HKCA Primary MCQ - independent subject foundations study materials
HKCA Primary MCQ - independent subject foundations study resources

Same scatter, shifted measurements

HKCA Primary MCQ - independent subject foundations · Put your knowledge to work in context.

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Same scatter, shifted measurements

A fictional laboratory compares two pressure measurement methods under a controlled educational protocol. Repeated measurements from the new device cluster tightly together, but are consistently above the reference method by a similar amount. A trainee describes the device as accurate because its results are reproducible. Another trainee calculates a strong correlation between the methods and concludes that they can be substituted without further assessment. The investigators have not yet agreed on an acceptable clinical difference or assessed how the difference changes across the measurement range. The supervisor asks them to distinguish precision, systematic bias and agreement before deciding whether the new device is suitable for its intended use. No patient-management threshold is supplied.

1. Which property is supported by the tight clustering?

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The repeated values suggest good precision under the test conditions, but the consistent offset indicates possible systematic bias rather than proof of accuracy.

2. Why is correlation insufficient?

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Correlation describes association rather than interchangeability. Examine differences, relevant agreement limits and a prespecified clinically acceptable error range.