Validation of a patient safety checklist for radiological procedures in hemodynamics.
Flávia Ana Pacheco, Márcia Marques Dos Santos Felix, Patrícia da Silva Pires and 3 others
PMID 35584514WHAT IT FOUND
Two nurses independently checked an adapted Brazilian Portuguese safety checklist during 30 elective radiological procedures and gave the same answer on 19 of 28 items.
The study tested agreement, not whether the checklist prevents complications.
Key findings
01The original 28-item checklist was translated, reviewed, back-translated, and pre-tested in 10 procedures before the final Portuguese version was used.
02In 30 elective procedures, two nurses independently checked the final version and gave the same answer on 19 of 28 items.
03No patient received general anesthesia, so items 16 to 22 were marked not applicable.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The checklist was tested in a convenience sample of 30 elective procedures with only two trained observers at a public teaching hospital, so it may not perform the same way in other settings. No patient data, complications, or adverse events were measured, so the study cannot show that the checklist improves safety. Emergency procedures were excluded, and no patient received general anesthesia, so items 16 to 22 were not tested. The original checklist had not been culturally adapted in other countries or languages, limiting comparison with other validated versions.
Declared interests
The funding statement reports Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brasil (CAPES), Finance Code 001. The supplied text does not report author conflicts of interest.
The easy way to misread this
Do not read this as proof that the checklist prevents complications or improves patient safety. The study tested whether two trained nurses could agree on checklist items in 30 elective procedures, not patient outcomes.