CONSTRUCTION AND VALIDATION OF A CHECKLIST FOR INTER-HOSPITAL TRANSFERS OF PATIENTS IN EMERGENCY CARE UNITS
Patient Transfer, Patient Safety, Emergency Room, Number of hospital beds, Nursing, Health evaluation.
Introduction: Inter-hospital transfer is a frequent practice in health services and encompasses the transition of care, whether to continue treatment in other hospital units or to other sectors of the same unit. It should be noted that one of the essential pillars for inter-hospital transfers is patient safety and continuity of care, and for this, it is necessary to follow validated instruments that can contribute to patient transfers. Objective: The study aims to construct and validate a checklist for inter-hospital transfers of patients in Emergency Care Units. Method: This is a methodological development study with a quantitative-qualitative approach, based on Pasquali's Psychometrics model, according to the following axes: theoretical procedures, empirical procedures, and analytical procedures. In the theoretical procedures, a scope review and focus group were conducted to support the construction of the checklist; in the empirical procedures, the checklist was constructed and its appearance and content were validated by expert judges in the field. Finally, the analytical procedures consisted of data analysis through the calculation of the Content Validity Index (CVI) and level of agreement. Results: The scope review identified eight main articles, which, together with the focus group, supported the development of the checklist, structured into eight main items. Fifteen expert judges in the field were responsible for judging the items. The IVC data obtained for all domains, items, and sub-items were ≥ 0.80, indicating high agreement among the evaluators on the content of the initial checklist. Conclusion: Thus, the proposed technical product demonstrated satisfactory results and relevance for use in inter-hospital transfers, establishing itself as a tool capable of optimizing communication between the teams involved, standardizing the recording of information, and promoting greater safety and continuity of patient care.