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安全手术:门诊手术程序检查表的制定与验证。

Safe surgeries: elaboration and validation of a checklist for outpatient surgical procedures.

机构信息

Irmandade da Santa Casa de Misericórdia de Valinhos, Valinhos, São Paulo, Brasil.

Hospital de Clínicas, Universidade Estadual de Campinas, Campinas, São Paulo, Brasil.

出版信息

Rev Gaucha Enferm. 2020;41:e20190321. doi: 10.1590/1983-1447.2020.20190321. Epub 2020 Jul 13.

DOI:10.1590/1983-1447.2020.20190321
PMID:32667429
Abstract

PURPOSE

To prepare and validate the content of a checklist in order to assure the safety for outpatient surgical procedures.

METHOD

Methodological research, performed between May and December 2018, as per three stages: 1) preparation of the checklist; 2) validation of content by five judges; and 3) preliminary testing of the instrument. The concord, among the judges, was measured by the Content Validity Index and the values over 0.9 were considered as being satisfactory.

RESULTS

Initially the instrument was prepared having 58 items, considering the heading and six topics. In the first round, two topics and 27 items had an index below 0.9. After reformulations, in the second round, only two items had values below 0.9 and, in the third, all items reached an index of 1.0. Along the preliminary testing, modifications were realized. The final version it has 43 items, distributed as per five topics.

CONCLUSION

The "Checklist for Safe Surgery regarding Ambulatory Surgical Procedures" was prepared and its contents were validated.

摘要

目的

制定并验证检查表的内容,以确保门诊手术的安全。

方法

这是一项在 2018 年 5 月至 12 月间开展的方法学研究,共分为三个阶段:1)检查表的制定;2)5 名评审对内容进行验证;3)仪器的初步测试。评审间的一致性通过内容效度指数进行衡量,评分大于 0.9 被认为是令人满意的。

结果

最初的仪器共包含 58 项内容,涉及标题和 6 个主题。在第一轮中,有两个主题和 27 项内容的指数低于 0.9。经过修订,在第二轮中,只有两个项目的评分低于 0.9,而在第三轮中,所有项目的评分都达到了 1.0。在初步测试过程中,对该仪器进行了调整。最终版本共有 43 项内容,分为 5 个主题。

结论

制定了《门诊手术安全检查表》,并对其内容进行了验证。

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