Adaptação e validação de um instrumento para verificação de segurança do paciente

Abstract

Patient safety in health care has assumed greater importance in recent years. Ten per cent hospitalizations get complicated for any errors and errors occurring around the provision of surgical care become important. Thus, this study aimed to develop and validate a check list to verify security procedures adopted in the patient Unity Surgical Center (UCC) and compare the mean scores of surgical safety with surgical size (size I, II, III and IV), clinical status (ASA 1 and 2) and surgical specialties. This is a research methodology developed in three phases: phase I with the development of the instrument, this study called Standard Model for Surgical Safety Check, phase II, characterized by face and content validation of the instrument, by trial judges Doctors in the area and, in phase III, to verify the validity and reliability of the instrument. In this phase was used as a strategy to interrater reliability. To verify the construct validity of the instrument, patients were acompanhandos for assessing the risk of injuries and complications in the immediate postoperative period. To test the reliability was used the intraclass correlation coefficient (ICC) between the scores on the observations of the researchers and to verify the criterion validity of the instrument, we used the Spearman correlation coefficient. To verify differences between the mean scores of surgical safety and surgical duration was used ANOVA and to see if there was a difference between the mean scores of surgical safety and clinical status of the patient and surgical specialties, we used the Student t test. Results were considered significant at a significance level of 5% (p <0.05). As for the face and content validation, all comments and suggestions made by Judges were considered relevant and, therefore, changes were made to the instrument. The analysis by the ICC for scores of surgical safety showed that there was good correlation between the observers in the study. The Spearman correlation analysis showed no statistically significant correlation between the scores of security and the number of complications. With respect to the average scores of surgical safety and size, it was observed that the size III procedures adopted more surgical and safety items, safety items were more surgical procedures followed in surgical patients with clinically stable (ASA1). The otorrinologia was the specialty items that took more security instrument proposed by this study. Importantly, most of the items of surgical safety of the instrument in this study were not adopted in most surgical procedures Unity Surgical Center, field of study. The results indicate that the instrument of this study is valid and reliable and can be used in clinical practice. It is suggested that the instrument is applied in larger populations in order to better evaluate their properties metrics.