We concluded that the non-compliance of basic actions concerning patient safety exposes users to preventable adverse events and demands systematized actions to comply with government guidelines and promote quality of health assistance.
Objective: To construct and validate a checklist for patient safety in emergency care. Method: This is methodological research conducted in Curitiba, in 2015, with construction and validation stages. The checklist was based on the guidelines of the Brazilian patient safety programme and validated online using the Delphi method, with a questionnaire, and with the participation of 23 Brazilian specialists in the first round and 20 in the second round. The data were analysed using the Content Validity Index (CVI), Cronbach's α, and Fisher's Exact Test. Results:We produced a checklist with 18 valid and reliable items (94% of CVI, Cronbach's α = 0.91). Conclusions:The checklist comprises patient safety actions and items to predict risk situations, corrective actions, and promote safety in emergency services and other health-related contexts. Resultados: Obteve-se checklist com 18 itens válidos e confiáveis (94% de IVC, α de Cronbach=0,91). Conclusões: O checklist contempla ações para segurança do paciente, permite verificar situações preditivas de risco, direcionar ações de correção e promover a segurança em serviços de emergência e outros contextos de saúde.Palavras-Chave: Segurança do paciente. Serviços médicos de emergência. Lista de checagem. Estudos de validação. RESUMEN Objetivo: construir y validar la lista de verificación de acciones de seguridad del paciente en la atención de emergencia. Método: investigación metodológica realizada en Curitiba, en 2015, con etapas de construcción y validación. La lista de verificación se guió por las directrices del programa brasileño para la seguridad del paciente y fue validado por la Técnica Delphi on-line; con el uso de una encuesta propia y la participación de 23 especialistas brasileños en la primera etapa y 20 en la segunda. Para el análisis, se utilizó el Índice de Validación de Contenido (IVC), el α de Cronbach y el Test Exacto de Fisher.Resultados: se obtuvo una lista de verificación con 18 ítems válidos y confiables (94% de IVC, α de Cronbach = 0,91). Conclusiones: la lista de verificación abarca acciones para la seguridad del paciente, permite comprobar situaciones predictivas de riesgo, guiar acciones de corrección y promover la seguridad en servicios de emergencia y en otros contextos de la salud.Palabras clave: Seguridad del paciente. Servicios médicos de urgencia. Lista de verificación. Estudios de validación.
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