INTRODUCTION TO RESS 3 15/09/16

Question 1

What attempts to derive generalisable new knowledge by addressing clearly defined questions with systematic and rigours methods?

Answer 1

research

Question 2

What is a quality improvement process that seeks to improve patient care and outcomes through systematic review of care AGAINST EXPLICIT CRITERIA and the implementation of change?

Answer 2

audit

Question 3

What does a clinical audit do?

Answer 3

measures existing practice against evidence based clinical standards

Question 4

What evaluates a PROPOSED SERVICE or CURRENT practice with the intention of generating information to inform local decision? What are examples of these?

Answer 4

• service evaluation

examples

• what do patients think of the proposed new service
• how well is the existing service working?
• can this be improved upon?

Question 5

What is the difference between audit and service evaluation? (2)

Answer 5

1. CLINICAL AUDIT
   - designed to answer the question - Does this service reach a certain standard?
2. SERVICE EVALUATION
   - What standard does/might this service achieve?

can have a combination of the two

Question 6

What are examples of combined audit and service evaluation?

Answer 6

stroke patients may experience dysphagia post stroke.

NICE GUIDELINES

• swallowing therapy 3 times a week for as long as they continue to make to make functional gains.

STUDY 1

• what proportion of the patients with dysphagia are given swallowing therapy at least 3 times a week?

STUDY 2

• how many times a week are the patients given swallowing therapy?

STUDY 3

• what proportion of patients with dysphagia are given swallowing therapy at least 3 times a week in consultant led and non-consultant led clinics?

STUDY 4

• how might early aspirin administration influence the need for swallowing therapy?