Construction and validation of indicators for patient safety in intrahospital transport

Matos, Endric Passos; Almeida, Deybson Borba de; Freitas, Kátia Santana; Silva, Silvone Santa Bárbara da

doi:10.1590/1983-1447.2021.20200442

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Original Article • Rev. Gaúcha Enferm. 42 • 2021 • https://doi.org/10.1590/1983-1447.2021.20200442 copy

Construction and validation of indicators for patient safety in intrahospital transport

Construcción y validación de indicadores de seguridad del paciente en el transporte intrahospitalario

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To construct and validate an indicator plan for measuring and assessing patient safety in intrahospital transport.

Method:

Methodological study, developed in three stages, between July 2018 and July 2019. The content validity included the participation of nurses from the State of Bahia and experts from different regions of the country. For data analysis and interpretation, descriptive statistics were used.

Results:

After a pre-test round and two rounds of expert consultations, using the Delphi technique, the general content validity index that assessed the clarity of the indicators was measured at 1.00 and the representativeness was 0.97.

Conclusion:

The indicators make a significant contribution to the field of health and nursing, as it constitutes an instrument that will contribute to the professional practice of nurses, to patient safety and will still be viable for the practice of auditing or assessing the intrahospital transport process.

Keywords:
Patient safety; Quality indicators, health care; Validation study; Transportation of patients; Nursing

Dimension A: Management	CVI Clarity	Dimension B: Care	CVI Clarity	Dimension C: Monitoring	CVI Clarity
Indicator A1	0.66	Indicator B1	1.00	Indicator C1	0.58
Indicator A2	1.00	Indicator B2	0.91
Indicator A3	1.00	Indicator B3	0.83
Indicator A4	1.00
Indicator A5	0.75
Indicator A6	0.83

3^rd stage of the research: 1st Round of the Delphi method
Dimension A: Management	CVI Clarity	CVI Repres.	Dimension B: Care	CVI Clarity	CVI Repres.	Dimension C: Monitoring	CVI Clarity	CVI Repres.
Indicator A1	0.90	0,72	Indicator B1	1.00	0.72	Indicator C1	0.90	0.81
Indicator A2	1.00	1.00	Indicator B2	0.90	1.00
Indicator A3	1.00	0.90	Indicator B3	100	0.90
Indicator A4	0.90	0.81
Indicator A5	1.00	0.90
Indicator A6	1.00	0.90
Overall CVI (Clarity) = 0.96				Overall CVI (Representativeness) = 0.86
3^rd stage of the research: 2^nd Round of the Delphi method bold>
Dimension A: Management	CVI Clarity	CVI Repres.	Dimension B: Care	Overall CVI (Representativeness) = 0.86					CVI Clarity	CVI Repres.	Dimension C: Monitoring	CVI Clarity	CVI Repres.
Indicator A1	1.00	0.90	Indicator B1	1.00	1.00	Indicator C1	1.00	1.00
Indicator A2	1.00	1.00	Indicator B2	1.00	1.00
Indicator A3	1.00	1.00	Indicator B3	1.00	0.90
Indicator A4	1.00	1.00
Indicator A5	1.00	1.00
Indicator A6	1.00	0.90
Overall CVI (Clarity) = 1.00				Overall CVI (Representativeness) = 0.97

DIMENSION	INDICATOR	TYPE	SOURCE	FORMULAS
Management Organizational structure - Institutionalization of the safety culture.	Prediction and provision of materials	Structure	Direct Observation	Existence or not of materials. Calculation: Numerator: No. of equipment used in transport / Denominator: No. of equipment indicated for transport according to the patient's clinical profile.
	Team Composition	Structure	Direct Observation	Calculation: Numerator: No. of professionals who carried out the transport / Denominator: No. of professionals indicated for transport x100
	Protocols, guidelines, and routines.	Structure	Audit	Existence or not of protocol, guidelines, and routines.
	Qualification of teams for safe IHT	Structure	Existence or not of trainings	See in reports, attendance lists and/or course plan of educational activities. Calculation Numerator: of trainings carried out with a focus on IHT / Denominator: No. of trainings indicated for the IHT team defined by the organization and according to the patient’s clinical profile
	Adequacy of physical structures	Structure	Direct Observation	Adequate or not adequate.
	Decision-making	Structure	Direct Observation	View minutes of meetings and non-participant observation of the meetings, as well as the management report.
	Communication	Structure	Direct Observation	Existence or not of records.
Care Care for patients in intra-hospital transport situations with a focus on identifying risks/dangers.	Surveillance of physiological deterioration of the patient	Process	Direct observation/ medical record	Numerator: No. of patients with complete surveillance records / Denominator: Total No. of patients
	Continuity of monitoring	Process	Direct observation/ medical record	Numerator: No. of patients with continuity of monitoring records / Denominator: Total No. of patients
	Support of unit/ accommodation	Process	Direct Observation	Adequate or not Calculation: Numerator: No. of transports with complete support of unit / Denominator: Total No. of transports
Monitoring Assessment of the result	Record	Result	Medical record	Medical records that are in compliance or not. Calculation: Numerator: No. of items that compose the record performed / Denominator: Total No. of items expected to be recorded for the patient’s clinical profile according to organizational SOP.

Universidade Federal do Rio Grande do Sul. Escola de Enfermagem Rua São Manoel, 963 -Campus da Saúde , 90.620-110 - Porto Alegre - RS - Brasil, Fone: (55 51) 3308-5242 / Fax: (55 51) 3308-5436 - Porto Alegre - RS - Brazil
E-mail: revista@enf.ufrgs.br

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[1] Corresponding author:
Endric Passos Matos Email: endric-matos@hotmail.com