Background
The use of checklists in the pediatric intensive care unit can help improve the quality of care and patient safety.
Objectives
To build and validate a checklist for use in interprofessional rounds in a pediatric intensive care unit.
Methods
This methodological study was conducted in a 20-bed pediatric intensive care unit serving children up to 14 years old. A checklist prototype was constructed through review of the literature and achievement of consensus among the professionals providing care in the unit. Content validation was performed using a modified Delphi technique involving specialists with more than 5 years of experience in pediatric intensive care, methodological studies, and patient safety. Content validity ratios were calculated for the elements of the checklist, which were considered valid when they reached values greater than 0.78. The checklist was tested for usability, application time, and effects on patient care, and feedback was obtained from potential users.
Results
Before content validation, the checklist contained 11 domains, 32 items, and 6 daily goals. The invitation to validate content was sent to 86 specialists, and content validity was achieved after 2 rounds of evaluation, with the checklist elements having content validity ratios ranging from 0.94 to 0.97. The mean application time of the checklist was 5 minutes. The final version consisted of 11 domains, 33 items, and 8 daily goals.
Conclusions
This study resulted in a useful and valid instrument for application in interprofessional rounds that was tailored to the needs of local health care professionals.
Os cateteres venosos centrais (CVC) são acessos venosos localizados em grandes vasos, mas são fonte de infecção de corrente sanguínea. Dados apontam que aproximadamente 90% das infecções de corrente sanguínea relacionadas a cateter, ocorrem em CVCs, sendo atribuível mortalidade de 18%. Checklist é uma lista de verificação para certificar o processo e garantir que todas as etapas foram cumpridas de acordo com recomendações, evitando fatores humanos. Sua utilização está associada a redução de eventos adversos, com melhores desfechos tanto para o paciente quanto para a instituição, como redução da mortalidade, dias de permanência e custos. Objetivo: Descrever o processo de desenvolvimento e implantação de um checklist para inserção de cateter venoso central em UTI Pediátrica.
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