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Journal of the American Medical Informatics Association Volume 3 Number 6 Nov / Dec 1996 Evaluating Evaluations of Medical Diagnostic Systems System evaluation in biomedical informatics should The nature and extent of an appropriate evaluation take place as an ongoing, strategically planned pro- spectrum were characterized by Stead and his col- cess, not as a single event or a small number of epi- leagues then serving on the National Library of Med- sodes. Complex software systems and accepted med- icine Study Section.6 In attempting to apply Stead’s ical practices both evolve rapidly, so evaluators and evaluation matrix (stage of system development ver- readers of evaluations face moving targets. Thus, it is sus type of evaluation methodology) to studies eval- crucial for readers to be able to place any individual uating broad-based MDDSS, including the present evaluation study into proper perspective. This advice study, it is apparent that, under many circumstances, applies to the nascent technology of medical diagnos- a third axis should be added to the matrix-that of tic decision support systems (MDDSS). That the editor the users’ intended form of system usage (or specific of a prestigious medical journal judged this entire system function evaluated). The same MDDSS
Journal of the American Medical Informatics Association – Oxford University Press
Published: Nov 1, 1996
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