For medical image analysis, evaluation should focus on diagnostic accuracy, sensitivity and specificity (especially false negatives), comparison with expert clinicians, and patient safety outcomes, because errors can directly affect diagnosis and treatment.
For clinical documentation assistance, evaluation should emphasize workflow efficiency, time saved, documentation completeness and quality, clinician satisfaction, and indirect safety factors such as reduced burnout or improved handoffs, since the AI does not make clinical decisions.
Overall, high-risk, decision-support AI requires strict clinical and safety validation, while lower-risk, supportive tools are best evaluated through efficiency, usability, and trust-based metrics.