A 2$\sigma$-test is a quick “back of the envelope” technique for evaluating whether the outcome of an experiment is sufficient evidence to reject a null hypothesis.
<aside> <img src="/icons/fleur-de-lis_purple.svg" alt="/icons/fleur-de-lis_purple.svg" width="40px" />
Assumptions
Then the $2\sigma$-rule for constructing a rejection region is
$$ \mathcal{R} = \{X < \mu - 2 \sigma\} \, \cup \, \{X > \mu + 2\sigma\}. $$
</aside>
Example: Pfizer COVID Vaccine.
The $2\sigma$-rule will causes errors in your statistical decisions most often when your probability model is skewed, or when right and left tails of the distribution look substantially different than a standard Gaussian distribution. Skewness can happen when a binomial distribution has a very low or very high success probability. The tails of a HyperGeometric distribution can look non-Gaussian if the total population size $N$ is not large compared to the size of the target population $K$.
For the HyperGeometric distribution, the formula for the standard deviation is a bit more complicated than it is for the Binomial distribution. Luckily, when the total population size is large enough, the two distributions look similar.
<aside> <img src="/icons/fleur-de-lis_purple.svg" alt="/icons/fleur-de-lis_purple.svg" width="40px" />
Definition (Binomial Heuristic for the Hypergeometric Distribution)
Suppose that $X \sim \text{HyperGeom}(N,K,n)$. Then the true mean and standard deviation can be written
$$ \mu = n \tilde{p}, \text{ and } \sigma = \sqrt{\frac{N-n}{N-1} \, n \,\tilde{p} \,(1 - \tilde{p})}, \quad \text{where} \quad \tilde{p} := K/N. $$
We can think of $\tilde{p}$ as the proportion of the total population that is in the focal group.
The binomial heuristic for the mean and standard deviation is
$$ \mu = n \tilde{p} \text{ and } \tilde{\sigma} = \sqrt{n \tilde p (1 - \tilde p)}. $$
</aside>
Notice that $\tilde \sigma$ is just $\sigma$, but ignoring the pre-factor $(N-n)/(N-1).$ We say that the HyperGeometric distribution is approximately Binomial when $N > 10n$. When this inequality holds, notice that
$$ \frac{N - n}{N - 1} = \frac{1 - \frac{n}{N}}{1 - \frac{1}{N}} \approx 1 - \frac{n}{N} > 1 - \frac{1}{10} = 0.9. $$
So, when the Hypergeometric is approximately Binomial, $\tilde \sigma$ is between $0.9 \sigma$ and $\sigma.$
This is why we have the concepts of significance and power. The significance is the probability of rejecting the null hypothesis when it is true. Power is the probability of rejecting the null hypothesis when a specific version of the alternative hypothesis is true.