Abstract

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.

  Funding Agency

Agency
National Institute of Health (NIH)
Institute
National Library of Medicine (NLM)
Type
Research Project (R01)
Project #
5R01LM004336-02
Application #
3373631
Study Section
Biomedical Library Review Committee (BLR)
Project Start
1985-09-01
Project End
1988-02-29
Budget Start
1986-09-01
Budget End
1988-02-29
Support Year
2
Fiscal Year
1986
Total Cost
Indirect Cost

  Institution

Name
Yale University
Department
Type
Schools of Medicine
DUNS #
082359691
City
New Haven
State
CT
Country
United States
Zip Code
06520

  Publications

Norman, J (1994) Flow cytometry data analysis: comparing large multivariate data sets using classification trees. Proc Int Conf Intell Syst Mol Biol 2:310-3
Berman, L; Cullen, M; Miller, P L (1993) Automated integration of external databases: a knowledge-based approach to enhancing rule-based expert systems. Comput Biomed Res 26:230-41
Berman, L; Cullen, M R; Miller, P L (1992) Automated integration of external databases: a knowledge-based approach to enhancing rule-based expert systems. Proc Annu Symp Comput Appl Med Care :227-33
Miller, P L; Paton, J A; Clyman, J I et al. (1992) Prototyping an institutional IAIMS/UMLS information environment for an academic medical center. Bull Med Libr Assoc 80:281-7
Frohlich, M W; Miller, P L; Morrow, J S (1990) PATHMASTER: modelling differential diagnosis as ""dynamic competition"" between systematic analysis and disease-directed deduction. Comput Biomed Res 23:499-513
Rothschild, M A; Swett, H A; Fisher, P R et al. (1990) Exploring subjective vs. objective issues in the validation of computer-based critiquing advice. Comput Methods Programs Biomed 31:11-8
Sittig, D F; Factor, M (1990) Physiologic trend detection and artifact rejection: a parallel implementation of a multi-state Kalman filtering algorithm. Comput Methods Programs Biomed 31:1-10
Factor, M; Sittig, D F; Cohn, A I et al. (1990) A parallel software architecture for building intelligent medical monitors. Int J Clin Monit Comput 7:117-28
Cohn, A I; Miller, P L; Fisher, P R et al. (1990) Knowledge-based radiologic image retrieval using axes of clinical relevance. Comput Biomed Res 23:199-221
Cohn, A I; Rosenbaum, S; Factor, M et al. (1990) DYNASCENE: an approach to computer-based intelligent cardiovascular monitoring using sequential clinical ""scenes"". Methods Inf Med 29:122-31

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