Construction of a tool to measure perceptions about the use of the World Health Organization Safe Surgery Checklist Program

Detalhes bibliográficos
Autor(a) principal: dos Santos Diego, Luis Antonio
Data de Publicação: 2016
Outros Autores: Salman, Fabiane Cardia, Silva, Joao Henrique, Brandao, Julio Cezar [UNIFESP], de Oliveira Filho, Getulio [UNIFESP], Carneiro, Antonio Fernando, Bagatini, Airton, de Moraes, Jose Mariano
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.
id UFSP_0b9d1ff609d28651867e40764ef93ce1
oai_identifier_str oai:repositorio.unifesp.br/:11600/57651
network_acronym_str UFSP
network_name_str Repositório Institucional da UNIFESP
repository_id_str 3465
spelling 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
_version_ 1818602409159557120