RESUMO
INTRODUCTION: Quality improvement in health care entails the design of reliable processes which prevent and mitigate medical errors. Checklists are cognitive tools which reduce such errors. The primary objective of this study was to design an anesthetic checklist in Pediatrics to be implemented in our hospital. METHODS: Delphi technique was used, with 3 rounds of questionnaire surveys: a generic questionnaire to obtain dimensions and items; and 2 specific ones to score individual items and obtain an overall rating for the checklist (median), and to measure the level of consensus (relative interquartile range) and internal reliability (Wilcoxon signed-rank test). RESULTS: Final version of the checklist obtained a high overall score (Med 9) with a very high consensus (RIR 5%). Internal consensus was reached on all items (RIR ≤ 30%). Wilcoxon signed-rank test found no statistically significant differences, demonstrating reliability or consistency of responses between consecutive rounds. CONCLUSION: The Anesthetic checklist in Pediatrics has been methodically designed for implementation and use in our hospital.
Assuntos
Anestesia/normas , Lista de Checagem/normas , Erros Médicos/prevenção & controle , Pediatria/normas , Melhoria de Qualidade , Lista de Checagem/métodos , Consenso , Técnica Delphi , Retroalimentação , Pesquisas sobre Atenção à Saúde/normas , Humanos , Segurança do Paciente , Qualidade da Assistência à Saúde , Reprodutibilidade dos Testes , Estatísticas não Paramétricas , Inquéritos e Questionários/normasRESUMO
No disponible
Assuntos
Adulto , Masculino , Humanos , Mefloquina/efeitos adversos , Antimaláricos/efeitos adversos , Psicoses Induzidas por Substâncias/diagnóstico , Fatores de Risco , Clozapina/uso terapêutico , Antipsicóticos/uso terapêutico , Psicoses Induzidas por Substâncias/tratamento farmacológicoRESUMO
No disponible
