AGRASS Questionnaire: Assessment of Risk Management in Health Care
Autor: | Diogo Penha Soares, Pedro Jesus Saturno-Hernández, Carlos Alexandre de Souza Medeiros, Ana Elza Oliveira de Mendonça, Zenewton André da Silva Gama, Wilton Rodrigues Medeiros, Marise Reis de Freitas, Anna Claudia Sales Gomes Caldas, Oliver Kessler |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
Adult
Male Gestão de Riscos Estudos de Validação Applied psychology Pilot Projects Structural equation modeling Likert scale 03 medical and health sciences Cronbach's alpha Surveys and Questionnaires Health care Content validity Humans Validation Studies Risk management Face validity Quality of Health Care Risk Management 030505 public health business.industry Artigo Original Public Health Environmental and Occupational Health Reproducibility of Results Middle Aged Segurança do Paciente Confirmatory factor analysis Female Original Article Patient Safety Public aspects of medicine RA1-1270 0305 other medical science business Psychology Factor Analysis Statistical Brazil |
Zdroj: | Revista de Saúde Pública Revista de Saúde Pública v.54 2020 Universidade de São Paulo (USP) instacron:USP Revista de Saúde Pública, Vol 54 (2020) |
ISSN: | 1518-8787 0034-8910 |
Popis: | OBJECTIVE: This study aims to assess the development and the validity analysis of the Assessment of Risk Management in Health Care Questionnaire (AGRASS). METHODS: This is a validation study of a measurement instrument following the stages: 1) Development of conceptual model and items; 2) Formal multidisciplinary assessment; 3) Nominal group for validity analysis with national specialists; 4) Development of software and national pilot study in 62 Brazilian hospitals 5) Delphi for validity analysis with the users of the questionnaire. In stages 3 and 5, the items were judged based on face validity, content validity, and utility and viability, by a 1-7 Likert scale (cut-off point: median < 6). Accuracy and reliability of the questionnaire were analyzed with the Confirmatory Factor Analysis and the Cronbach’s alpha. RESULTS: The initial version of the instrument (98 items) was adapted during stages 1 to 3 for the final version with 40 items, which were considered relevant, of adequate content, useful, and viable. The instrument has 2 dimensions and 9 subdimensions, and the items have closed-ended questions (yes or no). The software for the automatic collection and analysis generates indicators, tables, and automatic graphs for the assessed institution and aggregated data. The adjustment indices confirmed a bi-dimensional model composed of structure and process (X2/gl = 1.070, RMSEA ≤ 0.05 = 0.847, TLI = 0.972), with high reliability for the AGRASS Questionnaire (α = 0.94) and process dimension (α = 0.93), and adequate for the structural dimension (α = 0.70). CONCLUSIONS: The AGRASS Questionnaire is a potentially useful instrument for the surveillance and monitoring of the risk management and patient safety in health services. |
Databáze: | OpenAIRE |
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