Table 2

Steps in the evaluation of a CDSS and their utility

Stage of evaluationQuestions answered
Evaluation of structureIs the knowledge base of the CDSS “correct”, is it well represented and is it machine readable?
Evaluation of performanceIs the CDSS quick, accurate, and easy to use?
Evaluation of clinical impact on:
    Structural measuresDoes it impact on the time spent, number of staff needed, etc
    Process measuresAre appropriate tests and drugs being ordered? How accurate are the clinical decisions taken?
    Outcome measuresIs patient morbidity and mortality affected by the CDSS?