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Cross-cultural adaptation of the SCORE survey and evaluation of the impact of Real-Time Random Safety Audits in organizational culture: A multicenter study.
Sirgo, G; Olona, M; Martín-Delgado, M C; Gordo, F; Trenado, J; García, M; Bodí, M.
Afiliação
  • Sirgo G; Intensive Care Unit, University Hospital Joan XXIII, Pere Virgili Institute for Health Research, Rovira i Virgili University, Tarragona, Spain. Electronic address: gsirgo.hj23.ics@gencat.cat.
  • Olona M; Department of Preventive Medicine, University Hospital Joan XXIII, Rovira i Virgili University, Tarragona, Spain.
  • Martín-Delgado MC; Intensive Care Unit, University Hospital Torrejón, Torrejón de Ardoz, Madrid, Spain.
  • Gordo F; Intensive Care Unit, University Hospital Henares, Coslada, Madrid, Spain.
  • Trenado J; Intensive Care Unit, University Hospital Mutua de Terrasa, Terrasa, Barcelona , Spain.
  • García M; Intensive Care Unit, University Hospital Río Ortega, Valladolid, Spain.
  • Bodí M; Intensive Care Unit, University Hospital Joan XXIII, Pere Virgili Institute for Health Research, Rovira i Virgili University, Tarragona, Spain.
Article em En, Es | MEDLINE | ID: mdl-34052044
OBJECTIVE: To establish a cross-cultural adaptation of the Safety, Communication, Operational Reliability, and Engagement (SCORE) survey and to use this instrument to evaluate the impact of a safety intervention. DESIGN: Cross-cultural adaptation and before-and-after evaluation study. SETTING: 5 ICU. PARTICIPANTS: Medical residents, attending physicians, and nurses at those ICU. INTERVENTIONS: Adaptation of the SCORE survey to Spanish culture. The adapted survey was used to assess all safety-culture-related domains before and one-year after implementing the use of a safety tool, Real-Time Random Safety Audits (in Spanish: Análisis Aleatorios de Seguridad en Tiempo Real, AASTRE). MAIN OUTCOME MEASURE: Adaptabiliy of the Spanish version of SCORE survey in the ICU setting and evaluation of the effect of AASTRE on their domains. RESULTS: The cross-cultural adaptation was adequate. Post-AASTRE survey scores [mean (standard deviation, SD)] were significantly better in the domains learning environment [50.55 (SD 20.62) vs 60.76 (SD 23.66), p<.0001], perception of local leadership [47.98 (SD 23.57) vs 62.82 (SD 27.46), p<.0001], teamwork climate [51.19 (SD 18.55) vs 55.89 (SD 20.25), p=.031], safety climate [45.07 (SD 17.60) vs 50.36 (SD 19.65), p=.01], participation decision making [3 (SD 0.82) vs 3.65 (SD 0.87), p<.0001] and advancement in the organization [3.21 (SD 0.77) vs 4.04 (SD 0.77), p<.0001]. However, post-AASTRE scores were significantly worse in the domains workload and burnout climate. CONCLUSIONS: The cross-cultural adaptation of the SCORE survey into Spanish is a useful tool for ICUs. The application of the AASTRE is associated with improvements in six SCORE domains, including the safety climate.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Clinical_trials / Prognostic_studies Idioma: En / Es Revista: Med Intensiva (Engl Ed) Ano de publicação: 2021 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Clinical_trials / Prognostic_studies Idioma: En / Es Revista: Med Intensiva (Engl Ed) Ano de publicação: 2021 Tipo de documento: Article