CONSTRUCTION AND VALIDITY OF CHECKLIST FOR PATIENT SAFETY DURING THE TRANSFUSION PROCESS

CONSTRUCCIÓN Y VALIDACIÓN DE UNA LISTA DE VERIFICACIÓN PARA LA SEGURIDAD DEL PACIENTE DURANTE EL PROCESO DE TRANSFUSIÓN

ABSTRACT

Objective:

to construct and validate a checklist for patient safety during transfusion.

Method:

this is a methodological study whose development took place, between February 2020 and January 2021, at a teaching hospital in Santa Maria, RS, Brazil. The design was based on the survey of items in an integrative literature review, and validity, with 17 health specialists and 8 hemotherapy experts. Pre-test was carried out with 36 professionals from the target population. For data analysis, the Content Validity Index was calculated.

Results:

the checklist was composed of 29 items and 90 sub-items, distributed in three domains, corresponding to the transfusion act stages: Pre-transfusion (Medical prescription, Compatibility and Bedside identification); Transfusion (Blood component installation); and Post-transfusion (Monitoring). The items obtained a Content Validity Index predominantly > 0.80 in all stages. After reformulations suggested by participants, a Content Validity Index of 0.98 was obtained in its final version.

Conclusion:

the checklist demonstrated evidence of content validity and can be a reliable instrument to promote patient safety during transfusion.

DESCRIPTORS:
Blood Component transfusion; Blood safety; Patient safety; Checklist; Biomedical technology; Validation study