Yu V L, Buchanan B G, Shortliffe E H, Wraith S M, Davis R, Scott A C, Cohen S N
Comput Programs Biomed. 1979 Jan;9(1):95-102. doi: 10.1016/0010-468x(79)90022-9.
The performance of a computer-based clinical consultation system is evaluated. The program, called MYCIN, is designed to function as an aid for infectious disease diagnosis and therapy selection, with an initial emphasis on bacteremias. The evaluation methodology is discussed, as well as the difficulties encountered in attempting to evaluate clinical judgments. Specialists in infectious diseases judged MYCIN's final therapy recommedation, and intermediate conclusions about the significance of the infection and identity of infecting organisms. The evaluation techniques described may be useful in assessing the performance of other clinical decision aids. Results of the evaluation show that the program's therapy recommedations meet Stanford experts' standards of acceptable practice 90.9% of the time (table 2), with some variation noted both among individual experts and between Stanford experts and others (tables 1, 2).
对一个基于计算机的临床咨询系统的性能进行了评估。该程序名为MYCIN，旨在作为传染病诊断和治疗选择的辅助工具，最初重点关注菌血症。讨论了评估方法以及在试图评估临床判断时遇到的困难。传染病专家对MYCIN的最终治疗建议以及关于感染的重要性和感染病原体身份的中间结论进行了评判。所描述的评估技术可能有助于评估其他临床决策辅助工具的性能。评估结果表明，该程序的治疗建议在90.9%的时间内符合斯坦福专家可接受的实践标准（表2），在个别专家之间以及斯坦福专家与其他专家之间均存在一些差异（表1、2）。
