Safe surgery: validation of pre and postoperative checklists

methodological research carried out in a large public teaching hospital in the South of Brazil, with application of the principles of the Safe Surgery Saves Lives Programme of the World Health Organization. The checklist was applied to 16 nurses of 8 surgical units and submitted for validation by a group of eight experts using the Delphi method online.

Results:

the instrument was validated and it was achieved a mean score ≥1, level of agreement ≥75% and Cronbach’s alpha >0.90. The final version included 97 safety indicators organized into six categories: identification, preoperative, immediate postoperative, immediate postoperative, other surgical complications, and hospital discharge.

Conclusion:

the Surgical Safety Checklist in the Pre and Postoperative periods is another strategy to promote patient safety, as it allows the monitoring of predictive signs and symptoms of surgical complications and the early detection of adverse events.

Descriptors:
Patient Safety; Checklist; Validation Studies

Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Av. Bandeirantes, 3900, 14040-902 Ribeirão Preto SP Brazil, Tel.: +55 (16) 3315-3451 / 3315-4407 - Ribeirão Preto - SP - Brazil
E-mail: rlae@eerp.usp.br

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[1] Corresponding Author: Francine Taporosky Alpendre Universidade Federal do Paraná Av. Prefeito Lothario Meissner, 632 Jardim Botânico CEP: 80210-170, Curitiba, PR, Brasil E-mail: franalpendre@gmail.com

Question	Agree %	Indifferent %	Disagree %	*Average Ranking* Likert
Title helps readers to identify the information they will observe	100	0	0	1.38
Title is concise and attractive	88	12	0	1.25
Title corresponds to the Programme Safe Surgery Saves Lives	88	12	0	1.25
Practical application of the instrument	100	0	0	1.63
Knowledge of the researcher	100	0	0	1.88
It contributes to the knowledge construction	88	12	0	1.63
There is consistency or relation between the categories	88	12	0	1.25
There are superfluous details or elements that divert the attention of the reader	25	0	75	1.00
Text with appropriate size and positioning	76	12	12	1.00

Question	Agree (%)	Indifferent (%)	Disagree (%)	*Average Ranking* Likert
Checklist contributes to safety	100	0	0	1.63
There are elements that need further information	12	0	88	1.50
There are topics that should be included for completeness	12	0	88	1.38
There are topics that should be excluded	0	0	100	1.88
Checklist uses theoretical framework	100	0	0	1.50
Checklist is effective for planning and managing	100	0	0	1.63
Checklist will help prevent errors	88	12	0	1.50
Checklis t can be replicated	100	0	0	1.63

Question	Agree (%)	Indifferent (%)	Disagree (%)	*Average Ranking* Likert
Relevance	100	0	0	1.75
Credibility	100	0	0	1.75
Feasibility of implementation	100	0	0	1.75
Validity of the instrument	100	0	0	1.63
Logical organization of content	88	12	0	1.38
Professional interface and surgical patient	75	25	0	1.38

Brasil

Brasil

Safe surgery: validation of pre and postoperative checklists1 1 Paper extracted from Master’s Thesis “Cirurgia Segura: validação de checklist pré e pós operatório”, presented to Universidade Federal do Paraná, Curitiba, PR, Brazil.

ABSTRACT

Objective:

Method:

Results:

Conclusion:

Safe surgery: validation of pre and postoperative checklists¹ 1 Paper extracted from Master’s Thesis “Cirurgia Segura: validação de checklist pré e pós operatório”, presented to Universidade Federal do Paraná, Curitiba, PR, Brazil.