Development and content validation of the Safe Surgery Organizational Readiness Tool: A quality improvement study
| Autor: | John G. Meara, Ntuli A. Kapologwe, Augustino Hellar, Innocent Kissima, Sarah Maongezi, Hendry Samky, Benard Kenemo, Mpoki Ulisubisya, Chloe B. Warinner, Shehnaz Alidina, Bwire Chirangi, John Varallo, Tuna Cem Hayirli, Cheri Reynolds, David Barash |
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| Rok vydání: | 2021 |
| Předmět: |
Safety Management
Quality management Process (engineering) media_common.quotation_subject Psychological intervention 03 medical and health sciences 0302 clinical medicine Content validity Humans Medicine Operations management Baseline (configuration management) Developing Countries Reliability (statistics) media_common Teamwork business.industry Reproducibility of Results General Medicine Quality Improvement Organizational Innovation Intervention (law) Surgical Procedures Operative 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Surgery business |
| Zdroj: | International Journal of Surgery. 89:105944 |
| ISSN: | 1743-9191 |
| Popis: | Background Recent efforts to increase access to safe and high-quality surgical care in low- and middle-income countries have proven successful. However, multiple facilities implementing the same safety and quality improvement interventions may not all achieve successful outcomes. This heterogeneity could be explained, in part, by pre-intervention organizational characteristics and lack of readiness of surgical facilities. In this study, we describe the process of developing and content validating the Safe Surgery Organizational Readiness Tool. Materials and methods The new tool was developed in two stages. First, qualitative results from a Safe Surgery 2020 intervention were combined with findings from a literature review of organizational readiness and change. Second, through iterative discussions and expert review, the Safe Surgery Organizational Readiness Tool was content validated. Results The Safe Surgery Organizational Readiness Tool includes 14 domains and 56 items measuring the readiness of surgical facilities in low- and middle-income countries to implement surgical safety and quality improvement interventions. This multi-dimensional and multi-level tool offers insights into facility members’ beliefs and attitudes at the individual, team, and facility levels. A panel review affirmed the content validity of the Safe Surgery Organizational Readiness Tool. Conclusion The Safe Surgery Organizational Readiness Tool is a theory- and evidence-based tool that can be used by change agents and facility leaders in low- and middle-income countries to assess the baseline readiness of surgical facilities to implement surgical safety and quality improvement interventions. Next steps include assessing the reliability and validity of the Safe Surgery Organizational Readiness Tool, likely resulting in refinements. |
| Databáze: | OpenAIRE |
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