Storesund Anette, Haugen Arvid Steinar, Wæhle Hilde Valen, Mahesparan Rupavathana, Boermeester Marja A, Nortvedt Monica Wammen, Søfteland Eirik
Department of Anaesthesia and Intensive Care, Haukeland University Hospital, Bergen, Norway.
Department of Clinical Medicine, Faculty of Medicine, University of Bergen, Bergen, Norway.
BMJ Open Qual. 2019 Jan 7;8(1):e000488. doi: 10.1136/bmjoq-2018-000488. eCollection 2019.
Surgical safety checklists may contribute to reduction of complications and mortality. The WHO's Surgical Safety Checklist (WHO SSC) could prevent incidents in operating theatres, but errors also occur before and after surgery. The SURgical PAtient Safety System (SURPASS) is designed to intercept errors with use of checklists throughout the surgical pathway.
We aimed to validate a Norwegian version of the SURPASS' preoperative and postoperative checklists for use in combination with the already established Sign In, Time Out and Sign Out parts of the WHO SSC.
The validation of the SURPASS checklists content followed WHOs recommended guidelines. The process consisted of six steps: forward translation; testing the content; focus groups; expert panels; back translation; and approval of the final version. Qualitative content analysis was used to identify codes and categories for adaption of the SURPASS checklist items throughout Norwegian surgical care. Content validity index (CVI) was used by expert panels to score the relevance of each checklist item. The study was carried out in a neurosurgical ward in a large tertiary teaching hospital in Norway.
Testing the preoperative and postoperative SURPASS checklists was performed in 29 neurosurgical procedures. This involved all professional groups in the entire surgical patient care pathway. Eight clinical focus groups revealed two main categories: 'Adapt the wording to fit clinical practice' and 'The checklist items challenge existing workflow'. Interprofessional scoring of the content validity of the checklists reached >80% for all the SURPASS checklists.
The first version of the SURPASS checklists combined with the WHO SSC was validated for use in Norwegian surgical care with face validity confirmed and CVI >0.80%.
NCT01872195.
手术安全核对表可能有助于减少并发症和死亡率。世界卫生组织的手术安全核对表（WHO SSC）可预防手术室中的事故，但手术前后也会出现错误。手术患者安全系统（SURPASS）旨在通过在整个手术过程中使用核对表来拦截错误。
我们旨在验证挪威版的SURPASS术前和术后核对表，以便与已确立的WHO SSC的签到、暂停和签出部分结合使用。
SURPASS核对表内容的验证遵循世界卫生组织推荐的指南。该过程包括六个步骤：正向翻译；测试内容；焦点小组；专家小组；反向翻译；以及最终版本的批准。采用定性内容分析法确定代码和类别，以调整SURPASS核对表项目，使其适用于挪威的外科护理。专家小组使用内容效度指数（CVI）对每个核对表项目的相关性进行评分。该研究在挪威一家大型三级教学医院的神经外科病房进行。
在29例神经外科手术中对术前和术后的SURPASS核对表进行了测试。这涉及整个手术患者护理路径中的所有专业组。八个临床焦点小组揭示了两个主要类别：“调整措辞以适应临床实践”和“核对表项目对现有工作流程构成挑战”。所有SURPASS核对表的核对表内容效度的跨专业评分均达到80%以上。
SURPASS核对表的第一版与WHO SSC结合使用，已在挪威外科护理中得到验证，表面效度得到确认，CVI>80%。
NCT01872195。
