Objective Assessment Actual Exam
A funding agency is interested in supporting research grants that focus on improving
quality and patient outcomes. The research proposal must be original and include a
literature review that properly cites previous research findings and the benefits for
the research study.Which ethical consideration is described in this situation?
Fidelity
Justice
Plagiarism
Nonmaleficence - ANSWERSPlagiarism
Researchers investigated the effectiveness of a surgical checklist intervention in
order to reduce pneumonia and death rates for surgical patients.
Surgical Intervention Outcome for Death and Pneumonia
Patient Number Pneumonia Death
Pre 546 2.0 3.1
Post 542 2.7 2.7
p-value <0.46 0.003
How did this intervention impact patient outcomes?
The p-value indicates a significant reduction in death rates.
The p-value indicates a significant reduction in pneumonia.
There was a significant decrease in pneumonia and death rates.
There was no significant decrease in pneumonia and death rates. - ANSWERSThe
p-value indicates a significant reduction in death rates.
A facilitator meets with several healthcare staff members to get feedback and input
about how the staff thinks the goal of increasing hand washing through observation
methods has worked.Which research method is being used by the facilitator?
Focus group
In-person survey
Document review
Indirect observation - ANSWERSFocus Group
A large teaching hospital is preparing to implement a hand hygiene protocol to
reduce infection rates. To do this, the research team will evaluate best practices and
outcomes from other facilities.What is the appropriate research method to prepare
for the new protocol?
Interview
Observation
Chart review
Literature review - ANSWERSLiterature review
A nutritionist is assessing the impact of patient education on dietary behavior. The
treatment involves having a group attend a cooking class. They will then be
assessed on the likelihood of using the cooking information learned.Which data
source should the nutritionist use?
Post-op exam results
, Posttest exam results
Generalizes results to the population
Introduces subjectivity to data collection - ANSWERSIntroduces subjectivity to data
collection
Many physician practices now utilize an electronic health record (EHR) system that
includes a secure messaging feature. Some of these practices have extended their
contact with patients by conducting virtual visits between people with diabetes and
nurses who are certified diabetes educators. The remote technology includes the
ability to monitor blood glucose data to determine if these values are within goal
range. After six months, the results of the blood glucose levels for the group
participating in the virtual visits were evaluated.Which research method was used?
Time-series
Clinical trial
Pretest-posttest
Cross-sectional - ANSWERSCross-sectional
A researcher wants to determine whether continuity of care is improved with the use
of coordination of care documents among primary care physicians and specialists.
The researcher decides to review various published studies to assess the clinical
effectiveness of these documents on patient outcomes.Which research method is
being used?
Case study
Cohort study
Meta-analysis
Literature review - ANSWERSMeta-analysis
The quality improvement team is reviewing quarterly incident reports and evaluating
the effect of Six Sigma strategies on the quantity of medication errors over the past
two years. The team hypothesizes a continuous reduction in medical errors for each
quarter.The sample consists of patient clinical and demographic characteristics.
Unfortunately, causation cannot be determined from the data available.Which
research method should be used to test the team's hypothesis?
Time-Series
Cross-Sectional
Pretest-posttest
Randomized Control Trial - ANSWERSTime-series
A hospital researcher has access to one year of hospital emergency department
claims data. The researcher is investigating the association of race on the timeliness
of delivery of care. The sample includes information on patient demographics,
insurance information, and emergency department factors. Due to patient
confidentiality, the sample does not include patient clinical information and
outcomes.Which research method should be used?
Time-Series
Cross-Sectional
Pretest-posttest
Randomized Control Trial - ANSWERSCross Sectional