Development and Psychometrics of Safe Anesthesia Evaluation. Three-Step Checklist (Pre-Induction of Anesthesia, Maintenance of Anesthesia, Post-Anesthesia): A Cross Sectional Study
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Abstract
Background: Patient safety is one of the main elements of the quality of health services. Our aim of this study was to compile a complete checklist for the three stages of anesthesia.
Methods: This research was a cross-sectional descriptive-analytical study. First, an internet search was conducted in databases to identify checklists related to safe Anesthesia. The WHO Safe Anesthesia Checklist was designated as the main checklist. Then, a brainstorming session was held with experts and according to the determined fields, the initial draft was compiled. Face and content validity were conducted. The reliability of the checklist was measured with Cronbach's alpha and intra class correlation index (ICC) methods.
Results: The initial draft was compiled with 34 items. 29 items scored higher than 0.79 in terms of CVI (content validity index) The value of CVI of 5 items was less than the permissible limit and the edge of the border, which was revised and corrected by the research group. 2 items were returned to the research process according to the survey of experts and their necessity CVR (content validity ratio) (value >0/62) and 3 items were removed from the research process. Cronbach's alpha was calculated as 0.876 for the first evaluator and 0.870 for the second evaluator, and the percentage of agreement between the evaluators was 0.956 (P<0.001).
Conclusion: We developed and evaluated a checklist for the three stages of anesthesia through an evidence-based study. We hope this checklist can reduce and prevent clinical errors.
[2] Baker GR, Norton PG, Flintoft V, Blais R, Brown A, Cox J, et al. The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada. Cmaj. 2004;170(11):1678-86.
[3] Krombach JW, Marks JD, Dubowitz G, Radke OC. Development and implementation of checklists for routine anesthesia care: a proposal for improving patient safety. Anesth Analg. 2015;121(4):1097-103.
[4] Behrens V, Dudaryk R, Nedeff N, Tobin JM, Varon AJ. The ryder cognitive aid checklist for trauma anesthesia. Anesth Analg. 2016;122(5):1484-7.
[5] https://wwwoaa-anaesacuk/General_Anaesthesia_Checklist [Internet]. Available from: https://www.sciencedirect.com/science/article/pii/S2211335521000309.
[6] Tscholl DW, Weiss M, Kolbe M, Staender S, Seifert B, Landert D, et al. An anesthesia preinduction checklist to improve information exchange, knowledge of critical information, perception of safety, and possibly perception of teamwork in anesthesia teams. Anesth Analg. 2015; 121(4):948-56.
[7] Johnson E. Face Validity. In: Volkmar FR, editor. Encyclopedia of Autism Spectrum Disorders. Cham: Springer International Publishing; 2021. p. 1957-.
[8] Roatch J. Procedural Justice, Face Validity, and Departure from Expectations in Selection Procedures as Antecedents of Anticipated Organizational Support: The University of North Carolina at Charlotte; 2022.
[9] Lynn MR. Determination and Quantification of Content Validity. Nursing Research. 1986; 35(6):382-5.
[10] Polit DF, Beck CT, Owen SV. Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Res Nurs Health. 2007; 30(4):459-67.
[11] Almanasreh E, Moles R, Chen TF. Evaluation of methods used for estimating content validity. Res Social Adm Pharm. 2019; 15(2):214-21.
[12] Connelly LM. Measurement Instrument Validity. Medsurg Nursing. 2022; 31(1):64-3.
[13] Lawshe CH. A quantitative approach to content validity. Personnel psychology. 1975;28(4):563-75.
[14] Shaahmadi Z, Jouybari TA, Lotfi B, Aghaei A, Gheshlagh RG. The validity and reliability of Persian version of smartphone addiction questionnaire in Iran. Subst Abuse Treat Prev Policy. 2021; 16(1):1-8.
[15] Agarwal A, Ranjan P, Rohilla P, Saikaustubh Y, Sahu A, Dwivedi SN, et al. Development and validation of a questionnaire to assess preventive practices against COVID-19 pandemic in the general population. Prev Med Rep. 2021; 22:101339.
[16] Bartko JJ. The intraclass correlation coefficient as a measure of reliability. Psychol Rep. 1966; 19(1):3-11.
[17] Taber KS. The use of Cronbach’s alpha when developing and reporting research instruments in science education. Research in Science Education. 2018;48(6):1273-96.
[18] Koo TK, Li MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med. 2016; 15(2):155-63.
[19] https://wwwwhoint-> s15980epdf [Internet].
[20] March MG, Crowley JJ. An evaluation of anesthesiologists' present checkout methods and the validity of the FDA checklist. Anesthesiology. 1991; 75(5):724-9.
[21] Tobin JM, Grabinsky A, McCunn M, Pittet J-F, Smith CE, Murray MJ, et al. A checklist for trauma and emergency anesthesia. Anesth Analg. 2013; 117(5):1178-84.
[22] Alexander LA, Newton MW, McEvoy KG, Newton MJ, Mungai M, DiMiceli-Zsigmond M, et al. Development and pilot testing of a context-relevant safe anesthesia checklist for cesarean delivery in East Africa. Anesth Analg. 2019; 128(5):993-8.
[23] Ghirardini AM, Guerra E, Serio L, Girardis M, Pasetto A, Busani S. Checklist for anesthesiological process: analysis of risks. Minerva Anestesiol. 2014; 80(8):913-21.
[24] Ghaly RF, Kushnarev M, Pirvulescu I, Perciuleac Z, Candido KD, Knezevic NN. A novel checklist for anesthesia in neurosurgical cases. Surg Neurol Int. 2021; 12:184.
[25] Shafiq F, Haq MIU. Neuro-anesthesia handover checklist. J Anaesthesiol Clin Pharmacol. 2015; 31(1):126-7.
[26] Kariyoi PC, Hightoweri J, Ndihokubwayoii JB, Tumusiimei P, Mwikisai C. https://www.afro.who.int/publications/challenges-facing-introduction-who-surgical-safety-checklist-short-experience-african. African Health Monitor. 2013;16(9):36-9.
[27] Mahajan RP. The WHO surgical checklist. Best Pract Res Clin Anaesthesiol. 2011; 25(2):161-8.
[28] O’Connor P, Reddin C, O’Sullivan M, O’Duffy F, Keogh I. Surgical checklists: the human factor. Patient Saf Surg. 2013;7(1):14.
[29] Fourcade A, Blache J-L, Grenier C, Bourgain J-L, Minvielle E. Barriers to staff adoption of a surgical safety checklist. BMJ Qual Saf. 2012; 21:191-7.
[30] https://wwwasahqorg/standards-and-guidelines/2008-asa-recommendations-for-pre-anesthesia-checkout [Interne].
| Files | ||
| Issue | Vol 10 No 1 (2024): Winter |
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| Section | Research Article(s) | |
| DOI | https://doi.org/10.18502/aacc.v10i1.14775 | |
| Keywords | ||
| Development psychometrics Anesthesia patient safety | ||
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