# Bring global evidence back to local guidance

Review possible differences between authorised institutional protocols and published evidence.

Canonical URL: https://attendme.ai/digital-fellow/protocol-drift

Availability: live. Content review: product; Automated source and product-fact consistency checks; 2026-10-14.

## A difference is a question to review

Local guidance can reflect resources, governance decisions and patient populations that a journal article does not. AttendMe can help surface possible differences for review while keeping local protocol sources distinct from published literature. It does not automatically change a protocol.

- Use only protocols you are authorised to access.

- Check document version, region and the original source.

- Take a proposed change through your institution's governance process.

## Put the capability to work

A possible difference between an authorised local protocol and published evidence deserves a focused review. The useful output is a source-linked question for the responsible team.

### Establish local context

Use an authorised protocol in your personal or institutional workspace. Record its title, issuing organisation and version. Personal and institutional documents retain their respective access boundaries.

### Inspect both sides

When a drift item appears in Digital Fellow, open the local protocol source and the literature source. Locate the exact passages. Check whether they concern the same population, setting and outcome.

### Write a review question

A useful review note reads: 'Local passage: [document and section]. Published evidence: [identifier and passage]. Difference to discuss: [source-supported description]. Local explanation still to check: [resources, scope or governance decision].' The placeholders make the required provenance explicit.

### Take it through local review

Share the source-supported question through your institution's review process. Keep the proposed interpretation separate from the current protocol. The responsible team decides whether any change is justified.

## What a useful result contains

Use these checks to assess the work you can actually open. Keep the source, the supported account workflow and your own review connected.

- The local document is current and authorised.

- Both passages support the stated difference.

- The review note records unresolved local context and its decision owner.

## Keep the evidence and your judgment together

The Fellow supports research, awareness and review. Inspect important sources, keep questions de-identified and check local guidance. It does not take autonomous clinical action.

## Sources

- [Digital Fellow product help](https://attendme.ai/help#digital-fellow)

Continue: https://attendme.ai/auth/signup?intent=digital-fellow