Yinan Zheng

RO
h-index21
19papers
544citations
Novelty60%
AI Score63

19 Papers

CVFeb 23Code
MeanFuser: Fast One-Step Multi-Modal Trajectory Generation and Adaptive Reconstruction via MeanFlow for End-to-End Autonomous Driving

Junli Wang, Xueyi Liu, Yinan Zheng et al.

Generative models have shown great potential in trajectory planning. Recent studies demonstrate that anchor-guided generative models are effective in modeling the uncertainty of driving behaviors and improving overall performance. However, these methods rely on discrete anchor vocabularies that must sufficiently cover the trajectory distribution during testing to ensure robustness, inducing an inherent trade-off between vocabulary size and model performance. To overcome this limitation, we propose MeanFuser, an end-to-end autonomous driving method that enhances both efficiency and robustness through three key designs. (1) We introduce Gaussian Mixture Noise (GMN) to guide generative sampling, enabling a continuous representation of the trajectory space and eliminating the dependency on discrete anchor vocabularies. (2) We adapt ``MeanFlow Identity" to end-to-end planning, which models the mean velocity field between GMN and trajectory distribution instead of the instantaneous velocity field used in vanilla flow matching methods, effectively eliminating numerical errors from ODE solvers and significantly accelerating inference. (3) We design a lightweight Adaptive Reconstruction Module (ARM) that enables the model to implicitly select from all sampled proposals or reconstruct a new trajectory when none is satisfactory via attention weights. Experiments on the NAVSIM closed-loop benchmark demonstrate that MeanFuser achieves outstanding performance without the supervision of the PDM Score. and exceptional inference efficiency, offering a robust and efficient solution for end-to-end autonomous driving. Our code and model are available at https://github.com/wjl2244/MeanFuser.

LGJul 21, 2023
Offline Multi-Agent Reinforcement Learning with Implicit Global-to-Local Value Regularization

Xiangsen Wang, Haoran Xu, Yinan Zheng et al.

Offline reinforcement learning (RL) has received considerable attention in recent years due to its attractive capability of learning policies from offline datasets without environmental interactions. Despite some success in the single-agent setting, offline multi-agent RL (MARL) remains to be a challenge. The large joint state-action space and the coupled multi-agent behaviors pose extra complexities for offline policy optimization. Most existing offline MARL studies simply apply offline data-related regularizations on individual agents, without fully considering the multi-agent system at the global level. In this work, we present OMIGA, a new offline m ulti-agent RL algorithm with implicit global-to-local v alue regularization. OMIGA provides a principled framework to convert global-level value regularization into equivalent implicit local value regularizations and simultaneously enables in-sample learning, thus elegantly bridging multi-agent value decomposition and policy learning with offline regularizations. Based on comprehensive experiments on the offline multi-agent MuJoCo and StarCraft II micro-management tasks, we show that OMIGA achieves superior performance over the state-of-the-art offline MARL methods in almost all tasks.

LGDec 31, 2025
Dichotomous Diffusion Policy Optimization

Ruiming Liang, Yinan Zheng, Kexin Zheng et al. · tsinghua

Diffusion-based policies have gained growing popularity in solving a wide range of decision-making tasks due to their superior expressiveness and controllable generation during inference. However, effectively training large diffusion policies using reinforcement learning (RL) remains challenging. Existing methods either suffer from unstable training due to directly maximizing value objectives, or face computational issues due to relying on crude Gaussian likelihood approximation, which requires a large amount of sufficiently small denoising steps. In this work, we propose DIPOLE (Dichotomous diffusion Policy improvement), a novel RL algorithm designed for stable and controllable diffusion policy optimization. We begin by revisiting the KL-regularized objective in RL, which offers a desirable weighted regression objective for diffusion policy extraction, but often struggles to balance greediness and stability. We then formulate a greedified policy regularization scheme, which naturally enables decomposing the optimal policy into a pair of stably learned dichotomous policies: one aims at reward maximization, and the other focuses on reward minimization. Under such a design, optimized actions can be generated by linearly combining the scores of dichotomous policies during inference, thereby enabling flexible control over the level of greediness.Evaluations in offline and offline-to-online RL settings on ExORL and OGBench demonstrate the effectiveness of our approach. We also use DIPOLE to train a large vision-language-action (VLA) model for end-to-end autonomous driving (AD) and evaluate it on the large-scale real-world AD benchmark NAVSIM, highlighting its potential for complex real-world applications.

ROFeb 26
Unleashing the Potential of Diffusion Models for End-to-End Autonomous Driving

Yinan Zheng, Tianyi Tan, Bin Huang et al.

Diffusion models have become a popular choice for decision-making tasks in robotics, and more recently, are also being considered for solving autonomous driving tasks. However, their applications and evaluations in autonomous driving remain limited to simulation-based or laboratory settings. The full strength of diffusion models for large-scale, complex real-world settings, such as End-to-End Autonomous Driving (E2E AD), remains underexplored. In this study, we conducted a systematic and large-scale investigation to unleash the potential of the diffusion models as planners for E2E AD, based on a tremendous amount of real-vehicle data and road testing. Through comprehensive and carefully controlled studies, we identify key insights into the diffusion loss space, trajectory representation, and data scaling that significantly impact E2E planning performance. Moreover, we also provide an effective reinforcement learning post-training strategy to further enhance the safety of the learned planner. The resulting diffusion-based learning framework, Hyper Diffusion Planner} (HDP), is deployed on a real-vehicle platform and evaluated across 6 urban driving scenarios and 200 km of real-world testing, achieving a notable 10x performance improvement over the base model. Our work demonstrates that diffusion models, when properly designed and trained, can serve as effective and scalable E2E AD planners for complex, real-world autonomous driving tasks.

ROJan 17, 2025Code
Universal Actions for Enhanced Embodied Foundation Models

Jinliang Zheng, Jianxiong Li, Dongxiu Liu et al. · tsinghua

Training on diverse, internet-scale data is a key factor in the success of recent large foundation models. Yet, using the same recipe for building embodied agents has faced noticeable difficulties. Despite the availability of many crowd-sourced embodied datasets, their action spaces often exhibit significant heterogeneity due to distinct physical embodiment and control interfaces for different robots, causing substantial challenges in developing embodied foundation models using cross-domain data. In this paper, we introduce UniAct, a new embodied foundation modeling framework operating in a Universal Action Space. Our learned universal actions capture the generic atomic behaviors across diverse robots by exploiting their shared structural features, and enable enhanced cross-domain data utilization and cross-embodiment generalizations by eliminating the notorious heterogeneity. The universal actions can be efficiently translated back to heterogeneous actionable commands by simply adding embodiment-specific details, from which fast adaptation to new robots becomes simple and straightforward. Our 0.5B instantiation of UniAct outperforms 14X larger SOTA embodied foundation models in extensive evaluations on various real-world and simulation robots, showcasing exceptional cross-embodiment control and adaptation capability, highlighting the crucial benefit of adopting universal actions. Project page: https://github.com/2toinf/UniAct

RONov 20, 2025Code
MiMo-Embodied: X-Embodied Foundation Model Technical Report

Xiaoshuai Hao, Lei Zhou, Zhijian Huang et al.

We open-source MiMo-Embodied, the first cross-embodied foundation model to successfully integrate and achieve state-of-the-art performance in both Autonomous Driving and Embodied AI. MiMo-Embodied sets new records across 17 embodied AI benchmarks in Task Planning, Affordance Prediction and Spatial Understanding, while also excelling in 12 autonomous driving benchmarks across Environmental Perception, Status Prediction, and Driving Planning. Across these tasks, MiMo-Embodied significantly outperforms existing open-source, closed-source, and specialized baselines. Our results indicate that through multi-stage learning, curated data construction, and CoT/RL fine-tuning, these two domains exhibit strong positive transfer and mutually reinforce one another. We provide a detailed analysis of our model design and training methodologies to facilitate further research. Code and models are available at https://github.com/XiaomiMiMo/MiMo-Embodied.

LGOct 17, 2025Code
Towards Robust Zero-Shot Reinforcement Learning

Kexin Zheng, Lauriane Teyssier, Yinan Zheng et al.

The recent development of zero-shot reinforcement learning (RL) has opened a new avenue for learning pre-trained generalist policies that can adapt to arbitrary new tasks in a zero-shot manner. While the popular Forward-Backward representations (FB) and related methods have shown promise in zero-shot RL, we empirically found that their modeling lacks expressivity and that extrapolation errors caused by out-of-distribution (OOD) actions during offline learning sometimes lead to biased representations, ultimately resulting in suboptimal performance. To address these issues, we propose Behavior-REgularizEd Zero-shot RL with Expressivity enhancement (BREEZE), an upgraded FB-based framework that simultaneously enhances learning stability, policy extraction capability, and representation learning quality. BREEZE introduces behavioral regularization in zero-shot RL policy learning, transforming policy optimization into a stable in-sample learning paradigm. Additionally, BREEZE extracts the policy using a task-conditioned diffusion model, enabling the generation of high-quality and multimodal action distributions in zero-shot RL settings. Moreover, BREEZE employs expressive attention-based architectures for representation modeling to capture the complex relationships between environmental dynamics. Extensive experiments on ExORL and D4RL Kitchen demonstrate that BREEZE achieves the best or near-the-best performance while exhibiting superior robustness compared to prior offline zero-shot RL methods. The official implementation is available at: https://github.com/Whiterrrrr/BREEZE.

ROJan 26, 2025
Diffusion-Based Planning for Autonomous Driving with Flexible Guidance

Yinan Zheng, Ruiming Liang, Kexin Zheng et al. · tsinghua

Achieving human-like driving behaviors in complex open-world environments is a critical challenge in autonomous driving. Contemporary learning-based planning approaches such as imitation learning methods often struggle to balance competing objectives and lack of safety assurance,due to limited adaptability and inadequacy in learning complex multi-modal behaviors commonly exhibited in human planning, not to mention their strong reliance on the fallback strategy with predefined rules. We propose a novel transformer-based Diffusion Planner for closed-loop planning, which can effectively model multi-modal driving behavior and ensure trajectory quality without any rule-based refinement. Our model supports joint modeling of both prediction and planning tasks under the same architecture, enabling cooperative behaviors between vehicles. Moreover, by learning the gradient of the trajectory score function and employing a flexible classifier guidance mechanism, Diffusion Planner effectively achieves safe and adaptable planning behaviors. Evaluations on the large-scale real-world autonomous planning benchmark nuPlan and our newly collected 200-hour delivery-vehicle driving dataset demonstrate that Diffusion Planner achieves state-of-the-art closed-loop performance with robust transferability in diverse driving styles.

ROFeb 28, 2024
DecisionNCE: Embodied Multimodal Representations via Implicit Preference Learning

Jianxiong Li, Jinliang Zheng, Yinan Zheng et al. · tsinghua

Multimodal pretraining is an effective strategy for the trinity of goals of representation learning in autonomous robots: 1) extracting both local and global task progressions; 2) enforcing temporal consistency of visual representation; 3) capturing trajectory-level language grounding. Most existing methods approach these via separate objectives, which often reach sub-optimal solutions. In this paper, we propose a universal unified objective that can simultaneously extract meaningful task progression information from image sequences and seamlessly align them with language instructions. We discover that via implicit preferences, where a visual trajectory inherently aligns better with its corresponding language instruction than mismatched pairs, the popular Bradley-Terry model can transform into representation learning through proper reward reparameterizations. The resulted framework, DecisionNCE, mirrors an InfoNCE-style objective but is distinctively tailored for decision-making tasks, providing an embodied representation learning framework that elegantly extracts both local and global task progression features, with temporal consistency enforced through implicit time contrastive learning, while ensuring trajectory-level instruction grounding via multimodal joint encoding. Evaluation on both simulated and real robots demonstrates that DecisionNCE effectively facilitates diverse downstream policy learning tasks, offering a versatile solution for unified representation and reward learning. Project Page: https://2toinf.github.io/DecisionNCE/

LGFeb 9, 2025
Skill Expansion and Composition in Parameter Space

Tenglong Liu, Jianxiong Li, Yinan Zheng et al. · tsinghua

Humans excel at reusing prior knowledge to address new challenges and developing skills while solving problems. This paradigm becomes increasingly popular in the development of autonomous agents, as it develops systems that can self-evolve in response to new challenges like human beings. However, previous methods suffer from limited training efficiency when expanding new skills and fail to fully leverage prior knowledge to facilitate new task learning. In this paper, we propose Parametric Skill Expansion and Composition (PSEC), a new framework designed to iteratively evolve the agents' capabilities and efficiently address new challenges by maintaining a manageable skill library. This library can progressively integrate skill primitives as plug-and-play Low-Rank Adaptation (LoRA) modules in parameter-efficient finetuning, facilitating efficient and flexible skill expansion. This structure also enables the direct skill compositions in parameter space by merging LoRA modules that encode different skills, leveraging shared information across skills to effectively program new skills. Based on this, we propose a context-aware module to dynamically activate different skills to collaboratively handle new tasks. Empowering diverse applications including multi-objective composition, dynamics shift, and continual policy shift, the results on D4RL, DSRL benchmarks, and the DeepMind Control Suite show that PSEC exhibits superior capacity to leverage prior knowledge to efficiently tackle new challenges, as well as expand its skill libraries to evolve the capabilities. Project website: https://ltlhuuu.github.io/PSEC/.

ROOct 11, 2025
X-VLA: Soft-Prompted Transformer as Scalable Cross-Embodiment Vision-Language-Action Model

Jinliang Zheng, Jianxiong Li, Zhihao Wang et al. · tsinghua

Successful generalist Vision-Language-Action (VLA) models rely on effective training across diverse robotic platforms with large-scale, cross-embodiment, heterogeneous datasets. To facilitate and leverage the heterogeneity in rich, diverse robotic data sources, we propose a novel Soft Prompt approach with minimally added parameters, by infusing prompt learning concepts into cross-embodiment robot learning and introducing separate sets of learnable embeddings for each distinct data source. These embeddings serve as embodiment-specific prompts, which in unity empower VLA models with effective exploitation of varying cross-embodiment features. Our new X-VLA, a neat flow-matching-based VLA architecture, relies exclusively on soft-prompted standard Transformer encoders, enjoying both scalability and simplicity. Evaluated across 6 simulations as well as 3 real-world robots, our 0.9B instantiation-X-VLA-0.9B simultaneously achieves SOTA performance over a sweep of benchmarks, demonstrating superior results on a wide axes of capabilities, from flexible dexterity to quick adaptation across embodiments, environments, and tasks. Website: https://thu-air-dream.github.io/X-VLA/

ROMay 11, 2025
Efficient Robotic Policy Learning via Latent Space Backward Planning

Dongxiu Liu, Haoyi Niu, Zhihao Wang et al. · tsinghua

Current robotic planning methods often rely on predicting multi-frame images with full pixel details. While this fine-grained approach can serve as a generic world model, it introduces two significant challenges for downstream policy learning: substantial computational costs that hinder real-time deployment, and accumulated inaccuracies that can mislead action extraction. Planning with coarse-grained subgoals partially alleviates efficiency issues. However, their forward planning schemes can still result in off-task predictions due to accumulation errors, leading to misalignment with long-term goals. This raises a critical question: Can robotic planning be both efficient and accurate enough for real-time control in long-horizon, multi-stage tasks? To address this, we propose a Latent Space Backward Planning scheme (LBP), which begins by grounding the task into final latent goals, followed by recursively predicting intermediate subgoals closer to the current state. The grounded final goal enables backward subgoal planning to always remain aware of task completion, facilitating on-task prediction along the entire planning horizon. The subgoal-conditioned policy incorporates a learnable token to summarize the subgoal sequences and determines how each subgoal guides action extraction. Through extensive simulation and real-robot long-horizon experiments, we show that LBP outperforms existing fine-grained and forward planning methods, achieving SOTA performance. Project Page: https://lbp-authors.github.io

ROOct 13, 2025
Flow Matching-Based Autonomous Driving Planning with Advanced Interactive Behavior Modeling

Tianyi Tan, Yinan Zheng, Ruiming Liang et al. · tsinghua

Modeling interactive driving behaviors in complex scenarios remains a fundamental challenge for autonomous driving planning. Learning-based approaches attempt to address this challenge with advanced generative models, removing the dependency on over-engineered architectures for representation fusion. However, brute-force implementation by simply stacking transformer blocks lacks a dedicated mechanism for modeling interactive behaviors that are common in real driving scenarios. The scarcity of interactive driving data further exacerbates this problem, leaving conventional imitation learning methods ill-equipped to capture high-value interactive behaviors. We propose Flow Planner, which tackles these problems through coordinated innovations in data modeling, model architecture, and learning scheme. Specifically, we first introduce fine-grained trajectory tokenization, which decomposes the trajectory into overlapping segments to decrease the complexity of whole trajectory modeling. With a sophisticatedly designed architecture, we achieve efficient temporal and spatial fusion of planning and scene information, to better capture interactive behaviors. In addition, the framework incorporates flow matching with classifier-free guidance for multi-modal behavior generation, which dynamically reweights agent interactions during inference to maintain coherent response strategies, providing a critical boost for interactive scenario understanding. Experimental results on the large-scale nuPlan dataset and challenging interactive interPlan dataset demonstrate that Flow Planner achieves state-of-the-art performance among learning-based approaches while effectively modeling interactive behaviors in complex driving scenarios.

ROSep 29, 2025
PhysiAgent: An Embodied Agent Framework in Physical World

Zhihao Wang, Jianxiong Li, Jinliang Zheng et al. · tsinghua

Vision-Language-Action (VLA) models have achieved notable success but often struggle with limited generalizations. To address this, integrating generalized Vision-Language Models (VLMs) as assistants to VLAs has emerged as a popular solution. However, current approaches often combine these models in rigid, sequential structures: using VLMs primarily for high-level scene understanding and task planning, and VLAs merely as executors of lower-level actions, leading to ineffective collaboration and poor grounding challenges. In this paper, we propose an embodied agent framework, PhysiAgent, tailored to operate effectively in physical environments. By incorporating monitor, memory, self-reflection mechanisms, and lightweight off-the-shelf toolboxes, PhysiAgent offers an autonomous scaffolding framework to prompt VLMs to organize different components based on real-time proficiency feedback from VLAs to maximally exploit VLAs' capabilities. Experimental results demonstrate significant improvements in task-solving performance on complex real-world robotic tasks, showcasing effective self-regulation of VLMs, coherent tool collaboration, and adaptive evolution of the framework during execution. PhysiAgent makes practical and pioneering efforts to integrate VLMs and VLAs, effectively grounding embodied agent frameworks in real-world settings.

ROSep 24, 2025
Discrete Diffusion for Reflective Vision-Language-Action Models in Autonomous Driving

Pengxiang Li, Yinan Zheng, Yue Wang et al.

End-to-End (E2E) solutions have emerged as a mainstream approach for autonomous driving systems, with Vision-Language-Action (VLA) models representing a new paradigm that leverages pre-trained multimodal knowledge from Vision-Language Models (VLMs) to interpret and interact with complex real-world environments. However, these methods remain constrained by the limitations of imitation learning, which struggles to inherently encode physical rules during training. Existing approaches often rely on complex rule-based post-refinement, employ reinforcement learning that remains largely limited to simulation, or utilize diffusion guidance that requires computationally expensive gradient calculations. To address these challenges, we introduce ReflectDrive, a novel learning-based framework that integrates a reflection mechanism for safe trajectory generation via discrete diffusion. We first discretize the two-dimensional driving space to construct an action codebook, enabling the use of pre-trained Diffusion Language Models for planning tasks through fine-tuning. Central to our approach is a safety-aware reflection mechanism that performs iterative self-correction without gradient computation. Our method begins with goal-conditioned trajectory generation to model multi-modal driving behaviors. Based on this, we apply local search methods to identify unsafe tokens and determine feasible solutions, which then serve as safe anchors for inpainting-based regeneration. Evaluated on the NAVSIM benchmark, ReflectDrive demonstrates significant advantages in safety-critical trajectory generation, offering a scalable and reliable solution for autonomous driving systems.

CVDec 14, 2024
MEATRD: Multimodal Anomalous Tissue Region Detection Enhanced with Spatial Transcriptomics

Kaichen Xu, Qilong Wu, Yan Lu et al.

The detection of anomalous tissue regions (ATRs) within affected tissues is crucial in clinical diagnosis and pathological studies. Conventional automated ATR detection methods, primarily based on histology images alone, falter in cases where ATRs and normal tissues have subtle visual differences. The recent spatial transcriptomics (ST) technology profiles gene expressions across tissue regions, offering a molecular perspective for detecting ATRs. However, there is a dearth of ATR detection methods that effectively harness complementary information from both histology images and ST. To address this gap, we propose MEATRD, a novel ATR detection method that integrates histology image and ST data. MEATRD is trained to reconstruct image patches and gene expression profiles of normal tissue spots (inliers) from their multimodal embeddings, followed by learning a one-class classification AD model based on latent multimodal reconstruction errors. This strategy harmonizes the strengths of reconstruction-based and one-class classification approaches. At the heart of MEATRD is an innovative masked graph dual-attention transformer (MGDAT) network, which not only facilitates cross-modality and cross-node information sharing but also addresses the model over-generalization issue commonly seen in reconstruction-based AD methods. Additionally, we demonstrate that modality-specific, task-relevant information is collated and condensed in multimodal bottleneck encoding generated in MGDAT, marking the first theoretical analysis of the informational properties of multimodal bottleneck encoding. Extensive evaluations across eight real ST datasets reveal MEATRD's superior performance in ATR detection, surpassing various state-of-the-art AD methods. Remarkably, MEATRD also proves adept at discerning ATRs that only show slight visual deviations from normal tissues.

CVNov 18, 2025
Enhancing End-to-End Autonomous Driving with Risk Semantic Distillaion from VLM

Jack Qin, Zhitao Wang, Yinan Zheng et al.

The autonomous driving (AD) system has exhibited remarkable performance in complex driving scenarios. However, generalization is still a key limitation for the current system, which refers to the ability to handle unseen scenarios or unfamiliar sensor configurations.Related works have explored the use of Vision-Language Models (VLMs) to address few-shot or zero-shot tasks. While promising, these methods introduce a new challenge: the emergence of a hybrid AD system, where two distinct systems are used to plan a trajectory, leading to potential inconsistencies. Alternative research directions have explored Vision-Language-Action (VLA) frameworks that generate control actions from VLM directly. However, these end-to-end solutions demonstrate prohibitive computational demands. To overcome these challenges, we introduce Risk Semantic Distillation (RSD), a novel framework that leverages VLMs to enhance the training of End-to-End (E2E) AD backbones. By providing risk attention for key objects, RSD addresses the issue of generalization. Specifically, we introduce RiskHead, a plug-in module that distills causal risk estimates from Vision-Language Models into Bird's-Eye-View (BEV) features, yielding interpretable risk-attention maps.This approach allows BEV features to learn richer and more nuanced risk attention representations, which directly enhance the model's ability to handle spatial boundaries and risky objects.By focusing on risk attention, RSD aligns better with human-like driving behavior, which is essential to navigate in complex and dynamic environments. Our experiments on the Bench2Drive benchmark demonstrate the effectiveness of RSD in managing complex and unpredictable driving conditions. Due to the enhanced BEV representations enabled by RSD, we observed a significant improvement in both perception and planning capabilities.

LGJan 19, 2024
Safe Offline Reinforcement Learning with Feasibility-Guided Diffusion Model

Yinan Zheng, Jianxiong Li, Dongjie Yu et al.

Safe offline RL is a promising way to bypass risky online interactions towards safe policy learning. Most existing methods only enforce soft constraints, i.e., constraining safety violations in expectation below thresholds predetermined. This can lead to potentially unsafe outcomes, thus unacceptable in safety-critical scenarios. An alternative is to enforce the hard constraint of zero violation. However, this can be challenging in offline setting, as it needs to strike the right balance among three highly intricate and correlated aspects: safety constraint satisfaction, reward maximization, and behavior regularization imposed by offline datasets. Interestingly, we discover that via reachability analysis of safe-control theory, the hard safety constraint can be equivalently translated to identifying the largest feasible region given the offline dataset. This seamlessly converts the original trilogy problem to a feasibility-dependent objective, i.e., maximizing reward value within the feasible region while minimizing safety risks in the infeasible region. Inspired by these, we propose FISOR (FeasIbility-guided Safe Offline RL), which allows safety constraint adherence, reward maximization, and offline policy learning to be realized via three decoupled processes, while offering strong safety performance and stability. In FISOR, the optimal policy for the translated optimization problem can be derived in a special form of weighted behavior cloning. Thus, we propose a novel energy-guided diffusion model that does not require training a complicated time-dependent classifier to extract the policy, greatly simplifying the training. We compare FISOR against baselines on DSRL benchmark for safe offline RL. Evaluation results show that FISOR is the only method that can guarantee safety satisfaction in all tasks, while achieving top returns in most tasks.

HCJan 31, 2020
Design Principles Developed through User-Centered and Socio-Technical Methods Improve Clinician Satisfaction, Speed, and Confidence in Pharmacogenomic Clinical Decision Support

Timothy M. Herr, Therese A. Nelson, Luke V. Rasmussen et al.

OBJECTIVE: To design and evaluate new pharmacogenomic (PGx) clinical decision support (CDS) alerts, built to adhere to PGx CDS design principles developed through socio-technical approaches. MATERIALS AND METHODS: Based on previously identified design principles, we created 11 new PGx CDS alert designs and developed an interactive web application containing realistic clinical scenarios and user workflows that mimicked a real-world EHR system. We recruited General Internal Medicine and Cardiology clinicians from Northwestern Medicine and recorded their interactions with the original and new designs. We measured clinician response, satisfaction, speed, and confidence through questionnaires and analysis of the recordings. RESULTS: The study included 12 clinicians. Participants were significantly more satisfied (p=0.0000001), faster (p=0.009), and more confident (p<.05) with the new designs than the original ones. The study lacked statistical power to determine whether prescribing accuracy was improved, but participants were no less accurate, and clinical actions were more concordant with alert interactions (p=0.004) with the new designs. We found a significant learning curve associated with the original designs, which was eliminated with the new designs. DISCUSSION: This study successfully demonstrates that socio-technical and user-centered design techniques can improve PGx CDS alert designs. Best practices for PGx CDS design are limited in the literature, with few effectiveness studies available. These results can help guide future PGx CDS implementations to be more clinician friendly and less time-consuming. CONCLUSION: The results of this study support the PGx CDS design principles we proposed in previous work. As a next step, the new designs should be implemented in a live setting for further validation.