Validation of a patient safety checklist for radiological procedures in hemodynamics

Pacheco, Flávia Ana; Felix, Márcia Marques dos Santos; Pires, Patrícia da Silva; Barichello, Elizabeth; Mattia, Ana Lúcia De; Barbosa, Maria Helena

doi:10.1590/0034-7167-2021-0011

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Sumário

ORIGINAL ARTICLE • Rev. Bras. Enferm. 75 (06) • 2022 • https://doi.org/10.1590/0034-7167-2021-0011 copy

Validation of a patient safety checklist for radiological procedures in hemodynamics

Validación de una lista de verificación de seguridad del paciente para procedimientos radiológicos en hemodinámica

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objectives:

to carry out cultural adaptation and validation of WHO Surgical Safety Checklist: for Radiological Interventions ONLY to Brazilian Portuguese.

Methods:

a methodological research with the following stages of the cultural adaptation process: translation of the instrument, achievement of a consensus in Portuguese, evaluation by a committee of judges, back-translation, achievement of a consensus in English, comparison with the original version, and a pre-test. The psychometric properties of the adapted version were evaluated through interobserver reliability.

Results:

the values of the kappa coefficient ranged from moderate to almost perfect in most instrument items, demonstrating that the instrument items were understandable and reliable when applied to the observed context.

Conclusions:

the cultural adaptation and validation of face and content of the instrument met the criteria of equivalence between the original and the translated instrument. The tool proved to be understandable and feasible and can be applied in invasive radiological procedures in Brazil.

Descriptors:
Radiology; Interventional; Validation Study; Patient Safety; Minimally Invasive Surgical Procedures; Checklist

Original	Consensus Version	Changes
Title	WHO^* * WHO - World Health Organization; †IRMER - Ionizing Radiation Medical Exposure Regulations; ‡ASA - American Society of Anesthesiologists. Surgical Safety Checklist: only for Radiological interventions	“Checklist”
Title	(adapted from the WHO^* * WHO - World Health Organization; †IRMER - Ionizing Radiation Medical Exposure Regulations; ‡ASA - American Society of Anesthesiologists. Surgical List of verifications)	“adapted from Checklist”
Statement	Before anesthetic induction (local or general)	“anesthetic” “(local, regional or general)”
Item 2	The patient’s name?	$$left$$“What is the”
Item 3	The planned surgical procedure, surgical site and position?	“Are the procedure, surgical site and position planned?”
Item 4	Have the patient confirmed his identity, the surgical site, the procedure and the consent?	“Are the identity of the patient, the type and place of the procedure confirmed and is there one?”
Item 6	Have all the IRMER^†requirements been met?	“Have all the requirements of the Ionizing Radiation Medical Exposure regulations been met?”
Item 8	Has the anesthesia machine/monitoring equipment and medication been checked?	“been accomplished”
Item 10	Expected risk of blood loss > 500 ml (7 ml/kg in children)? Yes (adequate intravenous access/planned fluids)	“Is there a risk” “venous”
Item 13	Was venous thromboembolic prophylaxis administered??	“performed” “for venous thromboembolism”
Item 14	Is the necessary equipment available and within the expiration date?	“material”
Item 15	Is there any critical or unexpected procedure that you want to communicate to the team?	“any critical step” “unexpected”
Statement	Anesthesiologist (if any):	“if present”
Item 19	What is the ASA^‡classification of the patient?	“ASA^‡’s”
Item 20	What monitoring equipment and other specific levels of support are needed, for example blood?	“types”
Item 21	Is there any issue or concern related to equipment?	“concern”
Statement	Remember to record that the verification list was carried out in the medical record.	“the Checklist was carried out”
Statement	The verification list it is only for radiological interventions.	“Checklist” “radiological procedures”
Statement	This modified verification list should not be used in other surgical procedures.	“Checklist” “utilized”

Item	Yes		No		N/A^* * N/A - Not applicable; †p - p value (kappa coefficient).		Yes		No		N/A^* * N/A - Not applicable; †p - p value (kappa coefficient).		Proportion of agreement	Kappa	p ^†
Item	n	%	n	%	n	%	n	%	n	%	N	%	Proportion of agreement	Kappa	p ^†
1	0	0	30	100	0	0	0	0	30	100	0	0	100	-	-
2	27	90	3	10	0	0	28	93.3	2	6.7	0	0	96.667	0.783	< 0.001
3	23	76.7	7	23.3	0	0	20	66.7	10	33.3	0	0	83.333	0.595	< 0.001
4	6	20	24	80	0	0	5	16.7	25	83.3	0	0	96.667	0.889	< 0.001
5	8	26.7	22	73.3	0	0	8	26.7	22	73.3	0	0	100	-	-
6	0	0	30	100	0	0	30	100	0	0	0	0	100	-	-
7	0	0	30	100	0	0	6	20	24	80	0	0	100	-	-
8	0	0	30	100	0	0	0	0	30	100	0	0	100	-	-
9	7	23.3	23	76.7	0	0	7	23.3	23	76.7	0	0	100	-	-
10	7	23.3	23	76.7	0	0	3	10	27	90	0	0	86.667	0.535	< 0.001
11	3	10	27	90	0	0	3	10	27	90	0	0	100	-	-
12	0	0	30	100	0	0	0	0	30	100	0	0	100	-	-
13	13	43.3	17	56.7	0	0	13	43.3	17	56.7	0	0	93.333	0.864	< 0.001
14	0	0	30	100	0	0	0	0	30	100	0	0	100	-	-
15	23	76.7	7	23.3	0	0	19	63.3	11	36.7	0	0	86.667	0.689	< 0.001
16	0	0	0	0	30	100	0	0	0	0	30	100	100	-	-
17	0	0	0	0	30	100	0	0	0	0	30	100	100	-	-
18	0	0	0	0	30	100	0	0	0	0	30	100	100	-	-
19	0	0	0	0	30	100	0	0	0	0	30	100	100	-	-
20	0	0	0	0	30	100	0	0	0	0	30	100	100	-	-
21	0	0	0	0	30	100	0	0	0	0	30	100	100	-	-
22	0	0	0	0	30	100	0	0	0	0	30	100	100	-	-
23	27	90	3	10	0	0	25	83.3	5	16.7	0	0	93.333	0.714	< 0.001
24	0	0	30	100	0	0	0	0	30	100	0	0	100	-	-
25	14	46.7	16	53.3	0	0	15	50	15	50	0	0	96.667	0.933	< 0.001
26	1	3.3	29	96.7	0	0	1	3.3	29	96.7	0	0	100	-	-
27	3	10	27	90	0	0	3	10	27	90	0	0	100	-	-
28	27	90	3	10	0	0	28	93.3	2	6.7	0	0	96.667	0.783	< 0.001

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[1] Corresponding author: Maria Helena Barbosa E-mail: mhelena331@hotmail.com