Open Access
Knowledge-Based Systems. Methods for Developing and Evaluating Expert Systems: Critiquing Physician Decision Making Using Data from Automated Medical Records: Assessing the Limitations
Johan van der Lei,Mark A. Musen,Emiel van der Does,Arie J. Manintveld +3 more
- 07 Nov 1990
- pp 559
5
TL;DR: The evaluation of a critiquing system, HYPERCRITIC, that relies on automated medical records for its data input and why it failed to reproduce the remaining 142 comments is evaluated.
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Abstract: This paper describes the evaluation of a critiquing system, HYPERCRITIC, that relies on automated medical records for its data input. The purpose of HYPERCRITIC is to offer comments to general practitioners on their treatment of hypertension. HYPERCRITIC has access to the data stored in a primary-care information system that supports a fully automated medical record. Medical records of 20 patients with hypertension were submitted to both physicians and HYPERCRITIC. The critique generated by the physicians was subsequently compared to the critique generated by HYPERCRITIC. Of the 260 comments made by the majority of the physicians, 118 were also made by HYPERCRITIC. The reasons why HYPERCRITIC failed to reproduce the remaining 142 comments are evaluated.
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Citations
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Evaluation of a New Method for Cardiovascular Reasoning
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TraumAID: Reasoning and Planning in the Initial Definitive Management of Multiple Injuries
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Boon Wm,Duisterhout Js,van Ginneken Am +2 more
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References
Flexible support for trauma management through goal-directed reasoning and planning
TL;DR: TRAUMAID is described, which has been designed to provide decision support throughout the initial definitive management of severely injured patients after their initial evaluation, resuscitation, and stabilization, showing in particular how it enables TraumAID to adapt its reasoning and recommendations to the urgency with which a patient's condition must be addressed.
59
Evaluation of a New Method for Cardiovascular Reasoning
TL;DR: The results highlight several issues: 1) the difficulty of effectively summarizing hypotheses, 2) the nature of a physician's causal explanation, and 3) some problems in evaluating detailed diagnostic reasoning.
27
•Dissertation
An intelligent clinical information management support system for the critical care medical environment
Dimitris Kalogeropoulos
- 01 Feb 1999
TL;DR: The development of an intelligent clinical information management support system designed to overcome obstacles through the adoption of an integrated approach, geared toward the solution of the problems encountered in the acquisition, organisation, review and interpretation of the clinical decision supporting information utilised in the process of monitoring intensive care unit patients with acid-base balance disorders is described.
8
TraumAID: Reasoning and Planning in the Initial Definitive Management of Multiple Injuries
Bonnie Webber,John R. Clarke,Michael Niv,Ron Rymon,María Milagros Ibáñez +4 more
- 01 Jan 1990
TL;DR: An extension of the TraumAID interface (critique mode interaction) that may improve its acceptability in a clinical setting and a brief discussion of management support in resource-limited environments are discussed, which is an important issue in the time-critical context of multiple trauma.