{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T20:26:21Z","timestamp":1787430381699,"version":"build-2736575974"},"reference-count":47,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T00:00:00Z","timestamp":1785801600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01HL157457"],"award-info":[{"award-number":["R01HL157457"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Human Factors in Healthcare"],"published-print":{"date-parts":[[2026,12]]},"DOI":"10.1016\/j.hfh.2026.100152","type":"journal-article","created":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T15:24:34Z","timestamp":1785943474000},"page":"100152","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Human-Centered design requirements for clinical decision support in cardiac surgery perfusion"],"prefix":"10.1016","volume":"10","author":[{"given":"Lakshmi","family":"Seelam","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9238-7342","authenticated-orcid":false,"given":"Letian","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7583-9685","authenticated-orcid":false,"given":"Manisha","family":"Natarajan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geoffrey","family":"Rance","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Ogara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rithy","family":"Srey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjana","family":"Mendu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco A.","family":"Zenati","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roger D.","family":"Dias","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Gombolay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"4","key":"10.1016\/j.hfh.2026.100152_bib0001","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1136\/jamia.2001.0080351","article-title":"A UMLS-based knowledge acquisition tool for rule-based clinical decision support system development","volume":"8","author":"Achour","year":"2001","journal-title":"Journal of the American Medical Informatics Association"},{"issue":"6","key":"10.1016\/j.hfh.2026.100152_bib0002","doi-asserted-by":"crossref","first-page":"574","DOI":"10.1080\/10447310802205776","article-title":"An empirical evaluation of the system usability scale","volume":"24","author":"Bangor","year":"2008","journal-title":"Intl. Journal of Human\u2013Computer Interaction"},{"issue":"6","key":"10.1016\/j.hfh.2026.100152_bib0003","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1197\/jamia.M1370","article-title":"Ten commandments for effective clinical decision support: Making the practice of evidence-based medicine a reality","volume":"10","author":"Bates","year":"2003","journal-title":"Journal of the American Medical Informatics Association"},{"issue":"1","key":"10.1016\/j.hfh.2026.100152_bib0004","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1145\/291224.291229","article-title":"Contextual design","volume":"6","author":"Beyer","year":"1999","journal-title":"Interactions"},{"key":"10.1016\/j.hfh.2026.100152_bib0005","series-title":"Guidelines for reporting health research: A user\u2019s manual","first-page":"214","article-title":"COREQ (consolidated criteria for reporting qualitative studies)","author":"Booth","year":"2014"},{"issue":"1","key":"10.1016\/j.hfh.2026.100152_bib0006","first-page":"7","article-title":"A review of eye tracking for understanding and improving diagnostic interpretation","volume":"4","author":"Bruny\u00e9","year":"2019","journal-title":"Cognitive research: Principles and implications"},{"issue":"3","key":"10.1016\/j.hfh.2026.100152_bib0007","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1038\/s41575-022-00701-y","article-title":"Artificial intelligence and automation in endoscopy and surgery","volume":"20","author":"Chadebecq","year":"2023","journal-title":"Nature Reviews Gastroenterology & Hepatology"},{"issue":"3","key":"10.1016\/j.hfh.2026.100152_bib0008","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1051\/ject\/200739142","article-title":"Survey: Retrospective survey of monitoring\/safety devices and incidents of cardiopulmonary bypass for cardiac surgery in France","volume":"39","author":"Charri\u00e8re","year":"2007","journal-title":"The Journal of ExtraCorporeal Technology"},{"key":"10.1016\/j.hfh.2026.100152_bib0009","series-title":"2022 IEEE Conference on Cognitive and Computational Aspects of Situation Management (CogSIMA)","first-page":"94","article-title":"Assessing team situational awareness in the operating room via computer vision","author":"Dias","year":"2022"},{"issue":"4","key":"10.1016\/j.hfh.2026.100152_bib0010","doi-asserted-by":"crossref","first-page":"1462","DOI":"10.1016\/j.jtcvs.2021.06.052","article-title":"A tool to assess nontechnical skills of perfusionists in the cardiac operating room","volume":"165","author":"Dias","year":"2023","journal-title":"The Journal of thoracic and cardiovascular surgery"},{"issue":"2","key":"10.1016\/j.hfh.2026.100152_bib0011","doi-asserted-by":"crossref","first-page":"e181","DOI":"10.1097\/SLA.0000000000003489","article-title":"Dissecting cardiac surgery: A video-based recall protocol to elucidate team cognitive processes in the operating room","volume":"274","author":"Dias","year":"2021","journal-title":"Annals of Surgery"},{"issue":"3","key":"10.1016\/j.hfh.2026.100152_bib0012","first-page":"308","article-title":"Using machine learning to predict perfusionists\u2019 critical decision-making during cardiac surgery","volume":"10","author":"Dias","year":"2022","journal-title":"Computer Methods in Biomechanics and Biomedical Engineering: Imaging & Visualization"},{"key":"10.1016\/j.hfh.2026.100152_bib0013","series-title":"Situational awareness","first-page":"9","article-title":"Toward a theory of situation awareness in dynamic systems","author":"Endsley","year":"2017"},{"key":"10.1016\/j.hfh.2026.100152_bib0014","series-title":"Designing for situation awareness: An approach to user-centered design","author":"Endsley","year":"2025"},{"issue":"1","key":"10.1016\/j.hfh.2026.100152_bib0015","doi-asserted-by":"crossref","DOI":"10.1093\/jamiaopen\/ooae019","article-title":"Application of a user experience design approach for an EHR-based clinical decision support system","volume":"7","author":"Gao","year":"2024","journal-title":"Jamia Open"},{"key":"10.1016\/j.hfh.2026.100152_bib0016","series-title":"2023 7th International Conference on Trends in Electronics and Informatics (ICOEI)","first-page":"204","article-title":"Industry 5.0 for healthcare 5.0: Opportunities, challenges and future research possibilities","author":"Gomathi","year":"2023"},{"issue":"5","key":"10.1016\/j.hfh.2026.100152_bib0017","doi-asserted-by":"crossref","first-page":"1224","DOI":"10.1002\/acn3.52036","article-title":"Effects of explainable artificial intelligence in neurology decision support","volume":"11","author":"Gombolay","year":"2024","journal-title":"Annals of clinical and translational neurology"},{"issue":"1","key":"10.1016\/j.hfh.2026.100152_bib0018","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1177\/1525822X05279903","article-title":"How many interviews are enough? An experiment with data saturation and variability","volume":"18","author":"Guest","year":"2006","journal-title":"Field methods"},{"key":"10.1016\/j.hfh.2026.100152_bib0019","series-title":"Cardiopulmonary bypass: Principles and techniques of extracorporeal circulation","year":"2012"},{"key":"10.1016\/j.hfh.2026.100152_bib0020","doi-asserted-by":"crossref","DOI":"10.1016\/j.apergo.2022.103846","article-title":"Managing multiple perspectives in the collaborative design process of a team health information technology","volume":"106","author":"Hose","year":"2023","journal-title":"Applied ergonomics"},{"key":"10.1016\/j.hfh.2026.100152_bib0021","doi-asserted-by":"crossref","DOI":"10.1016\/j.artint.2021.103459","article-title":"Explaining black-box classifiers using post-hoc explanations-by-example: The effect of explanations and error-rates in XAI user studies","volume":"294","author":"Kenny","year":"2021","journal-title":"Artificial Intelligence"},{"issue":"1","key":"10.1016\/j.hfh.2026.100152_bib0022","doi-asserted-by":"crossref","DOI":"10.2196\/28639","article-title":"Human factors and technological characteristics influencing the interaction of medical professionals with artificial intelligence\u2013enabled clinical decision support systems: Literature review","volume":"9","author":"Knop","year":"2022","journal-title":"JMIR Human Factors"},{"issue":"1","key":"10.1016\/j.hfh.2026.100152_bib0023","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1518\/hfes.46.1.50.30392","article-title":"Trust in automation: Designing for appropriate reliance","volume":"46","author":"Lee","year":"2004","journal-title":"Human factors"},{"key":"10.1016\/j.hfh.2026.100152_bib0024","series-title":"Proceedings of the 2020 CHI conference on human factors in computing systems","first-page":"1","article-title":"Questioning the AI: Informing design practices for explainable AI user experiences","author":"Liao","year":"2020"},{"issue":"1","key":"10.1016\/j.hfh.2026.100152_bib0025","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1097\/SLA.0000000000005853","article-title":"Artificial intelligence\u2013enabled decision support in surgery: State-of-the-art and future directions","volume":"278","author":"Loftus","year":"2023","journal-title":"Annals of Surgery"},{"issue":"3","key":"10.1016\/j.hfh.2026.100152_bib0026","doi-asserted-by":"crossref","first-page":"997","DOI":"10.1016\/j.jtcvs.2020.12.008","article-title":"Correlating oxygen delivery on cardiopulmonary bypass with Society of Thoracic Surgeons outcomes following cardiac surgery","volume":"164","author":"Magruder","year":"2022","journal-title":"The Journal of Thoracic and Cardiovascular Surgery"},{"issue":"1","key":"10.1016\/j.hfh.2026.100152_bib0027","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1109\/TPC.2011.2182569","article-title":"Exploring think-alouds in usability testing: An international survey","volume":"55","author":"McDonald","year":"2012","journal-title":"IEEE Transactions on Professional Communication"},{"issue":"1","key":"10.1016\/j.hfh.2026.100152_bib0028","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1177\/026765910001500108","article-title":"A retrospective study on perfusion incidents and safety devices","volume":"15","author":"Mejak","year":"2000","journal-title":"Perfusion"},{"issue":"1","key":"10.1016\/j.hfh.2026.100152_bib0029","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1038\/s41746-025-01784-y","article-title":"Empirically derived evaluation requirements for responsible deployments of AI in safety-critical settings","volume":"8","author":"Morey","year":"2025","journal-title":"NPJ Digital Medicine"},{"issue":"1","key":"10.1016\/j.hfh.2026.100152_bib0030","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1177\/21695067231193646","article-title":"Towards joint activity design heuristics: Essentials for human-machine teaming","volume":"67","author":"Morey","year":"2023","journal-title":"Proceedings of the Human Factors and Ergonomics Society Annual Meeting"},{"key":"10.1016\/j.hfh.2026.100152_bib0031","first-page":"171","article-title":"AI-based decision support for perfusionists during cardiopulmonary bypass","volume":"2025","author":"Natarajan","year":"2025","journal-title":"The Hamlyn Symposium on Medical Robotics: Proceedings"},{"issue":"3","key":"10.1016\/j.hfh.2026.100152_bib0032","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1037\/0033-295X.84.3.231","article-title":"Telling more than we can know: Verbal reports on mental processes","volume":"84","author":"Nisbett","year":"1977","journal-title":"Psychological Review"},{"issue":"4","key":"10.1016\/j.hfh.2026.100152_bib0033","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1145\/3587271","article-title":"Co-design of human-centered, explainable AI for clinical decision support","volume":"13","author":"Panigutti","year":"2023","journal-title":"ACM Transactions on Interactive Intelligent Systems"},{"key":"10.1016\/j.hfh.2026.100152_bib0034","series-title":"Proceedings of the 2022 CHI Conference on Human Factors in Computing Systems","first-page":"1","article-title":"Understanding the impact of explanations on advice-taking: A user study for AI-based clinical Decision Support Systems","author":"Panigutti","year":"2022"},{"issue":"2","key":"10.1016\/j.hfh.2026.100152_bib0035","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1518\/001872097778543886","article-title":"Humans and automation: Use, misuse, disuse, abuse","volume":"39","author":"Parasuraman","year":"1997","journal-title":"Human factors"},{"issue":"1","key":"10.1016\/j.hfh.2026.100152_bib0036","doi-asserted-by":"crossref","first-page":"1091","DOI":"10.1177\/1541931213601877","article-title":"Designing for collaborative autonomy: Updating user-centered design heuristics and evaluation methods","volume":"61","author":"Rayo","year":"2017","journal-title":"Proceedings of the Human Factors and Ergonomics Society Annual Meeting"},{"issue":"5","key":"10.1016\/j.hfh.2026.100152_bib0037","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1038\/s42256-019-0048-x","article-title":"Stop explaining black box machine learning models for high stakes decisions and use interpretable models instead","volume":"1","author":"Rudin","year":"2019","journal-title":"Nature machine intelligence"},{"issue":"1","key":"10.1016\/j.hfh.2026.100152_bib0038","first-page":"5","article-title":"Co-creation and the new landscapes of design","volume":"4","author":"Sanders","year":"2008","journal-title":"Co-design"},{"issue":"2","key":"10.1016\/j.hfh.2026.100152_bib0039","doi-asserted-by":"crossref","first-page":"953","DOI":"10.1016\/j.dss.2012.09.018","article-title":"Factors influencing decision support system acceptance","volume":"54","author":"Shibl","year":"2013","journal-title":"Decision Support Systems"},{"key":"10.1016\/j.hfh.2026.100152_bib0040","series-title":"Designing the user interface: Strategies for effective human-computer interaction","author":"Shneiderman","year":"2016"},{"issue":"21","key":"10.1016\/j.hfh.2026.100152_bib0041","doi-asserted-by":"crossref","first-page":"2199","DOI":"10.1001\/jama.2018.17163","article-title":"Clinical decision support in the era of artificial intelligence","volume":"320","author":"Shortliffe","year":"2018","journal-title":"Jama"},{"key":"10.1016\/j.hfh.2026.100152_bib0042","doi-asserted-by":"crossref","DOI":"10.1038\/s41598-019-50280-3","article-title":"Heart rate and heart rate variability correlate with clinical reasoning performance and self-reported measures of cognitive load","volume":"9","author":"Solhjoo","year":"2019","journal-title":"Scientific Reports"},{"issue":"2","key":"10.1016\/j.hfh.2026.100152_bib0043","first-page":"163","article-title":"The methodology of participatory design","volume":"52","author":"Spinuzzi","year":"2005","journal-title":"Technical communication"},{"issue":"1","key":"10.1016\/j.hfh.2026.100152_bib0044","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1038\/s41746-020-0221-y","article-title":"An overview of clinical decision support systems: Benefits, risks, and strategies for success","volume":"3","author":"Sutton","year":"2020","journal-title":"NPJ digital medicine"},{"issue":"5","key":"10.1016\/j.hfh.2026.100152_bib0045","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1177\/0267659111409278","article-title":"Fatigue and extended work hours among cardiovascular perfusionists: 2010 survey","volume":"26","author":"Trew","year":"2011","journal-title":"Perfusion"},{"issue":"10","key":"10.1016\/j.hfh.2026.100152_bib0046","doi-asserted-by":"crossref","first-page":"1139","DOI":"10.1161\/CIR.0b013e3182a38efa","article-title":"Patient safety in the cardiac operating room: Human factors and teamwork: A scientific statement from the","volume":"128","author":"Wahr","year":"2013","journal-title":"Circulation"},{"issue":"2","key":"10.1016\/j.hfh.2026.100152_bib0047","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1051\/ject\/200941057","article-title":"A human factors analysis of cardiopulmonary bypass machines","volume":"41","author":"Wiegmann","year":"2009","journal-title":"The Journal of ExtraCorporeal Technology"}],"container-title":["Human Factors in Healthcare"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2772501426000308?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2772501426000308?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T20:16:36Z","timestamp":1787429796000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2772501426000308"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,12]]},"references-count":47,"alternative-id":["S2772501426000308"],"URL":"https:\/\/doi.org\/10.1016\/j.hfh.2026.100152","relation":{},"ISSN":["2772-5014"],"issn-type":[{"value":"2772-5014","type":"print"}],"subject":[],"published":{"date-parts":[[2026,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Human-Centered design requirements for clinical decision support in cardiac surgery perfusion","name":"articletitle","label":"Article Title"},{"value":"Human Factors in Healthcare","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.hfh.2026.100152","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier Inc. on behalf of Human Factors and Ergonomics Society.","name":"copyright","label":"Copyright"}],"article-number":"100152"}}