Evaluation of Medical Expert Systems: A Case Study in Performance Assessment

摘要

A number of methods for critically evaluating the performance of medical expert systems in practice are surveyed. To illustrate the concepts involved, clinical evaluation of the performance of a computer-based decision aid for patients having transient ischemic attacks is discussed in some detail. Two factors are identified as crucial in the rapid development and testing of this system: the availability of a domain-independent expert system generator, and the existence of a database of relevant patient records.