Article Analysis and Evaluation of Research Ethics
|Article Citation and Permalink|
|Broad Topic Area/Title||Hysterectomy: An Outpatient Procedure|
(What is the problem research is addressing?)
|The study targets to determine Minimally invasive hysterectomy (MIH) outcomes on an outpatient basis.|
(What is the purpose of the study?)
|The study targets to determine whether (MIH) can be performed effectively and safely on an outpatient basis.|
(What questions does the research seek to answer?)
|Can a discharge protocol for MIH be created at New Hanover Regional Medical Center (NHRMC)?|
Is it possible to perform MIH effectively with minimal complications?
|Define Hypothesis |
(Or state the correct hypothesis based upon variables used)
|There is no significant difference between hysterectomy procedure and patient outcomes.|
|Identify Dependent and Independent Variablesand Type of Data for the Variables||Dependent Variables- Patient outcomes.|
Independent Variables-Demographic factors and ASA status.
|Population of Interest for Study||ASA 3 patients <70 years.|
|Sampling Method||ASA 3 patients were purposively selected.|
|Identify Data Collection|
Identify how data were collected
|Examination and observation were utilized.|
|Summarize Data Collection Approach||Patients’ outcomes were examined after SDD implementation. Demographic data, ASA status and type of medical insurance information were collected.|
|Discuss Data Analysis|
Include what types of statistical tests were used for the variables.
|Descriptive statistics such as means and percentages were used.|
|Summarize Results of Study||Average age of patients was 51 years and no 30-day hospital readmissions. However, about (7.7%) in-patients and (1.8%) Extended Recovery patients were readmitted.|
|Summary of Assumptions and Limitations |
Identify the assumptions and limitations from the article.
Report other potential assumptions and limitations ofyour review not listed by the author.
|A patient score ≥ 10 indicates patient is safe for discharge.|
The lack of defined SDD protocols.
The project was assessed for quality improvement and thus exempted by the IRB.A literature review was performed to establish optimal patient criteria for SDD. The protocols were reviewed by the Anesthesiology and OBGYN departments, and Enhanced Recovery after Surgery (ERAS) coordinator. A meeting was convened to obtain feedback on the most suitable criteria for SDD implementation. The potential obstacles were identified and addressed. Only patients less than 70 years old who were willing to participate were selected. Patients whose ASA status were eligible and had painful disorders and no access to a supportive care-giver were exempted. The patients were assured of the confidentiality of their information. Patients no longer willing to participate in the study were allowed to drop out. This was done to ensure that respondents need not feel that they were being forced to participate. Respondents were also informed on the anticipated benefits and costs of the project to become aware of their contributions to the study and likely challenges they would experience.