title: Enabling protocol-based medical critiquing.
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.
authors.affiliation: Department of Computer Science, Universiteit Maastricht, The Netherlands. rj.sips@cs.unimaas.nl
authors.forename: Robert-Jan
authors.initials: RJ
authors.lastname: Sips
authors.forename: Loes
authors.initials: L
authors.lastname: Braun
authors.forename: Nico
authors.initials: N
authors.lastname: Roos
mesh_terms: D000465:Algorithms; D002985:Clinical Protocols; D005069:Evaluation Studies as Topic; D019317:Evidence-Based Medicine; D006801:Humans; D006932:Hyperbilirubinemia / Q000628:therapy; D007231:Infant, Newborn; D009426:Netherlands; D010818:Practice Patterns, Physicians' / Q000592:standards*