3706598.3713319
    Kontakt
    Institut für Tierpathologie

    Robert-von-Ostertag-Str. 15
    14163 Berlin
    +49 30 838 62450
    pathologie@vetmed.fu-berlin.de

    Abstract / Zusammenfassung

    Artificial intelligence (AI)-based decision support systems hold promise for enhancing diagnostic accuracy and efficiency in computational pathology. However, human-AI collaboration can introduce and amplify cognitive biases, like confirmation bias caused by false confirmation when erroneous human opinions are reinforced by inaccurate AI output. This bias may increase under time pressure, a ubiquitous factor in routine pathology, as it strains practitioners’ cognitive resources. We quantified confirmation bias triggered by AI-induced false confirmation and examined the role of time constraints in a web-based experiment, where trained pathology experts (n=28) estimated tumor cell percentages. Our results suggest that AI integration fuels confirmation bias, evidenced by a statistically significant positive linear-mixed-effects model coefficient linking AI recommendations mirroring flawed human judgment and alignment with system advice. Conversely, time pressure appeared to weaken this relationship. These findings highlight potential risks of AI in healthcare and aim to support the safe integration of clinical decision support systems.