EBM lectures (both) Flashcards

1
Q

project purpose includes

A
  • method
  • population
  • setting, timeframe
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2
Q

SMART goal

A
  • specific
  • measurable
  • attainable
  • relevant
  • time based
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3
Q

primary variable of interest that are essence of project

A

outcome variables

DV

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4
Q

exposures of interest, predictors of outcome, variables that define subgroups

A

predictor variables

IV

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5
Q

directly measure how a patient feels, functions or survives

A

clinically meaningful endpoints

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6
Q

laboratory measure or physical sign intended to be used a substitute for a clinically meaningful endpoint

A

surrogate endopoint

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7
Q

provides strong evidence of temporality

A

cohort study

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8
Q

forward directionality
participants are enrolled and followed forward in time to see if they develop the outcome of interest

A

cohort study

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9
Q

backwards directional study where participants are defined based on disease status

A

case control study

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10
Q

non directional study
exposure and outcome captured at the same time

A

cross sectional study

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11
Q

use groups of people, geographically based

A

ecologic study

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12
Q

most common study design to determine medical test performance

A

cross sectional

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13
Q

compilation of data from multiple studies to answer a study question that has been repeatedly addressed in literature

A

meta analysis

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14
Q
  • allows for one individual to serve as their own control
  • each individual receives both the intervention and control in sequential order
A

case crossover study

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15
Q

allows for unbiased assignment of study participants from one group to another

A

randomization

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16
Q

uses secondary data originally collected for a different purpose

A

nested case control

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17
Q

compare populations

A

ecologic study

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18
Q

assesses exposure and outcome at one point in time and does not involve assigning control groups

A

cross sectional

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19
Q

participants selected on the basis of a case, then matched to control group

A

case control

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20
Q

after the primary outcome is defined, what is the next step?

A

participant selection and study setting

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21
Q

conducts comprehensive study of literature to address a specific clinical question

A

systematic review

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22
Q

when conducting a systematic review it is critical to

A

organize and properly cite the information

23
Q

critical to QI success

A

engaging stakeholders

24
Q

3 aspects of a stakeholder analysis

A

identify
prioritize
understand

25
Q

how to satisfy and manage high power stakeholders

A
  • full communication and consultation
  • should be recruited to team
  • regularly review with them
26
Q

how to monitor and inform low power stakeholders

A

valuable allies but…
can be ignored if resources are tight

27
Q

what phase

identify the problem, set goal, and develop specific time table

A

plan

28
Q

what phase

successful intervention is ready to be implemented system wide

A

act

29
Q

what stage

de-novo intervention ready to be implemented

A

do

30
Q

what types of interventions are most widely accepted and most effective?

A

high impact, easy to do

31
Q

most effective interventions to change practice

A

forcing functions and placing constraints

32
Q

least effective interventions to change practice

A

rules, policies, education, and checklists

can be ignored

33
Q

a work flow diagram can help identify

A

where delays or problem points exist

34
Q

a fishbone diagram can help identify

A

key aspects and areas missed previously

35
Q

identifies the origins of the problem

A

fishbone diagram

36
Q

root cause analysis allows for

A

problem identification

37
Q

a common fishbone diagram contains

A

places
procedures
people
policies

38
Q

model for improvement

A

aim
measures
changes

39
Q

examines process and outcome measures

A

model for improvement

40
Q

waiting times and time until appointment are […] measures

A

process

41
Q

patient satisfaction is an […] measure

A

outcome

42
Q

when an intial change takes place in the PDSA framework

A

Do

43
Q

when the change is being measured in the PDSA cycle

A

study

44
Q

pareto principle

A

20% of time or resources account for 80% of results/outcomes

45
Q

setting time bound goals that are specific and relevant to the problem

A

SMART goal

46
Q

population is outcome free at baseline, then followed forward in time to observe outcomes

A

cohort study

47
Q

researchers control the exposure assignmnment while ensuring that comparison groups are balanced on all other factors

A

randomized controlled trial

48
Q

uses data collected in the past and participants are “followed” forward in time

A

retrospective cohort study

49
Q

study design classically used to trace foodbourne outbreaks

A

case control

50
Q

allows for rapid identification of possible exposures

A

case control

51
Q

cases identified through medical offices

A

case control

52
Q

researchers start with a group of people at some set point and follow them into the future

A

prospective cohort study

53
Q

one time administration of a survey

A

cross sectional study

54
Q

both the exposure and outcome of interest are assessed simultaneously

A

cross sectional