Impact of digitally acquired peer diagnostic input on diagnostic confidence in outpatient cases: A pragmatic randomized trial.

ABSTRACT:

Objective

The study sought to evaluate if peer input on outpatient cases impacted diagnostic confidence.

Materials and methods

This randomized trial of a peer input intervention occurred among 28 clinicians with case-level randomization. Encounters with diagnostic uncertainty were entered onto a digital platform to collect input from ≥5 clinicians. The primary outcome was diagnostic confidence. We used mixed-effects logistic regression analyses to assess for intervention impact on diagnostic confidence.

Results

Among the 509 cases (255 control; 254 intervention), the intervention did not impact confidence (odds ratio [OR], 1.46; 95% confidence interval [CI], 0.999-2.12), but after adjusting for clinician and case traits, the intervention was associated with higher con

SUBMITTER: Khoong EC 

PROVIDER: S-EPMC7936511 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature