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PubMed · 17108563

Enabling protocol-based medical critiquing.

Robert-Jan Sips·Loes Braun·Nico Roos
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Abstract

This paper investigates the combination of expert critiquing systems and formal medical protocols. Medical protocols might serve as a suitable basis for an expert critiquing system because of the ongoing acceptance of medical protocols and the rise of both evidence-based practice and evidence-based protocols. A prerequisite for a critiquing system based on medical protocols is the ability to match the actions a physician performs in practice to actions prescribed by a protocol. Previous research has shown that this is quite difficult, due to the fact that computerized systems are unable to handle deviations from a protocol, which are common in the medical domain. Our solution to this problem is based on extracting the intention underlying a physician's action and uses the intention as the basis for matching performed actions to prescribed actions. We propose an algorithm for the intention-based matching process and we evaluate the matching algorithm on 12 cases of hyperbilirubinemia in healthy term newborns.

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AlgorithmsClinical ProtocolsEvaluation Studies as TopicEvidence-Based MedicineHumansHyperbilirubinemiaInfant, NewbornNetherlandsPractice Patterns, Physicians'Journal Article

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Robert-Jan Sips, Loes Braun, Nico Roos. 2006. Enabling protocol-based medical critiquing.. https://pubmed.ncbi.nlm.nih.gov/17108563/

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