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Methods Inf Med. 1993 Feb;32(1):1-8; discussion 9-17.

Philosophies for the design and development of clinical decision-support systems.

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Medical Informatics Group, University of Manchester, UK.


Little significance is attached by medical informatics workers to the many practical issues which affect the development of clinical decision-support systems. We examine the current state of research in clinical decision-support, the characteristics and motivations of developers, and the perceptions of intended end-users. Factors which adversely affect the success of systems are highlighted and pointers to good practice discussed. We then propose a coherent approach to system development, consisting of requirements analysis, software design, implementation, testing, evaluation and maintenance.

[Indexed for MEDLINE]

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