| Generating alerts and
reminders. In so-called real-time situations, an
expert system attached to a monitor can warn of
changes in a patient's condition. In less acute
circumstances, it might scan laboratory test results
or drug orders and send reminders or warnings through
an e-mail system.
Diagnostic assistance. When a patient's case
is complex, rare or the person making the diagnosis
is simply inexperienced, an expert system can
help come up with likely diagnoses based on patient
data.
Therapy critiquing and planning. Systems can
either look for inconsistencies, errors and omissions
in an existing treatment plan, or can be used
to formulate a treatment based upon a patient's
specific condition and accepted treatment guidelines.
Agents for information retrieval. Software 'agents'
can be sent to search for and retrieve information,
for example on the Internet that is considered
relevant to a particular problem. The agent contains
knowledge about its user's preferences and needs,
and may also need to have medical knowledge to
be able to assess the importance and utility of
what it finds.
Image recognition and interpretation. Many medical
images can now be automatically interpreted, from
plane X-rays through to more complex images like
amigo grams, CT and MRI scans. This is of value
in mass-screenings, for example, when the system
can flag potentially abnormal images for detailed
human attention.
There are numerous reasons why more expert systems
are not in routine use. Some require the existence
of an electronic medical record system to supply
their data, and most institutions and practices
do not yet have all their working data available
electronically. Others suffer from poor human
interface design and so do not get used even if
they are of benefit.
Much of the reluctance to use systems simply
arose because expert systems did not fit naturally
into the process of care, and as a result using
them required additional effort from already busy
individuals. It is also true, but perhaps dangerous,
to ascribe some of the reluctance to use early
systems upon the techno phobia or computer illiteracy
of healthcare workers. If those using it to be
beneficial perceive a system, then it will be
used. If not, independent of its true value, it
will probably be rejected. |