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Pre-validation Study of the Brazilian Version of the Disruptions in Surgery Index (DiSI) as a Safety Tool in Cardiothoracic Surgery

INTRODUCTION: Most risk stratification scores used in surgery do not include external and non-technical factors as predictors of morbidity and mortality. OBJECTIVE: The present study aimed to translate and adapt transculturally the Brazilian version of the Disruptions in Surgery Index (DiSI) questio...

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Autores principales: Nina, Vinicius José da Silva, Jatene, Fabio B., Sevdalis, Nick, Mejía, Omar Asdrúbal Vilca, Brandão, Carlos Manuel de Almeida, Monteiro, Rosangela, Caneo, Luiz Fernando, Scudeller, Paula Gobi, Mendes, Augusto Dimitry, Mendes, Vinícius Giuliano, Romano, Bellkiss Wilma
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Cirurgia Cardiovascular 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5731320/
https://www.ncbi.nlm.nih.gov/pubmed/29267606
http://dx.doi.org/10.21470/1678-9741-2017-0141
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author Nina, Vinicius José da Silva
Jatene, Fabio B.
Sevdalis, Nick
Mejía, Omar Asdrúbal Vilca
Brandão, Carlos Manuel de Almeida
Monteiro, Rosangela
Caneo, Luiz Fernando
Scudeller, Paula Gobi
Mendes, Augusto Dimitry
Mendes, Vinícius Giuliano
Romano, Bellkiss Wilma
author_facet Nina, Vinicius José da Silva
Jatene, Fabio B.
Sevdalis, Nick
Mejía, Omar Asdrúbal Vilca
Brandão, Carlos Manuel de Almeida
Monteiro, Rosangela
Caneo, Luiz Fernando
Scudeller, Paula Gobi
Mendes, Augusto Dimitry
Mendes, Vinícius Giuliano
Romano, Bellkiss Wilma
author_sort Nina, Vinicius José da Silva
collection PubMed
description INTRODUCTION: Most risk stratification scores used in surgery do not include external and non-technical factors as predictors of morbidity and mortality. OBJECTIVE: The present study aimed to translate and adapt transculturally the Brazilian version of the Disruptions in Surgery Index (DiSI) questionnaire, which was developed to capture the self-perception of each member of the surgical team regarding the disruptions that may contribute to error and obstruction of safe surgical flow. METHODS: A universalist approach was adopted to evaluate the conceptual equivalence of items and semantics, which included the following stages: (1) translation of the questionnaire into Portuguese; (2) back translation into English; (3) panel of experts to draft the preliminary version; and (4) pre-test for evaluation of verbal comprehension by the target population of 43 professionals working in cardiothoracic surgery. RESULTS: The questionnaire was translated into Portuguese and its final version with 29 items obtained 89.6% approval from the panel of experts. The target population evaluated all items as easy to understand. The mean overall clarity and verbal comprehension observed in the pre-test reached 4.48 ± 0.16 out of the maximum value of 5 on the psychometric Likert scale. CONCLUSION: Based on the methodology used, the experts' analysis and the results of the pre-test, it is concluded that the essential stages of translation and cross-cultural adaptation of DiSI to the Portuguese language were satisfactorily fulfilled in this study.
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spelling pubmed-57313202017-12-18 Pre-validation Study of the Brazilian Version of the Disruptions in Surgery Index (DiSI) as a Safety Tool in Cardiothoracic Surgery Nina, Vinicius José da Silva Jatene, Fabio B. Sevdalis, Nick Mejía, Omar Asdrúbal Vilca Brandão, Carlos Manuel de Almeida Monteiro, Rosangela Caneo, Luiz Fernando Scudeller, Paula Gobi Mendes, Augusto Dimitry Mendes, Vinícius Giuliano Romano, Bellkiss Wilma Braz J Cardiovasc Surg Original Article INTRODUCTION: Most risk stratification scores used in surgery do not include external and non-technical factors as predictors of morbidity and mortality. OBJECTIVE: The present study aimed to translate and adapt transculturally the Brazilian version of the Disruptions in Surgery Index (DiSI) questionnaire, which was developed to capture the self-perception of each member of the surgical team regarding the disruptions that may contribute to error and obstruction of safe surgical flow. METHODS: A universalist approach was adopted to evaluate the conceptual equivalence of items and semantics, which included the following stages: (1) translation of the questionnaire into Portuguese; (2) back translation into English; (3) panel of experts to draft the preliminary version; and (4) pre-test for evaluation of verbal comprehension by the target population of 43 professionals working in cardiothoracic surgery. RESULTS: The questionnaire was translated into Portuguese and its final version with 29 items obtained 89.6% approval from the panel of experts. The target population evaluated all items as easy to understand. The mean overall clarity and verbal comprehension observed in the pre-test reached 4.48 ± 0.16 out of the maximum value of 5 on the psychometric Likert scale. CONCLUSION: Based on the methodology used, the experts' analysis and the results of the pre-test, it is concluded that the essential stages of translation and cross-cultural adaptation of DiSI to the Portuguese language were satisfactorily fulfilled in this study. Sociedade Brasileira de Cirurgia Cardiovascular 2017 /pmc/articles/PMC5731320/ /pubmed/29267606 http://dx.doi.org/10.21470/1678-9741-2017-0141 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Nina, Vinicius José da Silva
Jatene, Fabio B.
Sevdalis, Nick
Mejía, Omar Asdrúbal Vilca
Brandão, Carlos Manuel de Almeida
Monteiro, Rosangela
Caneo, Luiz Fernando
Scudeller, Paula Gobi
Mendes, Augusto Dimitry
Mendes, Vinícius Giuliano
Romano, Bellkiss Wilma
Pre-validation Study of the Brazilian Version of the Disruptions in Surgery Index (DiSI) as a Safety Tool in Cardiothoracic Surgery
title Pre-validation Study of the Brazilian Version of the Disruptions in Surgery Index (DiSI) as a Safety Tool in Cardiothoracic Surgery
title_full Pre-validation Study of the Brazilian Version of the Disruptions in Surgery Index (DiSI) as a Safety Tool in Cardiothoracic Surgery
title_fullStr Pre-validation Study of the Brazilian Version of the Disruptions in Surgery Index (DiSI) as a Safety Tool in Cardiothoracic Surgery
title_full_unstemmed Pre-validation Study of the Brazilian Version of the Disruptions in Surgery Index (DiSI) as a Safety Tool in Cardiothoracic Surgery
title_short Pre-validation Study of the Brazilian Version of the Disruptions in Surgery Index (DiSI) as a Safety Tool in Cardiothoracic Surgery
title_sort pre-validation study of the brazilian version of the disruptions in surgery index (disi) as a safety tool in cardiothoracic surgery
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5731320/
https://www.ncbi.nlm.nih.gov/pubmed/29267606
http://dx.doi.org/10.21470/1678-9741-2017-0141
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