McGinn 2013.

Study characteristics
Methods	Cluster RCT
Participants	Two large urban ambulatory primary care practices, academic medical center, NY, USA (Mount Sinai Medical Center) 984 patients, 168 providers
Interventions	Validated clinical prediction rule triggered by presentations suggestive of streptococcal pharyngitis or pneumonia inviting provider to complete risk score calculator with management recommendations given based on the score
Outcomes	Process adherence (prescribing, testing), clinical endpoint (ED and outpatient visits)
Co‐Interventions	Educational: Distribution of educational materials to providers in control group; single educational session for providers in intervention groups Beyond Clinician Education: None
CDSS Features ‐ Acknowledgement of CDSS Required	Yes ‐ required acknowledgement of the CDSS but not documentation of action taken
CDSS Features ‐ Other	Conveyed patient‐specific information, decision support was complex, developed by study investigators, developed in consultation with users, interruptive, makes care recommendation, possible to execute desired action, 'push' mode of delivery, required provider input of clinical data, targeted overuse, user workflow considered in design
Notes
Risk of bias
Bias	Authors' judgement	Support for judgement
Allocation concealment (selection bias)	Low risk
Incomplete outcome data (attrition bias) All outcomes	Unclear risk	N/A
Baseline characteristics similar?	Low risk
Unit of analysis error	Low risk