Test 2 Flashcards
What are the components of quality health care?
1: effectiveness
2: equity
3: patient centeredness
4: timeliness
5: efficiency
6: safety
Define evidence based practice:
The explicit, conscientious and judicious use of current best evidence in making decisions about care of individual patients(and populations)
Aim of EBP?
Integrating of best
- research evidence
- clinical expertise
- patient values
What is the EBP process?
1: Access
2: Ask an answerable clinical question
3: Aquire the evidence
4: Appraise the evidence
5: Apply the evidence
What are the possible research designs when there is a control and intervention group?
Either Randomised control trial OR
Controlled Clinical Trial
What research design is…When 2 large groups, treated and nontreated are followed for years or even decades to count how many develop a particular disease
Cohort study
Which research design is used when the HISTORIES of a group of people with a condition is compared with a group of people without the condition - in order to find suspected casual factors:
Case control
Research design of, interviewing women asking if they have had a baby in the past few months and if they took a specific drug during pregnancy?
Cross sectional studies
What kind of data is mild, moderate, severe?
Categorical ordinal
What kind of data is gender, eye colour, burning-tingling-shooting?
Categorical nominal
What kind of data is height, weight, temp?
Numerical continuous
What kind of data is #students, counts?
Numerical discrete
Stating the null and alternative?
________(Intervention) had not significant effects on _______(what is being measured) of the _______(describe participants)
When testing hypothesis with p-values:
- State significance level (usually alpha = 0.05)
- state p values for what effects are being measured
- Is the p value greater or smaller than significance level?
- if P < 0.05 = reject the null
- if P > 0.05 = fail to reject the null
What does a p value of 0.05 mean?
When assuming the null (with significance level 0.05)
You’d obtain the observed difference or more in 5% of studies due to random sampling error
Why would someone set the significance level at 0.01?
When we want to make sure chance plays as small a role as possible
Usually done with a large sample and when there is high risk
Eg. Deadly medications
Describe sensitivity:
True positive
Probability diagnostic test is positive in patients who do have the disease
Eg. Sensitivity of 0.85 = there is a 85% chance that if the test is positive that you do have the disease
Draw out diagnostic accuracy table
Now pls
Describe specificity:
True Negative
Probability diagnostic test is negative in patients that do not have the disease
Eg. Specificity of 0.75? There is a 75% chance that if the test is negative the individual does not have the condition
What is the false negative rate?
Probability the test will fail to detect disease in a patient with disease
What is false positive?
Probability test is positive for someone without the disease
Use the info given to display the results of the diagnostic test in a table (2x2 table):
Y axis = test result X axis = disease state Both positive then negative Only fill table with counts at this stage Eg. 12 TP, 14 FP u knooo
What is the formula for sensitivity?
TP/(TP + FN) X 100
What is the formula for specificity?
(TN/TN + FP) X 100