Abstract
to develop and validate an obstetric surgical safety checklist for intraoperative care. this is a methodological study with two phases: integrative review in databases, using selection criteria and descriptors to synthesize the evidence and develop the checklist; checklist content validation, with 37 judges, who answered a Likert-type questionnaire. For analysis, a >85% content validation index was applied. the checklist's first moment reached a 96.1 content validation index; the second moment, 95.5; the third moment, 98.9. Thus, the validation index of all verifying sections present in the three surgical moments was 97.1. Cronbach's Alpha value was 95.57%. the checklist items were validated by judges, with improvement of some items and insertion of others.
Highlights
Improving patient safety is essential for the quality of health care, an aspect that has been the focus of attention by health professionals, institutions and organizations worldwide
The Surgical Safety Checklist (SSC) was created in 2009 to assist surgical teams in reducing the number of adverse events and defining safety standards that could be applied to all World Health Organization (WHO) member countries
SSC is recommended to be applied in all places of health establishments where surgical procedures are performed, with adjustments to each reality[2]
Summary
Improving patient safety is essential for the quality of health care, an aspect that has been the focus of attention by health professionals, institutions and organizations worldwide. In the context of initiatives to improve safety, there is the second global challenge “Safe Surgeries Save Lives”, proposed by the World Health Organization (WHO), aiming to reduce mortality from surgeries worldwide[1]. The Surgical Safety Checklist (SSC) was created in 2009 to assist surgical teams in reducing the number of adverse events and defining safety standards that could be applied to all WHO member countries. Research results show the positive effects of using SSC, like the research that built a preoperative checklist and concluded that adverse events decreased from 1.5% to almost 0%, over the time examined[3]. Literature review on the effectiveness of SSC highlighted that, with the use of a checklist, communication failures and active errors could be avoided[4]
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