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1.
Braz J Cardiovasc Surg ; 32(6): 451-461, 2017.
Artículo en Inglés | MEDLINE | ID: mdl-29267606

RESUMEN

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.


Asunto(s)
Comparación Transcultural , Errores Médicos/prevención & control , Garantía de la Calidad de Atención de Salud/normas , Encuestas y Cuestionarios , Procedimientos Quirúrgicos Torácicos/normas , Traducciones , Adulto , Brasil , Competencia Clínica , Femenino , Humanos , Masculino , Semántica
2.
Rev. bras. cir. cardiovasc ; 32(6): 451-461, Nov.-Dec. 2017. tab, graf
Artículo en Inglés | LILACS | ID: biblio-897958

RESUMEN

Abstract 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.


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Garantía de la Calidad de Atención de Salud/normas , Traducciones , Comparación Transcultural , Encuestas y Cuestionarios , Errores Médicos/prevención & control , Procedimientos Quirúrgicos Torácicos/normas , Semántica , Brasil , Competencia Clínica
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