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<Paper uid="A94-1021">
  <Title>Upholding the Maxim of Relevance during Patient-Centered Activities</Title>
  <Section position="7" start_page="128" end_page="130" type="concl">
    <SectionTitle>
5 Conclusion
</SectionTitle>
    <Paragraph position="0"> We have presented an approach to information delivery during patient-centered activities, in which a health care provider's (HCP) attention is on his or her patient and not on a computer screen. As well as potential applications to other areas of medical care, the idea of restricting the output of a decision-support system to clinically relevant information can be generalized to other task-centered activities, such as repair or construction, in which the person for whom the system output is intended is focused on performing a task rather than on the system.</Paragraph>
    <Paragraph position="1"> We recognize the need to validate the approach described here, and have proposed (with Sandra Carberry, of the University of Delaware) such a study to the National Library of Medicine. In this study, we will compare two versions of our approach against graphic display of the stable portion of TraumAID's management plan on a monitor positioned in the trauma bay. In one version of our approach, critiques of physician orders (or lack thereof) will be conveyed textually to the scribe nurse, who will convey it to the other members of the trauma team at his or her discretion. In the other version, critiques will be conveyed directly to the trauma bay through synthesized speech.</Paragraph>
    <Paragraph position="2">  Even though this validation has not yet been done, we believe this paper has independent value in (1) pointing out additional constraints on language generation raised by the desire to convey information to listeners attending to something other than an computer terminal, and (2) pointing out some features of plan inference and evaluation raised by multiple goal planning in a complex domain.</Paragraph>
  </Section>
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