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April 27, 2026Human Factors in Healthcare0 citationsOpen Access

An IMOI Model for Human-AI Teams in Critical Care Settings

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JKJenna KorentsidesZMZander N. MillerEMElizabeth R Merwin

Key Points

  • The aim is to propose a model that delineates the interactions between AI systems and human teams in critical care environments.
  • Introduced the Input-Mediator-Output-Input (IMOI) model to describe human-AI interaction dynamics.
  • Identified key components including inputs, mediators, and outputs relevant to team performance and patient care.
  • Discussed practical applications for training, design, and evaluation of AI systems.
  • The model highlights critical factors like trust and communication that influence team performance.
  • Emphasizes the importance of a feedback loop for continuous improvement in team dynamics.
  • The conceptual framework aids in enhancing AI integration and improving patient outcomes.

Abstract

As artificial intelligence (AI) becomes increasingly embedded in critical care settings, there is a pressing need to understand how these technologies interact with human teams responsible for high-stakes decision-making. This paper introduces a tailored Input-Mediator-Output-Input (IMOI) model to conceptualize the complex, cyclical dynamics of human-AI teaming in environments such as intensive care units and emergency departments. Building on principles from team science and information processing theory, the model identifies key inputs (e.g., AI capabilities, team composition, interface design), mediators (e.g., trust, communication, coordination), and outputs (e.g., team performance, patient outcomes), while accounting for moderating factors like clinician experience, stress, and AI transparency. A critical feature of the model is its feedback loop, through which outcomes inform future team behaviors, training, and system redesign. The paper outlines practical applications for healthcare training, AI system design, and simulation-based evaluation, offering a comprehensive roadmap for integrating AI as an adaptive, trustworthy member of clinical teams. Importantly, this model is conceptual and has not yet been empirically validated; it is intended to serve as a foundation for future empirical research. This model supports ongoing quality improvement initiatives and promotes safer, more effective human-AI collaboration in time-sensitive, high-pressure care environments.

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Cite This Study

Korentsides et al. (2026) studied this question.

synapsesocial.com/papers/69eefcf4fede9185760d3b30https://doi.org/10.1016/j.hfh.2026.100137
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