Table 2 Questionnaire evaluation of first diagnosis

1. Evaluation Of first diagnosis

Diagnosis

First diagnostic impression

After reason for consultation described

Possible use of representativeness heuristic (“Of which disease is this specific episode of dyspnoea representative?”)

Differential diagnosis (3 possible diagnoses identified in order of likelihood)

After the medical history is taken and physical examination is performed

Possible use of availability heuristic (diagnostic possibilities that come to the physician’s mind at the time of diagnosis)

Diagnosis

After the differential diagnosis

Last 2 digits of patient’s social security number

After diagnosis

Possible use of anchoring and adjustment heuristic in estimation of the likelihood of the diagnosis being correct

Likelihood that the proposed diagnosis is correct (%)

After recording the last 2 digits of the patient’s social security number

Context

Subjective workload

During consultation

Identification of specific situational factors during the consultation that could influence the diagnostic process, in terms of both use of heuristics and performance of suboptimal cognitive acts/errors

Perceived subjective mental workload (adapted from NASA-TLX

During consultation

Evaluation of aspects of mental demand, physical demand, performance, effort and frustration

Adaptation of the Spanish version of the Swedish Occupational Fatigue Inventory (SOFI)

During consultation

Evaluation of work-related fatigue

Characteristics of the encounter between physician and patient:

During consultation

Characteristics of the encounter

• Consultation type

• Number of patients attended

• Patient’s number in the order of patients attended

• Consultation delay

Relationship with the patient over time:

During consultation

Longitudinality (capacity to provide care to patients over time)

• Time physician has been providing care for the patient

• Time physician has been providing care for the same patient list

• Number of previous visits by the patient in the last year

• Date of last visit