Construction of a tool to measure perceptions about the use of the World Health Organization Safe Surgery Checklist Program
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Repositório Institucional da UNIFESP |
dARK ID: | ark:/48912/0013000005qpx |
Texto Completo: | http://dx.doi.org/10.1016/j.bjane.2014.11.011 https://repositorio.unifesp.br/handle/11600/57651 |
Resumo: | Background: The World Health Organization (WHO) has recommended greater attention to patient safety, particularly regarding preventable adverse events. The Safe Surgery Saves Lives (CSSV) program was released recommending the application of a surgical checklist for items on the safety of procedures. The checklist implementation reduced the hospital mortality rate in the first 30 days. In Brazil, we found no studies of anesthesiologists' adherence to the practice of the checklist. Objective: The main objective was to develop a tool to measure the attitude of anesthesiologists and residents regarding the use of checklist in the perioperative period. Method: This was a cross-sectional study performed during the 59th CBA in BH/MG, whose participants were enrolled physicians who responded to the questionnaire with quantitative epidemiological approach. Results: From the sample of 459 participants who answered the questionnaire, 55% were male, 44.2% under 10 years of practice, and 15.5% with over 30 years of medical school completion. Seven items with 78% reliability coefficient were selected. There was a statistically significant difference between the groups of anesthesiologists who reported using the instrument in lessor more than 70% of patients, indicating that the attitude questionnaire discriminates between these two groups of professionals. Conclusions: The seven items questionnaire showed adequate internal consistency and a well-defined factor structure, and can be used as a tool to measure the anesthesiologists' perceptions about the checklist usefulness and applicability. (C) 2015 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. |
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Construction of a tool to measure perceptions about the use of the World Health Organization Safe Surgery Checklist ProgramConstrução de uma ferramenta para medida de percepções sobre o uso do checklist do Programa de Cirurgia Segura da Organização Mundial da SaúdeToolChecklistSafe surgeryAdverse eventsWorld Health OrganizationFerramentaChecklistCirurgia seguraEventos adversosOrganização Mundial da SaúdeBackground: The World Health Organization (WHO) has recommended greater attention to patient safety, particularly regarding preventable adverse events. The Safe Surgery Saves Lives (CSSV) program was released recommending the application of a surgical checklist for items on the safety of procedures. The checklist implementation reduced the hospital mortality rate in the first 30 days. In Brazil, we found no studies of anesthesiologists' adherence to the practice of the checklist. Objective: The main objective was to develop a tool to measure the attitude of anesthesiologists and residents regarding the use of checklist in the perioperative period. Method: This was a cross-sectional study performed during the 59th CBA in BH/MG, whose participants were enrolled physicians who responded to the questionnaire with quantitative epidemiological approach. Results: From the sample of 459 participants who answered the questionnaire, 55% were male, 44.2% under 10 years of practice, and 15.5% with over 30 years of medical school completion. Seven items with 78% reliability coefficient were selected. There was a statistically significant difference between the groups of anesthesiologists who reported using the instrument in lessor more than 70% of patients, indicating that the attitude questionnaire discriminates between these two groups of professionals. Conclusions: The seven items questionnaire showed adequate internal consistency and a well-defined factor structure, and can be used as a tool to measure the anesthesiologists' perceptions about the checklist usefulness and applicability. (C) 2015 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda.Introdução: A Organização Mundial da Saúde (OMS) tem recomendado uma maior atenção com a segurança do paciente, mais especificamente em relação aos eventos adversos evitáveis. Foi lançado o programa “Cirurgia Segura Salva Vidas (CSSV)”, que recomenda a aplicação da lista de verificação cirúrgica (checklist) para a conferência de itens relacionados à segurança do procedimento. A implantação do checklist reduziu a mortalidade hospitalar nos primeiros 30 dias. No Brasil, não foram identificados estudos sobre adesão dos anestesiologistas à prática do checklist. Objetivo: Desenvolvimento de uma ferramenta para mensuração da atitude dos anestesiologistas e residentes em relação ao uso do checklist no período perioperatório. Método: Estudo transversal feito durante o 59° Congresso Brasileiro de Anestesiologia (CBA), em Belo Horizonte (MG), cujos participantes foram médicos inscritos e que responderam ao questionário com abordagem epidemiológica quantitativa. Resultados: A amostra constou de 459 participantes que responderam ao questionário, 55% do sexo masculino, 44,2% com menos de 10 anos e 15,5% acima de 30 anos de conclusão do curso médico. Foram selecionados sete itens com coeficiente de confiabilidade de 78%. Houve diferença estatisticamente significativa entre os grupos de anestesiologistas que referiram usar o instrumento em menos ou mais de 70% dos pacientes assistidos. Isso indica que o questionário de atitudes discrimina entre esses dois grupos de profissionais. Conclusões: O questionário de sete itens mostrou adequada consistência interna e uma estrutura fatorial bem delimitada. Pode ser usado como ferramenta para medida das percepções de anestesiologistas quanto à utilidade e a aplicabilidade do checklist.SBA, Rio De Janeiro, RJ, BrazilUniv Fed Fluminense, Fac Med, Niteroi, RJ, BrazilFundacao Oswaldo Cruz, Rio De Janeiro, RJ, BrazilHosp Moinhos Vento, Porto Alegre, RS, BrazilUniv Fed Sergipe, Sao Cristovao, SE, BrazilUniv Fed Sao Paulo Unifesp, Translat Med, Sao Paulo, SP, BrazilHarvard, Massachusetts Gen Hosp, Cambridge, MA 02138 USAUniv Fed Santa Catarina, Florianopolis, SC, BrazilUniv Fed Sao Paulo Unifesp, Translat Med, Sao Paulo, SP, BrazilWeb of ScienceElsevier Science Inc2020-08-14T13:44:25Z2020-08-14T13:44:25Z2016info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion351-355application/pdfapplication/pdfhttp://dx.doi.org/10.1016/j.bjane.2014.11.011Revista Brasileira De Anestesiologia. New York, v. 66, n. 4, p. 351-355, 2016.10.1016/j.bjane.2014.11.011WOS000380843400004-en.pdfWOS000380843400004-pt.pdf0034-7094S0034-70942016000400351https://repositorio.unifesp.br/handle/11600/57651WOS:000380843400004ark:/48912/0013000005qpxengporRevista Brasileira De AnestesiologiaNew Yorkinfo:eu-repo/semantics/openAccessdos Santos Diego, Luis AntonioSalman, Fabiane CardiaSilva, Joao HenriqueBrandao, Julio Cezar [UNIFESP]de Oliveira Filho, Getulio [UNIFESP]Carneiro, Antonio FernandoBagatini, Airtonde Moraes, Jose Marianoreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-01T10:05:42Zoai:repositorio.unifesp.br/:11600/57651Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-12-11T19:59:21.427602Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.none.fl_str_mv |
Construction of a tool to measure perceptions about the use of the World Health Organization Safe Surgery Checklist Program Construção de uma ferramenta para medida de percepções sobre o uso do checklist do Programa de Cirurgia Segura da Organização Mundial da Saúde |
title |
Construction of a tool to measure perceptions about the use of the World Health Organization Safe Surgery Checklist Program |
spellingShingle |
Construction of a tool to measure perceptions about the use of the World Health Organization Safe Surgery Checklist Program dos Santos Diego, Luis Antonio Tool Checklist Safe surgery Adverse events World Health Organization Ferramenta Checklist Cirurgia segura Eventos adversos Organização Mundial da Saúde |
title_short |
Construction of a tool to measure perceptions about the use of the World Health Organization Safe Surgery Checklist Program |
title_full |
Construction of a tool to measure perceptions about the use of the World Health Organization Safe Surgery Checklist Program |
title_fullStr |
Construction of a tool to measure perceptions about the use of the World Health Organization Safe Surgery Checklist Program |
title_full_unstemmed |
Construction of a tool to measure perceptions about the use of the World Health Organization Safe Surgery Checklist Program |
title_sort |
Construction of a tool to measure perceptions about the use of the World Health Organization Safe Surgery Checklist Program |
author |
dos Santos Diego, Luis Antonio |
author_facet |
dos Santos Diego, Luis Antonio Salman, Fabiane Cardia Silva, Joao Henrique Brandao, Julio Cezar [UNIFESP] de Oliveira Filho, Getulio [UNIFESP] Carneiro, Antonio Fernando Bagatini, Airton de Moraes, Jose Mariano |
author_role |
author |
author2 |
Salman, Fabiane Cardia Silva, Joao Henrique Brandao, Julio Cezar [UNIFESP] de Oliveira Filho, Getulio [UNIFESP] Carneiro, Antonio Fernando Bagatini, Airton de Moraes, Jose Mariano |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
dos Santos Diego, Luis Antonio Salman, Fabiane Cardia Silva, Joao Henrique Brandao, Julio Cezar [UNIFESP] de Oliveira Filho, Getulio [UNIFESP] Carneiro, Antonio Fernando Bagatini, Airton de Moraes, Jose Mariano |
dc.subject.por.fl_str_mv |
Tool Checklist Safe surgery Adverse events World Health Organization Ferramenta Checklist Cirurgia segura Eventos adversos Organização Mundial da Saúde |
topic |
Tool Checklist Safe surgery Adverse events World Health Organization Ferramenta Checklist Cirurgia segura Eventos adversos Organização Mundial da Saúde |
description |
Background: The World Health Organization (WHO) has recommended greater attention to patient safety, particularly regarding preventable adverse events. The Safe Surgery Saves Lives (CSSV) program was released recommending the application of a surgical checklist for items on the safety of procedures. The checklist implementation reduced the hospital mortality rate in the first 30 days. In Brazil, we found no studies of anesthesiologists' adherence to the practice of the checklist. Objective: The main objective was to develop a tool to measure the attitude of anesthesiologists and residents regarding the use of checklist in the perioperative period. Method: This was a cross-sectional study performed during the 59th CBA in BH/MG, whose participants were enrolled physicians who responded to the questionnaire with quantitative epidemiological approach. Results: From the sample of 459 participants who answered the questionnaire, 55% were male, 44.2% under 10 years of practice, and 15.5% with over 30 years of medical school completion. Seven items with 78% reliability coefficient were selected. There was a statistically significant difference between the groups of anesthesiologists who reported using the instrument in lessor more than 70% of patients, indicating that the attitude questionnaire discriminates between these two groups of professionals. Conclusions: The seven items questionnaire showed adequate internal consistency and a well-defined factor structure, and can be used as a tool to measure the anesthesiologists' perceptions about the checklist usefulness and applicability. (C) 2015 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016 2020-08-14T13:44:25Z 2020-08-14T13:44:25Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1016/j.bjane.2014.11.011 Revista Brasileira De Anestesiologia. New York, v. 66, n. 4, p. 351-355, 2016. 10.1016/j.bjane.2014.11.011 WOS000380843400004-en.pdf WOS000380843400004-pt.pdf 0034-7094 S0034-70942016000400351 https://repositorio.unifesp.br/handle/11600/57651 WOS:000380843400004 |
dc.identifier.dark.fl_str_mv |
ark:/48912/0013000005qpx |
url |
http://dx.doi.org/10.1016/j.bjane.2014.11.011 https://repositorio.unifesp.br/handle/11600/57651 |
identifier_str_mv |
Revista Brasileira De Anestesiologia. New York, v. 66, n. 4, p. 351-355, 2016. 10.1016/j.bjane.2014.11.011 WOS000380843400004-en.pdf WOS000380843400004-pt.pdf 0034-7094 S0034-70942016000400351 WOS:000380843400004 ark:/48912/0013000005qpx |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
Revista Brasileira De Anestesiologia |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
351-355 application/pdf application/pdf |
dc.coverage.none.fl_str_mv |
New York |
dc.publisher.none.fl_str_mv |
Elsevier Science Inc |
publisher.none.fl_str_mv |
Elsevier Science Inc |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
biblioteca.csp@unifesp.br |
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1818602409159557120 |