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

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

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Revista Gaúcha de Enfermagem

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

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

Autoría SCIMAGO INSTITUTIONS RANKINGS

RESUMEN

Objetivo:

Construir y validar un plan de indicadores para medir y evaluar la seguridad del paciente en el transporte intrahospitalario.

Método:

Estudio metodológico, desarrollado en tres etapas, entre julio de 2018 y julio de 2019. La validez de contenido incluyó la participación de enfermeros del Estado de Bahía y especialistas de diferentes regiones del país. Para el análisis e interpretación de los datos se utilizó estadística descriptiva.

Resultados:

Luego de una ronda de pretest y dos rondas de consulta con especialistas, utilizando la técnica Delphi, se midió el índice de validez de contenido general que evaluó la claridad de los indicadores en 1,00 y un representante de 0,97.

Conclusión:

Los indicadores hacen un aporte significativo al campo de la salud y enfermería, ya que constituye un instrumento que contribuye a la práctica profesional del enfermero, a la seguridad del paciente y seguirá siendo viable para la práctica de auditorías o planificación del proceso de transporte en el hospital.

Palabras clave:
Seguridad del paciente; Indicadores de calidad de la atención de salud; Estudio de validación; Transporte de pacientes; Enfermería

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