Pre-validation study of the brazilian version of the disruptions in surgery index (DiSI) as a safety tool in cardiothoracic surgery

Vinicius José Da Silva Nina; Fabio B. Jatene; Nick Sevdalis; Omar Asdrúbal Vilca Mejía; Carlos Manuel De Almeida Brandão; Rosangela Monteiro; Luiz Fernando Caneo; Paula Gobi Scudeller; Augusto Dimitry Mendes; Vinícius Giuliano Mendes; Bellkiss Wilma Romano

doi:10.21470/1678-9741-2017-0141

Pre-validation study of the brazilian version of the disruptions in surgery index (DiSI) as a safety tool in cardiothoracic surgery

Vinicius José Da Silva Nina^*, Fabio B. Jatene, Nick Sevdalis, Omar Asdrúbal Vilca Mejía, Carlos Manuel De Almeida Brandão, Rosangela Monteiro, Luiz Fernando Caneo, Paula Gobi Scudeller, Augusto Dimitry Mendes, Vinícius Giuliano Mendes, Bellkiss Wilma Romano

^*Corresponding author for this work

Health Service & Population Research

Research output: Contribution to journal › Article › peer-review

2 Citations (Scopus)

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.

Original language	English
Pages (from-to)	451-461
Number of pages	11
Journal	Brazilian Journal of Cardiovascular Surgery
Volume	32
Issue number	6
DOIs	https://doi.org/10.21470/1678-9741-2017-0141
Publication status	Published - 1 Nov 2017

Keywords

Environment
Health care
Medical errors/prevention&control
Patient care team/organization&administration
Quality assurance
Safety management
Surveys and questionnaires
Translating

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10.21470/1678-9741-2017-0141

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Nina, V. J. D. S., Jatene, F. B., Sevdalis, N., Mejía, O. A. V., Brandão, C. M. D. A., Monteiro, R., Caneo, L. F., Scudeller, P. G., Mendes, A. D., Mendes, V. G., & Romano, B. W. (2017). Pre-validation study of the brazilian version of the disruptions in surgery index (DiSI) as a safety tool in cardiothoracic surgery. Brazilian Journal of Cardiovascular Surgery, 32(6), 451-461. https://doi.org/10.21470/1678-9741-2017-0141

@article{28cd5ac9803f49f38b567fcf915bb63c,

title = "Pre-validation study of the brazilian version of the disruptions in surgery index (DiSI) as a safety tool in cardiothoracic surgery",

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{\textquoteright} 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.",

keywords = "Environment, Health care, Medical errors/prevention&control, Patient care team/organization&administration, Quality assurance, Safety management, Surveys and questionnaires, Translating",

author = "Nina, {Vinicius Jos{\'e} Da Silva} and Jatene, {Fabio B.} and Nick Sevdalis and Mej{\'i}a, {Omar Asdr{\'u}bal Vilca} and Brand{\~a}o, {Carlos Manuel De Almeida} and Rosangela Monteiro and Caneo, {Luiz Fernando} and Scudeller, {Paula Gobi} and Mendes, {Augusto Dimitry} and Mendes, {Vin{\'i}cius Giuliano} and Romano, {Bellkiss Wilma}",

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doi = "10.21470/1678-9741-2017-0141",

language = "English",

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pages = "451--461",

journal = "Brazilian Journal of Cardiovascular Surgery",

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Nina, VJDS, Jatene, FB, Sevdalis, N, Mejía, OAV, Brandão, CMDA, Monteiro, R, Caneo, LF, Scudeller, PG, Mendes, AD, Mendes, VG & Romano, BW 2017, 'Pre-validation study of the brazilian version of the disruptions in surgery index (DiSI) as a safety tool in cardiothoracic surgery', Brazilian Journal of Cardiovascular Surgery, vol. 32, no. 6, pp. 451-461. https://doi.org/10.21470/1678-9741-2017-0141

TY - JOUR

T1 - Pre-validation study of the brazilian version of the disruptions in surgery index (DiSI) as a safety tool in cardiothoracic surgery

AU - Nina, Vinicius José Da Silva

AU - Jatene, Fabio B.

AU - Sevdalis, Nick

AU - Mejía, Omar Asdrúbal Vilca

AU - Brandão, Carlos Manuel De Almeida

AU - Monteiro, Rosangela

AU - Caneo, Luiz Fernando

AU - Scudeller, Paula Gobi

AU - Mendes, Augusto Dimitry

AU - Mendes, Vinícius Giuliano

AU - Romano, Bellkiss Wilma

PY - 2017/11/1

Y1 - 2017/11/1

N2 - 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.

AB - 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.

KW - Environment

KW - Health care

KW - Medical errors/prevention&control

KW - Patient care team/organization&administration

KW - Quality assurance

KW - Safety management

KW - Surveys and questionnaires

KW - Translating

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U2 - 10.21470/1678-9741-2017-0141

DO - 10.21470/1678-9741-2017-0141

M3 - Article

AN - SCOPUS:85038426653

SN - 0102-7638

VL - 32

SP - 451

EP - 461

JO - Brazilian Journal of Cardiovascular Surgery

JF - Brazilian Journal of Cardiovascular Surgery

IS - 6

ER -

Pre-validation study of the brazilian version of the disruptions in surgery index (DiSI) as a safety tool in cardiothoracic surgery

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