– Statistics and Patient Safety

  Type I error – rejects null hypothesis incorrectly → falsely assumed there was a ­difference when no difference exists


  Type II error – accepts null hypothesis incorrectly because of small sample size → the treatments are interpreted as equal when there is actually a difference


  Null hypothesis – hypothesis that no difference exists between groups


  p < 0.05 rejects the null hypothesis


•  p < 0.05 = > 95% likelihood that the difference between the populations is true


•  < 5% likelihood that the difference is not true and occurred by chance alone


  Variance – spread of data around a mean


  Parameter – population


  Numeric terms – example: 2, 7, 7, 8, 9, 11, 15


•  Mode – most frequently occurring value = 7


•  Mean – average = 9


•  Median – middle value of a set of data (50th percentile) = 8


TRIALS AND STUDIES


  Randomized controlled trial – prospective study with random assignment to treatment and nontreatment groups


•  Avoids treatment biases


  Double-blind controlled trial – prospective study in which patient and doctor are blind to the treatment


•  Avoids observational biases


  Cohort study – prospective study → compares disease rate between exposed and unexposed groups (nonrandom assignment)


  Case-control study – retrospective study in which those who have the disease are compared with a similar population who do not have the disease; the frequency of the suspected risk factor is then compared between the 2 groups


  Meta-analysis – combining data from different studies


QUANTITATIVE VARIABLES


  Student’s t test – 2 independent groups and variable is quantitative → compares means (mean weight between 2 groups)

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Jun 24, 2017 | Posted by in GENERAL SURGERY | Comments Off on – Statistics and Patient Safety

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