Mengyao Li, Yijun Lin, Tingting Bao, Qihui Zhao, Yulin Wang, Manjing Li, Ying Chen, Yanlan Qian, Lin Chen, Daqian Zhu
Inclusive education of elementary students with autism spectrum disorders in Shanghai, China: From the teachers' perspective
Bioscience trends
preventable diagnostic errors large burden healthcare cognitive reasoning tools tools aim improve clinical reasoning commonly suggested interventions however quantitative estimates tool effectiveness aggregated workplaceoriented educationaloriented tools leaving impact workplaceoriented cognitive reasoning tools alone unclear systematic review metaanalysis aims estimate effect cognitive reasoning tools improving diagnostic performance among medical professionals students identify factors associated larger improvements controlled experimental studies assessed whether cognitive reasoning tools improved diagnostic accuracy individual medical students professionals workplace setting included embasecom medline via ovid web science core collection cochrane central register controlled trials google scholar searched inception 15 october 2021 supplemented handsearching metaanalysis performed using randomeffects model literature search resulted 4546 articles 29 studies data 2732 participants included metaanalysis pooled estimate showed considerable heterogeneity i270 reduced i238 removing three studies offered training tool intervention effect measured removing studies pooled estimate indicated cognitive reasoning tools led small improvement diagnostic accuracy hedges g020 95 ci 010 029 p0001 significant subgroup differences cognitive reasoning tools resulted small clinically important improvements diagnostic accuracy medical students professionals although factors could distinguished resulted larger improvements cognitive reasoning tools could routinely implemented improve diagnosis practice going forward largescale studies evaluations tools practice needed determine tools effectively implemented crd42020186994