Universidade Federal do Rio Grande do Norte. Centro de Ciências da Saúde. Departamento de Saúde Coletiva. Natal, RN, Brasil.
National Institute of Public Health of Mexico. Cuernavaca, Morelos, Mexico.
Rev Saude Publica. 2020 Feb 10;54:21. doi: 10.11606/s1518-8787.2020054001335. eCollection 2020.
This study aims to assess the development and the validity analysis of the Assessment of Risk Management in Health Care Questionnaire (AGRASS).
This is a validation study of a measurement instrument following the stages: 1) Development of conceptual model and items; 2) Formal multidisciplinary assessment; 3) Nominal group for validity analysis with national specialists; 4) Development of software and national pilot study in 62 Brazilian hospitals 5) Delphi for validity analysis with the users of the questionnaire. In stages 3 and 5, the items were judged based on face validity, content validity, and utility and viability, by a 1-7 Likert scale (cut-off point: median < 6). Accuracy and reliability of the questionnaire were analyzed with the Confirmatory Factor Analysis and the Cronbach's alpha.
The initial version of the instrument (98 items) was adapted during stages 1 to 3 for the final version with 40 items, which were considered relevant, of adequate content, useful, and viable. The instrument has 2 dimensions and 9 subdimensions, and the items have closed-ended questions (yes or no). The software for the automatic collection and analysis generates indicators, tables, and automatic graphs for the assessed institution and aggregated data. The adjustment indices confirmed a bi-dimensional model composed of structure and process (X2/gl = 1.070, RMSEA ≤ 0.05 = 0.847, TLI = 0.972), with high reliability for the AGRASS Questionnaire (α = 0.94) and process dimension (α = 0.93), and adequate for the structural dimension (α = 0.70).
The AGRASS Questionnaire is a potentially useful instrument for the surveillance and monitoring of the risk management and patient safety in health services.
本研究旨在评估医疗保健风险管理评估问卷（AGRASS）的开发和效度分析。
这是一个测量工具的验证研究，遵循以下阶段：1）概念模型和项目的开发；2）正式的多学科评估；3）具有国家专家的有效性分析名义小组；4）在 62 家巴西医院开发软件和国家试点研究；5）德尔菲法对问卷使用者进行有效性分析。在第 3 阶段和第 5 阶段，根据表面有效性、内容有效性和实用性和可行性，通过 1-7 级李克特量表（临界值：中位数<6）对项目进行判断。采用验证性因子分析和克朗巴赫的 alpha 对问卷的准确性和可靠性进行分析。
该仪器的初始版本（98 项）在第 1 阶段至第 3 阶段进行了调整，最终版本为 40 项，这些项目被认为是相关的、内容充分的、有用的和可行的。该仪器有 2 个维度和 9 个亚维度，项目采用封闭式问题（是或否）。用于自动收集和分析的软件为评估机构和聚合数据生成指标、表格和自动图表。调整指数证实了由结构和过程组成的二维模型（X2/gl = 1.070，RMSEA ≤ 0.05 = 0.847，TLI = 0.972），AGRASS 问卷具有很高的可靠性（α = 0.94）和过程维度（α = 0.93），结构维度的可靠性也较高（α = 0.70）。
AGRASS 问卷是一种用于监测和监测卫生服务中风险管理和患者安全的有用工具。
