The proposed research will explore the critiquing approach to computer advice in medicine. The emphasis will be to explore the system design issues involved in building computer systems which critique a physician's own plan for patient care. To explore these design issues, we are implementing several developmental critiquing systems in different areas of medicine. The proposed research will continue this work: VQ-ATTENDING VQ-ATTENDING is currently under development to critique aspects of the ventilator management of a patient receiving mechanical respiratory support. The implementation of this system will continue, and design issues of its """"""""goal-directed"""""""" structure will be explored. HT-ATTENDING HT-ATTENDING is designed to critique the pharmacologic management of essential hypertension. HT-ATTENDING will be refined and its knowledge brought up-to-date. Critiquing Differential Diagnosis - A further plan is to extend the critiquing approach into a domain of differential diagnosis. To explore these design issues, we will use the domain of syncope. ESSENTIAL-ATTENDING - A broader goal is to develop a domain-independent """"""""system-building system"""""""" to facilitate the implementation of critiquing systems in still other domains. The implementation of VQ-ATTENDING, HT-ATTENDING, and the diagnostic syncope system, using ESSENTIAL-ATTENDING, will allow us to explore domain-independent design issues in a robust fashion.

Agency
National Institute of Health (NIH)
Institute
National Library of Medicine (NLM)
Type
Research Project (R01)
Project #
3R01LM004336-02S2
Application #
3373630
Study Section
Biomedical Library Review Committee (BLR)
Project Start
1985-09-01
Project End
1988-02-29
Budget Start
1987-09-30
Budget End
1988-02-29
Support Year
2
Fiscal Year
1987
Total Cost
Indirect Cost
Name
Yale University
Department
Type
Schools of Medicine
DUNS #
082359691
City
New Haven
State
CT
Country
United States
Zip Code
06520
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