DEVELOPMENT AND VALIDATION OF A PATIENT ASSESSMENT TOOL AFTER PERCUTANEOUS PROCEDURES IN THE HAEMODYNAMICS UNIT
Haemodynamics; Postoperative complications; Endovascular procedures; Patient safety.
Introduction: Haemodynamics units (HDUs) are highly complex health services in which minimally invasive endovascular procedures are performed percutaneously. Patients can suffer complications during or after percutaneous procedures, such as bleeding, haematoma, pseudoaneurysm, arterial thrombosis or distal embolisation. The development of a tool to guide the assessment of patients who have undergone percutaneous procedures in the haemodynamics unit will enable early reassessment of patients who require additional treatment, with a view to minimising damage and improving the quality of care, thus justifying this research. Objective: To develop and validate a patient assessment tool after percutaneous procedures in the haemodynamics unit. Method: This is a methodological study to develop and validate an instrument for assessing patients undergoing percutaneous procedures in the haemodynamics unit. The research was carried out from February 2023 to February 2024, and consisted of two stages: 1- Construction of the instrument, 2- Validation of content and appearance by eight judges specialising in the subject, using the Delphi technique. The Content Validity Index (CVI) was calculated for the validation process. Results: The validated instrument is made up of 32 items that obtained a CVI > 0.80, divided into six dimensions: A: Identification data; B: General assessment and history; C: Procedure data; D: Analysis of risk factors for vascular complications; E: Vascular complications; F: Notification. Conclusions: The instrument was validated in terms of its appearance and content, proving to be a representative tool for assessing patients undergoing percutaneous procedures in the haemodynamics unit. Completing the instrument will be useful for planning and developing actions aimed at patient safety.