Week 5 Knowledge Check

A  It is clear that the developers met face-to-face while developing the guideline and had candid discussion of the issues the guideline will address.

B  Findings with high correlations with patient characteristics were weighted heavily

C  It is clear that the developers attempted to conduct a systematic review for each important issue the guideline will address and used that evidence to formulate recommendations

D  Only recommendations that were supported by a majority of the development team were included in the final guideline

A  If the authors indicate that a consensus conference was held to produce the guideline, your project team should have confidence in them.

B  The guidelines should be judged as having questionable credibility unless the producer provides access to another document or resource regarding the production process

C  If the recommendations resonate with the views of those in your agency, your project team should have confidence in them.

D  If the recommendations are clear, specific, and citations are provided, your project team should have confidence in them.

A  The likelihood that implementation of the recommendation will produce good patient outcomes

B  The soundness of the methodology that produced the recommendation

C  How the recommendation will be received by clinicians

D  The credentials of the association that produced it

A  Its specificity

B  Its generalizability

C  The importance of the issue to patients

D  The linkage between the recommendation and the evidence supporting it

A  Determining if the guideline is needed by clinicians

B  Determining if the panel producing the guideline had the expertise to do so

C  Determining if the recommendations are applicable to the patient population and setting in which you are considering using it

D  Determining if the guideline was produced using a sound process

A  The size of the difference in the outcomes of the treatment groups

B  The profile of the sample

C  The p value

D  The research design

A  Online opinions regarding the study

B  Structured appraisal questions appropriate to the type of evidence

C  A healthcare librarian

D  A statistical calculator

A  A study produced by a reputable organization can with confidence be used as a basis for care.

B  A credible and clinically significant finding of a study can be used as a basis for care after deliberation about its applicability

C  A finding produced by a study done in a setting similar to the one in which the findings may be used can be used as a basis for care with confidence

D  A credible and clinically significant finding can with confidence be used as a basis for care.

A  The credibility of a finding mainly rests on whether it has undergone peer review

B  The credibility of a finding mainly rests on the methodological soundness of the study that produced it.

C  The credibility of a finding mainly rests on whether the result is statistically significant.

D  The credibility of a finding mainly rests on the funding source and the credentials of the researchers.

A  Appraisal is the opinion of an expert in the field regarding the methodological soundness of a clinical practice guideline, systematic review, or study

B  Appraisal is a careful, personal judgment regarding the generalizability of the recommendations of clinical practice guidelines, conclusions of systematic reviews, or study findings.

C  Appraisal is a critique of the weaknesses of a clinical practice guideline, systematic review, or study.

D  Appraisal is a set of judgments using an objective set of criteria regarding the credibility, clinical significance, and applicability of the recommendations of clinical practice guidelines, conclusions of systematic reviews, or study findings.