Applied Statistics T3 DQ2

What information does a hypothesis test provide versus a confidence interval? How is this utilized in health care research? Provide a workplace example that illustrates your ideas. If you are not currently working in health care, to answer this question, research a local hospital or health care organization and provide an example of how they utilize inferential statistics.

Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format.

Applied Statistics T3 DQ1

This week you are leaning about the hypothesis testing method in statistics. This process starts out by stating the null and alternative hypotheses. Review the terms in https://lc.gcumedia.com/hlt362v/the-visual-learner/statistics.html, to answer these questions.

Think of a research study that you would like to conduct at your current or future place of employment. In designing your research question, describe the null and alternative hypotheses. What would type I and type II errors look like in this hypothetical situation? Identify if this was a one-tailed or a two-tailed test?

Example: It is hypothesized that a follow-up phone call 2 weeks after discharge will improve patient compliance with the aftercare protocol.

Null Hypothesis: Communication with the patient 2 weeks after discharge will not change the compliance of patient aftercare protocol.

Alternative Hypothesis: Communication with the patient 2 weeks after discharge will improve compliance of patient aftercare protocol.

Type I Error: A type I error could occur if the data suggest an effect of the postdischarge phone call when there was not improvement in compliance of the aftercare protocol.

Type II Error: A type II error could have occurred if the data suggest that there was no improvement in compliance of the aftercare protocol when in fact there was an improvement.

One- or Two-Tailed Test: This is a one-tailed test because the researchers are predicting an increase in compliance of the aftercare protocol.

Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format.

SOAP note for Trichomoniasis Infection.

I am providing a template and also an example of the SOAP and guidelines.  S =Subjective data: Patient’s Chief Complaint (CC).O =Objective data: Including client behavior, physical assessment, vital signs, and meds.A =Assessment: Diagnosis of the patient’s condition. Include differential diagnosis PP =Plan: Treatment, diagnostic testing, and follow up. Remember this is a gynecological SOAP Note, and it should include GTPAL system in the beginning of HPI. Remember to use citations for diagnosis, medications, anticipatory guidance, Just follow the example I have attached below.

Demographics

1 to >0.8 pts
Begins with patient initials, age, race, ethnicity and gender (5 demographics)
 

Chief Complaint (Reason for seeking health care)

4 to >3 pts
Includes a direct quote from patient about presenting problem

 

History of the Present Illness (HPI)

5 to >3 pts
Includes the presenting problem and the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing and Severity)

 

Allergies

2 to >1.5 pts
Includes NKA (including = Drug, Environmental, Food, Herbal, and/or Latex or if allergies are present (reports for each severity of allergy AND description of allergy)

 

Review of Systems (ROS)

15 to >8 pts
Includes a minimum of 3 assessments for each body system and assesses at least 9 body systems directed to chief complaint AND uses the words “admits” and “denies”

 

Vital Signs

2 to >1.5 pts
Includes all 8 vital signs, (BP (with patient position), HR, RR, temperature (with Fahrenheit or Celsius and route of temperature collection), weight, height, BMI (or percentiles for pediatric population) and pain.)

 

Labs

2 to >1.5 pts
Includes a list of the labs reviewed at the visit, values of lab results and highlights abnormal values OR acknowledges no labs/diagnostic tests were reviewed.

 

Medications

4 to >2 pts
Includes a list of all of the patient reported medications and the medical diagnosis for the medication (including name, dose, route, frequency)

 

Past Medical History

3 to >2 pts
Includes (Major/Chronic, Trauma, Hospitalizations), for each medical diagnosis, year of diagnosis and whether the diagnosis is active or current

 

Past Surgical History

3 to >2 pts
Includes, for each surgical procedure, the year of procedure and the indication for the procedure 

Family History

3 to >2 pts
Includes an assessment of at least 4 family members regarding, at a minimum, genetic disorders, diabetes, heart disease and cancer.
 

Social History

3 to >2 pts
Includes all of the required following: tobacco use, drug use, alcohol use, marital status, employment status, current/previous occupation, sexual orientation, sexually active, contraceptive use, and living situation. 

Health Maintenance / Screenings

3 to >2 pts
Includes a detailed assessment of immunization status and other health maintenance needs such as age-appropriate screenings and preventive measures Includes an assessment of at least 5 screening tests 

Physical Examination

15 to >8 pts
Includes a minimum of 4 assessments for each body system and assesses at least 5 body systems directed to chief complaint. 

Diagnosis

5 to >3 pts
Includes a clear outline of the accurate principal diagnosis AND lists the remaining diagnoses addressed at the visit (in descending priority) 

Differential Diagnosis

5 to >3 pts
Includes at least 3 differential diagnoses for the principal diagnosis 

ICD 10 Coding

3 to >2 pts
Correctly includes all ICD-10 codes relevant to the diagnoses addressed at the visit 

Pharmacologic treatment plan

5 to >3 pts
Includes a detailed pharmacologic treatment plan for each of the diagnoses listed under “assessment”. The plan includes ALL of the required following: drug name, dose, route, frequency, duration and cost as well as education related to pharmacologic agent. If the diagnosis is a chronic problem, student includes instructions on currently prescribed medications as above. 

Diagnostic / Lab Testing

3 to >2 pts
Includes appropriate diagnostic/lab testing 100% of the time OR acknowledges “no diagnostic testing clinically required at this time” 

Education

3 to >2 pts
Includes at least 3 strategies to promote and develop skills for managing their illness and at least 3 self-management methods on how to incorporate healthy behaviors into their lives. 

Anticipatory Guidance

3 to >2 pts
Includes at least 3 primary prevention strategies (related to age/condition (i.e. immunizations, pediatric and pre-natal milestone anticipatory guidance)) and at least 2 secondary prevention strategies (related to age/condition (i.e. screening))
 

Follow Up Plan

2 to >1 pts
Includes recommendation for follow up, including time frame (i.e. x # of days/weeks/months) 

Prescription

3 to >2 pts
Prescription includes all required components: patient information, date, drug name, dose,  

Writing Mechanics, Citations, and APA Style

3 to >2 pts
Effectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. APA style is correct, and writing is free of grammar and spelling errors.route, frequency, quantity to be dispensed, refills, and provider’s signature and credentials