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Updated: Jun 13, 2025

An R-Based Landscape Validation of a Competing Risk Model
Published on: September 16, 2022
Development and content validation of a risk classification instrument
Marcia Beatriz Micha Ferreira de Oliveira1, Lillian Caroline Fernandes2, Ilana Eshriqui Oliveira3
1Sociedade Beneficente Israelita Brazileira Albert Einstein, Faculdade Israelita de Ciências da Saúde Albert Einstein. São Paulo, São Paulo, Brazil.
Objective:
Develop and validate the content of an instrument for patient risk classification in emergency services of Primary Health Care.
Method:
The study included two stages: item generation and content validity. A literature review and retrospective analysis of medical records were conducted to create the instrument items. The Content Validity Ratio (CVR) was used to assess agreement among judges during content validation.
Results:
In the first and second rounds, 75 and 71 judges validated the risk classification instrument, respectively. The minimum adherence score for the latent variable item based on the final number of judges was 0.22 and 0.18; thus, 52 items, divided into three classification categories (red, orange, and yellow), were retained.
Conclusion:
The instrument was considered valid regarding clarity, relevance, pertinence, and agreement regarding the severity indicated in the item.
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