Luis Antonio Dos Santos Diego1, Fabiane Cardia Salman2, João Henrique Silva3, Julio Cezar Brandão4, Getúlio de Oliveira Filho5, Antonio Fernando Carneiro6, Airton Bagatini6, José Mariano de Moraes6. 1. Sociedade Brasileira de Anestesiologia (SBA), Rio de Janeiro, RJ, Brazil; Faculdade de Medicina, Universidade Federal Fluminense (UFF), Niterói, RJ, Brazil. 2. Sociedade Brasileira de Anestesiologia (SBA), Rio de Janeiro, RJ, Brazil; Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brazil. 3. Sociedade Brasileira de Anestesiologia (SBA), Rio de Janeiro, RJ, Brazil; Hospital Moinhos de Vento, Porto Alegre, RS, Brazil. 4. Sociedade Brasileira de Anestesiologia (SBA), Rio de Janeiro, RJ, Brazil; Universidade Federal de Sergipe (UFS), São Cristóvão, SE, Brazil; Translational Medicine, Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brazil; Massachusetts General Hospital, Harvard, USA. Electronic address: juliobrand@hotmail.com. 5. Sociedade Brasileira de Anestesiologia (SBA), Rio de Janeiro, RJ, Brazil; Translational Medicine, Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brazil; Universidade Federal de Santa Catarina (UFSC), Florianópolis, SC, Brazil. 6. Sociedade Brasileira de Anestesiologia (SBA), Rio de Janeiro, RJ, Brazil.
Abstract
BACKGROUND: The World Health Organization (WHO) has recommended greater attention to patient safety, particularly regarding preventable adverse events. The Safe Surgery Saves Lives (CSSV) program was released recommending the application of a surgical checklist for items on the safety of procedures. The checklist implementation reduced the hospital mortality rate in the first 30 days. In Brazil, we found no studies of anesthesiologists' adherence to the practice of the checklist. OBJECTIVE: The main objective was to develop a tool to measure the attitude of anesthesiologists and residents regarding the use of checklist in the perioperative period. METHOD: This was a cross-sectional study performed during the 59th CBA in BH/MG, whose participants were enrolled physicians who responded to the questionnaire with quantitative epidemiological approach. RESULTS: From the sample of 459 participants who answered the questionnaire, 55% were male, 44.2% under 10 years of practice, and 15.5% with over 30 years of medical school completion. Seven items with 78% reliability coefficient were selected. There was a statistically significant difference between the groups of anesthesiologists who reported using the instrument in less or more than 70% of patients, indicating that the attitude questionnaire discriminates between these two groups of professionals. CONCLUSIONS: The seven items questionnaire showed adequate internal consistency and a well-defined factor structure, and can be used as a tool to measure the anesthesiologists' perceptions about the checklist usefulness and applicability.
BACKGROUND: The World Health Organization (WHO) has recommended greater attention to patient safety, particularly regarding preventable adverse events. The Safe Surgery Saves Lives (CSSV) program was released recommending the application of a surgical checklist for items on the safety of procedures. The checklist implementation reduced the hospital mortality rate in the first 30 days. In Brazil, we found no studies of anesthesiologists' adherence to the practice of the checklist. OBJECTIVE: The main objective was to develop a tool to measure the attitude of anesthesiologists and residents regarding the use of checklist in the perioperative period. METHOD: This was a cross-sectional study performed during the 59th CBA in BH/MG, whose participants were enrolled physicians who responded to the questionnaire with quantitative epidemiological approach. RESULTS: From the sample of 459 participants who answered the questionnaire, 55% were male, 44.2% under 10 years of practice, and 15.5% with over 30 years of medical school completion. Seven items with 78% reliability coefficient were selected. There was a statistically significant difference between the groups of anesthesiologists who reported using the instrument in less or more than 70% of patients, indicating that the attitude questionnaire discriminates between these two groups of professionals. CONCLUSIONS: The seven items questionnaire showed adequate internal consistency and a well-defined factor structure, and can be used as a tool to measure the anesthesiologists' perceptions about the checklist usefulness and applicability.
Keywords:
Adverse events; Checklist; Cirurgia segura; Eventos adversos; Ferramenta; Organização Mundial da Saúde; Safe surgery; Tool; World Health Organization