The Traum-AID system is a tool for assisting physicians during the man
agement of patients with severe injuries. Originally, Traum-AID was co
nceived as a rule-based expert system combined with a planner. After t
his architecture had been implemented, we began to face the issue of h
ow Traum-AID could communicate its plans to physicians in order to inf
luence their behavior and have a positive effect on patient outcome. T
his paper describes Trauma-TIQ-the critiquing interface for Traum-AID-
which examines the actions the physician intends to carry out and prod
uces a critique in response to those intentions. Trauma-TIQ's two main
components are a plan recognizer that uses the context of the case to
disambiguate plans, and a plan evaluator that identifies errors and c
alculates their significance in order to determine an appropriate resp
onse. Unlike previously developed reminder systems, Trauma-TIQ evaluat
es the physician's proposed plan and attempts to intervene before prob
lems occur. And unlike previous critiquing systems, it is able to prov
ide ongoing decision support during the planning and delivery of care.
In the context of time-critical patient management it is, therefore,
a more appropriate means of interaction.