Table 2

Characteristics of included studies

CategoryCharacteristicsOverall, n=29* (%)
RegionAsia4 (17)43 50 52 60
Europe11 (38)15 29 44 45 48 61–65 (Staal et al, 2021)**
North America12 (41)28 46 47 51 55 66–72
South America2 (7)49 73
SettingClinical practice2 (7)28 50
Experiment27 (93)15 29 43 44 48 49 52 60 (Staal et al, 2021)
Specialism‡Emergency medicine5 (24)46 47 50 70 72
Family medicine, general practice4 (19)48 49 63 (Staal et al, 2021)
Internal medicine9 (42)15 45–47 55 60 62 65 68
Osteopathy1 (5)51
Paediatry1 (5)67
Radiology1 (5)66
InterventionChecklist13 (45)28 29 43 44 48 50 51 55 61 66 70 72 (Staal et al, 2021)
Computerised decision support2 (7)49 69
Instructions at test (eg, red flag)2 (7)15 67
Guided reflection12 (41)45–47 52 60 62–65 68 71 73
ComparatorNon-analytical instructions8 (28)43 45–47 62–65
Diagnosis without the tool20 (69)15 29 44 48–52 55 60 61 66–73 (Staal et al, 2021)
Usual care1 (3)28
ExpertiseNovice13 (35)29 43 44 46–48 51 52 61 64 69 71 73
Intermediate17 (46)29 45–47 49 50 55 60 62–64 67 68 70 72 (Staal et al, 2021)
Experts7 (19)15 28 29 46–48 66
Intervention typeContent focus29 (85)15 28 29 43–52 55 60–73 (Staal et al, 2021)
Process focus5 (15)29 43 44 61 (Staal et al, 2021)
Intervention momentDuring initial diagnosis12 (41)28 44 46–49 51 61 66 69 71 72
Verification after initial diagnosis17 (59)15 29 43 45 50 52 55 60 62–65 67 68 70 73 (Staal et al, 2021)
Intervention itemsAcknowledge12 (41)28 29 43 44 46 47 51 61 67 70 72 (Staal et al, 2021)
Report17 (59)15 45 48–50 52 55 60 62–66 68 69 71 73
Case difficultySimple7 (41)45–47 63 64 68 (Staal et al, 2021)
Complex10 (59)15 45–47 63 64 68–70 (Staal et al, 2021)
Diagnostic taskPatient diagnosis2 (7)28 52
Visual diagnosis9 (31)48 50 51 55 61 66 72 73 (Staal et al, 2021)
Written case diagnosis18 (62)15 29 43–47 49 60 62–65 67–71
Same cases used with and without interventionYes13 (45)43 45 51 55 60 62–65 68 70 71 (Staal et al, 2021)
No16 (55)15 28 29 44 46–50 52 61 66 67 69 72 73
Study intentionEvaluate25 (86)15 28 29 43–52 55 61 64 66–73 (Staal et al, 2021)
Fix4 (14)60 62 63 65
  • *Totals in columns do not equal ‘overall’ as some studies did not report a variable or included multiple categories.

  • †Staal et al (2021) refers to unpublished data from Staal et al., Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms, 2021.

  • ‡Studies with medical students were excluded as students are generally not specialised.