Visual 6:layered approach to clinical decision making, GIM, November 7

A layered approach to clinical decision making: 

Explainability, trust and layers of clinical decision making in pre and current AI LLM era:

Machine layer and AI dominance with humans in the loop:

How useful is AI in the loop of humans and how crucial are humans if placed in the loop of AI?

Analytical scientific and EBM layer: This layer is where our clinical decision making lab appears to be largely engaged in although the other two layers are no less important.

We have already shared something around this layer in our previous demos particularly our two video links shared above.

Human layer: This is the most important layer where clinical decision making actually happens at multiple human stakeholder levels:

We are all apprentices in a craft where no one ever becomes a master.

Ernest Hemingway, The Wild Years

https://www.goodreads.com/work/quotes/1763688-the-wild-years

Human, Scientific and Machine layers :

Anatomy of cognitive layers:

Physiology of cognitive layers in clinical decision making: enter Bloom's taxonomy!

RUAAEC

ApRUAECAp

More here on the bloom game of learning cognition: https://sites.pitt.edu/~super1/lecture/lec54091/001.htm

Bloom's taxonomy image copyright as well as an enlightening write up: https://www.niallmcnulty.com/2019/12/introduction-to-blooms-

Our single click entry user interface: 

https://pajr.in/

Workflow in brief: 

https://medicinedepartment.blogspot.com/2025/10/current-elective-roles-in-pajr-workflow.html?m=1

Workflow theory generalized: https://medicinedepartment.blogspot.com/2024/11/technology-end-user-driven-ecosystem.html?m=1

Workflow theory individualized:

https://preprints.jmir.org/preprint/81950/accepted

Workflow theory simplified: 

https://nivarana.org/vital-signs/beyond-prescriptions-a-user-driven-approach-to-navigating-chronic-diseases