scholarly journals AGRASS Questionnaire: Assessment of Risk Management in Health Care

2020 ◽  
Vol 54 ◽  
pp. 21
Author(s):  
Zenewton André da Silva Gama ◽  
Pedro Jesus Saturno-Hernandez ◽  
Anna Claudia Sales Gomes Caldas ◽  
Marise Reis de Freitas ◽  
Ana Elza Oliveira de Mendonça ◽  
...  
Keyword(s):  
Health Care ◽  
Risk Management ◽  
High Reliability ◽  
Measurement Instrument ◽  
Face Validity ◽  
Nominal Group ◽  
Aggregated Data ◽  
Validity Analysis ◽  
Confirmatory Factor ◽  
Questionnaire Assessment

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.

Infodemiological patterns in searching medication errors: relationship with risk management and shift work (Preprint)

2019 ◽  
Author(s):  
Fabio Fabbian ◽  
Emanuele Di Simone ◽  
Sara Dionisi ◽  
Noemi Giannetta ◽  
Luigi De Gennaro ◽  
...  
Keyword(s):  
Health Care ◽  
Risk Management ◽  
Shift Work ◽  
Medication Errors ◽  
Medical Errors ◽  
World Health ◽  
Noncommunicable Diseases ◽  
Western World ◽  
The World ◽  
Google Search

BACKGROUND Western world health care systems have been trying to improve their efficiency and effectiveness in order to respond properly to the aging of the population and the epidemic of noncommunicable diseases. Errors in drugs administration is an actual important issue due to different causes. OBJECTIVE Aim of this study is to measure interest in online seeking medical errors information online related to interest in risk management and shift work. METHODS We investigated Google Trends® for popular search relating to medical errors, risk management and shift work. Relative search volumes (RSVs) were evaluated for the period November 2008-November 2018 all around the world. A comparison between RSV curves related to medical errors, risk management and shift work was carried out. Then we compared world to Italian search. RESULTS RSVs were persistently higher for risk management than for medication errors during the study period (mean RSVs 74 vs. 51%) and RSVs were stably higher for medical errors than shift work during the study period (mean RSVs 51 vs 23%). In Italy, RSVs were much lower than the rest of the world, and RSVs for medication errors during the study period were negligible. Mean RSVs for risk management and shift work were 3 and 25%, respectively. RSVs related to medication errors and clinical risk management were correlated (r=0.520, p<0.0001). CONCLUSIONS Google search query volumes related to medication errors, risk management and shift work are different. RSVs for risk management are higher, are correlated with medication errors, and the relationship with shift work appears to be even worse, by analyzing the entire world. In Italy such a relationship completely disappears, suggesting that it needs to be emphasized by health care authorities.

Psychometric evaluation of the Mobile Application Rating Scale (MARS) (Preprint)

2020 ◽  
Author(s):  
Yannik Terhorst ◽  
Paula Philippi ◽  
Lasse Sander ◽  
Dana Schultchen ◽  
Sarah Paganini ◽  
...  
Keyword(s):  
Health Care ◽  
Construct Validity ◽  
Mobile Application ◽  
Concurrent Validity ◽  
Rating Scale ◽  
Psychometric Evaluation ◽  
Confirmatory Factor ◽  
Health Domains ◽  
Psychometric Quality

BACKGROUND Mobile health apps (MHA) have the potential to improve health care. The commercial MHA market is rapidly growing, but the content and quality of available MHA are unknown. Consequently, instruments of high psychometric quality for the assessment of the quality and content of MHA are highly needed. The Mobile Application Rating Scale (MARS) is one of the most widely used tools to evaluate the quality of MHA in various health domains. Only few validation studies investigating its psychometric quality exist with selected samples of MHAs. No study has evaluated the construct validity of the MARS and concurrent validity to other instruments. OBJECTIVE This study evaluates the construct validity, concurrent validity, reliability, and objectivity, of the MARS. METHODS MARS scoring data was pooled from 15 international app quality reviews to evaluate the psychometric properties of the MARS. The MARS measures app quality across four dimensions: engagement, functionality, aesthetics and information quality. App quality is determined for each dimension and overall. Construct validity was evaluated by assessing related competing confirmatory models that were explored by confirmatory factor analysis (CFA). A combination of non-centrality (RMSEA), incremental (CFI, TLI) and residual (SRMR) fit indices was used to evaluate the goodness of fit. As a measure of concurrent validity, the correlations between the MARS and 1) another quality assessment tool called ENLIGHT, and 2) user star-rating extracted from app stores were investigated. Reliability was determined using Omega. Objectivity was assessed in terms of intra-class correlation. RESULTS In total, MARS ratings from 1,299 MHA covering 15 different health domains were pooled for the analysis. Confirmatory factor analysis confirmed a bifactor model with a general quality factor and an additional factor for each subdimension (RMSEA=0.074, TLI=0.922, CFI=0.940, SRMR=0.059). Reliability was good to excellent (Omega 0.79 to 0.93). Objectivity was high (ICC=0.82). The overall MARS rating was positively associated with ENLIGHT (r=0.91, P<0.01) and user-ratings (r=0.14, P<0.01). CONCLUSIONS he psychometric evaluation of the MARS demonstrated its suitability for the quality assessment of MHAs. As such, the MARS could be used to make the quality of MHA transparent to health care stakeholders and patients. Future studies could extend the present findings by investigating the re-test reliability and predictive validity of the MARS.

scholarly journals The Multifocal Approach to Sharing in Shared Decision Making: A Critical Appraisal of the MAPPIN’SDM

2021 ◽  
pp. 0272989X2110107
Author(s):  
David Forner ◽  
Christopher W. Noel ◽  
Laura Boland ◽  
Arwen H. Pieterse ◽  
Cornelia M. Borkhoff ◽  
...  
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Critical Appraisal ◽  
Reliability And Validity ◽  
Measurement Instrument ◽  
Face Validity ◽  
Shared Decision ◽  
Measurement Instruments ◽  
Multiple Perspectives ◽  
Property Assessment

Objective Shared decision making integrates health care provider expertise with patient values and preferences. The MAPPIN’SDM is a recently developed measurement instrument that incorporates physician, patient, and observer perspectives during medical consultations. This review sought to critically appraise the development, sensibility, reliability, and validity of the MAPPIN’SDM and to determine in which settings it has been used. Methods This critical appraisal was performed through a targeted review of the literature. Articles outlining the development or measurement property assessment of the MAPPIN’SDM or that used the instrument for predictor or outcome purposes were identified. Results Thirteen studies were included. The MAPPIN’SDM was developed by both adapting and building on previous shared decision making measurement instruments, as well as through creation of novel items. Content validity, face validity, and item quality of the MAPPIN’SDM are adequate. Internal consistency ranged from 0.91 to 0.94 and agreement statistics from 0.41 to 0.92. The MAPPIN’SDM has been evaluated in several populations and settings, ranging from chronic disease to acute oncological settings. Limitations include high reading levels required for self-administered patient questionnaires and the small number of studies that have employed the instrument to date. Conclusion The MAPPIN’SDM generally shows adequate development, sensibility, reliability, and validity in preliminary testing and holds promise for shared decision making research integrating multiple perspectives. Further research is needed to develop its use in other patient populations and to assess patient understanding of complex item wording.

Psychometric Assessment of the Persian Translated Version of the Romantic Perfectionism Scale Among Couples

2021 ◽  
pp. 003329412110360
Author(s):  
Abbas Abdollahi ◽  
Kelly A. Allen
Keyword(s):  
Content Validity ◽  
Goodness Of Fit ◽  
Factor Loading ◽  
Face Validity ◽  
Fit Indices ◽  
Depression Anxiety Stress Scale ◽  
Confirmatory Factor ◽  
Married Men ◽  
Iranian Version ◽  
Acceptable Internal Consistency

Romantic perfectionismi can be disruptive to relationships, yet no validated measure for assessing romantic perfectionism in Iranian couples has been developed. Therefore, the purpose of this study was to translate and validate the Romantic Perfectionism Scale (RPS) among Iranian couples. Participants in the study were 200 married men and 320 married women from Tehran, Iran, who completed the translated RPS, the Almost Perfect Scale-Revised, and the Depression Anxiety Stress Scale-21 online. Item impact scores were used to calculate face validity. Impact score values for all items were greater than 1.5, signaling appropriate face validity.. The Content Validity Index (CVI) and the Content Validity Ratio (CVR) were used to measure content validity. Values of the CVI were above the cut-off score of 0.7, implying satisfactory content validity of the items. The CVR values were greater than the Lawshe table (0.78) cut-off score, demonstrating that all items were essential. Confirmatory Factor Analysis (CFA) using AMOS software was used to evaluate the construct validity. The results of the goodness of fit indices confirmed the RPS with two subscales (i.e., self-oriented romantic perfectionism and other-oriented romantic perfectionism) as per the original scale. All items remained in the scale as all factor loading values were greater than 0.45. The findings showed that the two subscales, and the scale as a whole, had acceptable internal consistency, as the construct reliability values for self-oriented romantic perfectionism (0.81), other-oriented romantic perfectionism (0.72), and the whole scale (0.74) were greater than 0.7. The results support the psychometric properties of the Iranian version of the RPS, which could be used by future researchers and clinicians to assess romantic perfectionism in Iranian couples.

scholarly journals Cross-cultural adaptation and validation of the teamwork climate scale

2016 ◽  
Vol 50 (0) ◽  
Author(s):  
Mariana Charantola Silva ◽  
Marina Peduzzi ◽  
Carine Teles Sangaleti ◽  
Dirceu da Silva ◽  
Heloise Fernandes Agreli ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Health Care ◽  
Factor Analysis ◽  
Primary Health Care ◽  
Confirmatory Factor Analysis ◽  
Cultural Adaptation ◽  
Cross Cultural ◽  
Cross Cultural Adaptation ◽  
Primary Health ◽  
Confirmatory Factor

ABSTRACT OBJECTIVE To adapt and validate the Team Climate Inventory scale, of teamwork climate measurement, for the Portuguese language, in the context of primary health care in Brazil. METHODS Methodological study with quantitative approach of cross-cultural adaptation (translation, back-translation, synthesis, expert committee, and pretest) and validation with 497 employees from 72 teams of the Family Health Strategy in the city of Campinas, SP, Southeastern Brazil. We verified reliability by the Cronbach’s alpha, construct validity by the confirmatory factor analysis with SmartPLS software, and correlation by the job satisfaction scale. RESULTS We problematized the overlap of items 9, 11, and 12 of the “participation in the team” factor and the “team goals” factor regarding its definition. The validation showed no overlapping of items and the reliability ranged from 0.92 to 0.93. The confirmatory factor analysis indicated suitability of the proposed model with distribution of the 38 items in the four factors. The correlation between teamwork climate and job satisfaction was significant. CONCLUSIONS The version of the scale in Brazilian Portuguese was validated and can be used in the context of primary health care in the Country, constituting an adequate tool for the assessment and diagnosis of teamwork.

Validation of a social-cognitive theory-based tool for measuring factors influencing obesity prevention behaviors in 4-6 years old children using confirmatory factor analysis (CFA)

2021 ◽  
Vol 15 (6) ◽  
pp. 2025-2030
Author(s):  
Maryam Seraji ◽  
Maryam Zahmatkeshan ◽  
Victoria Momen Abadi ◽  
Elham Nejadsadeghi
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Social Cognitive Theory ◽  
Obesity Prevention ◽  
Social Cognitive ◽  
Cognitive Theory ◽  
Child Obesity ◽  
Face Validity ◽  
Validity And Reliability ◽  
Confirmatory Factor

Background: Child obesity is one of the main health problems all across the world, which leads to mental and physical health problems. Various models are used in designing intervention to prevent child obesity, one of which is social-cognitive theory (SCT). The constructs of social-cognitive theory are commonly used for designing preventive interventions. However, there is no specific tool based on the constructs of social-cognitive theory to assess the factors associated with child obesity. Aim: The aim of this study was to investigate the validity and confirmatory factor analysis of a SCT-based questionnaire for assessing obesity preventing behaviors among 4-6 years old children. Method: A cross-sectional study was first conducted in 2016 on 240 preschool children aged 4-6 years in Behbahan city (a city in southwest Iran) to assess the obesity prevention behaviors among them using a SCT-based questionnaire. To investigate the validity and confirmatory factor analysis of the SCT-based questionnaire, content and face validity as well as forward-backward translation method were used. Reliability of the questionnaire was also measured by Cronbach’s alpha coefficient and Intra-class Correlation Coefficient (ICC). Construct validity was assured by confirmatory factor analysis. To measure the obesity prevention behaviors in 4-6 years old children, the construct of SCT, including environment, emotional coping, outcome expectations, goal setting and self-efficacy were used. Also, the obesity prevention behaviors used in the model included physical activity, consumption of fruit and vegetable, consumption of sugar-free drinks, and screen. Results: Results of this study confirmed the acceptable content and face validity of the SCT-based questionnaire. The results of confirmatory factor analysis also confirmed the factor loading of more than 0.3 for all variables; therefore, the SCT-based questionnaire had an acceptable validity and reliability. Conclusions: Since the SCT-based questionnaire had an acceptable validity and reliability, it can be used to assess the obesity prevention behaviors in 4-6 year old children, and also to design relevant educational interventions. Keywords: Validation, Social-Cognitive Theory, Behavior, Childhood obesity, Preschool, Prevention

Research on risk management of medical and health care integration projects based on fuzzy WINGS-G1

Kybernetes ◽  
2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Yu Zhang ◽  
Lan Xu
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Risk Management ◽  
Fuzzy Theory ◽  
Dynamic Nature ◽  
Content Type ◽  
Care Integration ◽  
Rational Allocation ◽  
Control And Prevention ◽  
Risk Potential

PurposeThis study establishes a risk management system for medical and health care integration projects to address the problem of high-risk potential and a strong correlation between risk factors.Design/methodology/approachA new fuzzy WINGS-G1 model for identifying key risk factors in medical and health care integration projects is proposed by introducing the fuzzy theory and the concept of risk incidence into the Weighted Influence Non-linear Gauge System (WINGS) method.FindingsThe authors analyze the fluidity of project risk factors through complex networks to control direct risks and cut off risk transmission paths to provide a reference for risk control and prevention of medical and health care integration projects.Originality/value(1) The integration of fuzzy theory into the WINGS method solves the problem of strong subjectivity of expert scoring in the traditional WINGS method; (2) By the different probabilities of risk factors, the concept of risk incidence is introduced in the WINGS model, which is more conducive to the identification of the critical risk factors and the rational allocation and utilization of organizational resources; (3) The use of the complex network for risk interactivity analysis fully reflects the dynamic nature of risk factors in medical and health care integration projects.

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