Outcome measure | Baseline session | DSS session | Odds ratios and regression coefficients (95% CIs) |
---|---|---|---|

Diagnostic accuracy (working diagnosis), % | 49.5 (101/204) | 58.3 (119/204) | OR 1.41 (1.13 to 1.77)Z= 2.98, P<0.003) |

Diagnostic accuracy (working diagnosis and differential), % | 58.8 (120/204) | 67.6 (138/204) | OR 1.50 (1.14 to 1.99)Z= 2.87, P<0.004 |

Appropriate management, % | 59.3 (121/204) | 66.2 (135/204) | OR 1.34 (1.01 to 1.78)Z= 2.06, P<0.004 |

Diagnostic certainty (0 to 10 VAS) Mean (SD) | 7.61 (1.77) | 8.01 (1.37) | B = 0.39 (0.12 to 0.67)Z = 2.80, P<0.005 |

Symptoms/signs coded into the EHR, mean (SD) | 1.64 (1.96) | 12.35 (6.34) | B = 10.71 (9.06 to 12.35)Z= 12.77, P<0.001 |

Tests ordered, mean (SD) | 2.51 (2.96) | 2.83 (2.92) | B =0.33 (−0.54 to 1.20)Z= 0.74, P<0.46 |

Consultation length, minutes, mean (SD) | 13.73 (4.81) | 14.42 (5.28) | B =0.69 (−0.28 to 1.67)Z= 1.39, P<0.17 |

Patient satisfaction, grand mean across all CSQ dimensions and SD | 3.26 (0.70) | 3.26 (0.63) | B =0.001 (−0.18 to 0.18)Z= 0.02, P<0.99 |

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*a**Dichotomous outcome measures are presented as percentages (number of correct responses out of 204 total responses per session). Continuous outcomes are presented as means (SD). Odds ratios, regression coefficients (B),*Z*-tests, and*P*-values from the regression analyses are also presented. CSQ = consultation satisfaction questionnaire. EHR = electronic health record. OR = odds ratio. SD = standard deviation. VAS = visual analogue scale.*