Identifying visual search patterns in eye gaze data; gaining insights into physician visual workflow

IMPORTANCE AND OBJECTIVES As health information technologies become more prevalent in physician workflow, it is increasingly important to understand how physicians are using and interacting with these systems. This includes understanding how physicians search for information presented through health information technology systems. Eye tracking technologies provide a useful technique to understand how physicians visually search for information. However, analyzing eye tracking data can be challenging and is often done by measuring summative metrics, such as total time looking at a specific area and first-order transitions. METHODS In this paper, we propose an algorithmic approach to identify different visual search patterns. We demonstrate this approach by identifying common visual search patterns from physicians using a simulated prototype emergency department patient tracking system. RESULTS AND CONCLUSIONS We evaluate and compare the visual search pattern results to first-order transition results. We discuss the benefits and limitations of this approach and insights from this initial evaluation.

[1]  Edmond Israelski,et al.  Evaluation of Drug Label Designs Using Eye Tracking , 2005 .

[2]  J. Findlay,et al.  Eye guidance and visual search , 1998 .

[3]  Duygun Erol Barkana,et al.  Improvement of design of a surgical interface using an eye tracking device , 2014, Theoretical Biology and Medical Modelling.

[4]  Donald L Fisher,et al.  Patient identification errors are common in a simulated setting. , 2010, Annals of emergency medicine.

[5]  Gautam Biswas,et al.  A Bayesian Approach to Temporal Data Clustering using Hidden Markov Models , 2000, ICML.

[6]  Eugene W. Myers,et al.  Suffix arrays: a new method for on-line string searches , 1993, SODA '90.

[7]  Mark R. Wilson,et al.  Exploring the Impact of Expertise, Clinical History, and Visual Search on Electrocardiogram Interpretation , 2014, Medical decision making : an international journal of the Society for Medical Decision Making.

[8]  Linden J. Ball,et al.  Eye Tracking in Human-Computer Interaction and Usability Research : Current Status and Future Prospects , 2004 .

[9]  Tommy Strandvall,et al.  Eye Tracking in Human-Computer Interaction and Usability Research , 2009, INTERACT.

[10]  Noa Segall,et al.  Coding and Visualizing Eye Tracking Data in Simulated Anesthesia Care , 2007 .

[11]  G Schneider,et al.  Eye tracking for assessment of workload: a pilot study in an anaesthesia simulator environment. , 2011, British journal of anaesthesia.

[12]  Cole Trapnell,et al.  Ultrafast and memory-efficient alignment of short DNA sequences to the human genome , 2009, Genome Biology.

[13]  Rollin J. Fairbanks,et al.  Supporting The Work of Ed Clinicians: Assessment of A Novel Emergency Department Information System in A Clinical Simulation Center , 2015 .

[14]  E. Krupinski,et al.  Visual scanning patterns of radiologists searching mammograms. , 1996, Academic radiology.

[15]  Kevin Buffardi,et al.  Eye Tracking Study on the Impact of the Manufacturer's Logo and Multilingual Description on Drug Selection Performance , 2006 .

[16]  Raj M. Ratwani,et al.  A Real-Time Eye Tracking System for Predicting and Preventing Postcompletion Errors , 2011, Hum. Comput. Interact..

[17]  Jennifer J. Vogel-Walcutt,et al.  A review of eye-tracking applications as tools for training , 2012, Cognition, Technology & Work.

[18]  Andrew T Duchowski,et al.  A breadth-first survey of eye-tracking applications , 2002, Behavior research methods, instruments, & computers : a journal of the Psychonomic Society, Inc.

[19]  Elizabeth A. Krupinski,et al.  Research and applications: Investigating the link between radiologists' gaze, diagnostic decision, and image content , 2013, J. Am. Medical Informatics Assoc..

[20]  Mats Lind,et al.  Combining Usability Testing with Eye-Tracking Technology: Evaluation of a Visualization Support for Antibiotic Use in Intensive Care , 2011, MIE.

[21]  Robert J. K. Jacob,et al.  Eye tracking in human-computer interaction and usability research : Ready to deliver the promises , 2002 .

[22]  Joseph H. Goldberg,et al.  Identifying fixations and saccades in eye-tracking protocols , 2000, ETRA.

[23]  Eamonn J. Keogh,et al.  A symbolic representation of time series, with implications for streaming algorithms , 2003, DMKD '03.

[24]  Nadim Anani,et al.  Integrated information visualization to support decision making for use of antibiotics in intensive care: design and usability evaluation , 2013, Informatics for health & social care.

[25]  Laura Chamberlain Eye Tracking Methodology; Theory and Practice , 2007 .

[26]  J. Wolfe Asymmetries in visual search: An introduction , 2001, Perception & psychophysics.