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Safe surgery checklist: content validation proposal for liver transplantation.

Schirley de Espindola1, Keyla Cristiane do Nascimento1, Neide da Silva Knihs1

  • 1Universidade Federal de Santa Catarina. Florianópolis, Santa Catarina, Brazil.

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Summary

A validated Safe Surgery Checklist for liver transplantation was developed using the World Health Organization model. This checklist enhances patient safety in the surgical environment, ensuring successful and effective procedures.

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Area of Science:

  • Surgical Safety
  • Transplantation Medicine
  • Health Services Research

Background:

  • Patient safety in liver transplantation is critical.
  • Standardized protocols are essential for complex surgical procedures.
  • The World Health Organization Surgical Safety Checklist provides a foundational model.

Purpose of the Study:

  • To develop a Safe Surgery Checklist tailored for liver transplantation.
  • To validate the content of the developed checklist.
  • To adapt the World Health Organization's model for a specific surgical context.

Main Methods:

  • Methodological research involving an integrative review.
  • Expert panel participation and researcher consensus.
  • Content validation using a two-round Delphi technique with five judges.
  • Data analysis via the Content Validation Index.

Main Results:

  • The initial checklist comprised 64 items across four surgical moments, achieving a Content Validation Index of 0.80.
  • Following revisions, the final checklist included 76 items within the same four surgical moments.
  • The Content Validation Index improved to 0.87 in the second round.

Conclusions:

  • The developed Safe Surgery Checklist is validated and suitable for enhancing liver transplantation safety.
  • Each item within the checklist requires careful mapping and management for procedural success.
  • The checklist contributes to the effectiveness and safety of the liver transplantation surgical environment.