Evidence map›Paper›PMID 32049211›Full record

ArticleRevista de saude publica2020

AGRASS Questionnaire: Assessment of Risk Management in Health Care.

Zenewton André da Silva Gama, Pedro Jesus Saturno-Hernandez, Anna Claudia Sales Gomes Caldas, Marise Reis de Freitas, Ana Elza Oliveira de Mendonça, Carlos Alexandre de Souza Medeiros, Wilton Rodrigues Medeiros, Oliver Kessler, Diogo Penha Soares

Abstract readValidation Study
In one paragraph

Article in Revista de saude publica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Zenewton André da Silva GamaUniversidade Federal do Rio Grande do Norte. Centro de Ciências da Saúde. Departamento de Saúde Coletiva. Natal, RN, Brasil.ORCID http://orcid.org/0000-0003-0818-9680
Pedro Jesus Saturno-HernandezNational Institute of Public Health of Mexico. Cuernavaca, Morelos, Mexico.ORCID http://orcid.org/0000-0002-4991-5805
Anna Claudia Sales Gomes CaldasUniversidade Federal do Rio Grande do Norte. Programa de Pós-Graduação em Saúde Coletiva - PPGSCOL. Natal, RN, Brasil.ORCID http://orcid.org/0000-0002-1796-2113
Marise Reis de FreitasUniversidade Federal do Rio Grande do Norte. Centro de Ciências da Saúde. Departamento de Infectologia Natal/RN, Brasil.ORCID http://orcid.org/0000-0002-5679-6672
Ana Elza Oliveira de MendonçaUniversidade Federal do Rio Grande do Norte. Centro de Ciências da Saúde. Departamento de Enfermagem. Natal, RN, Brasil.ORCID http://orcid.org/0000-0001-9015-211X
Carlos Alexandre de Souza MedeirosEmpresa Brasileira de Serviços Hospitalares. Hospital Universitário Onofre Lopes. Unidade de Gestão de Riscos Assistenciais Natal, RN, Brasil.ORCID http://orcid.org/0000-0002-7856-7627
Wilton Rodrigues MedeirosEmpresa Brasileira de Serviços Hospitalares. Hospital Universitário Ana Bezerra. Setor de vigilância em saúde e segurança do paciente. Santa Cruz, RN, Brasil.ORCID http://orcid.org/0000-0002-9096-8108
Oliver KesslerLucerne University of Applied Sciences and Arts. Lucerne, Switzerland.ORCID http://orcid.org/0000-0002-2159-9804
Diogo Penha SoaresAgência Nacional de Vigilância Sanitária. Gerência Geral de Tecnologia em Serviços de Saúde. Brasília, DF, Brasil.ORCID http://orcid.org/0000-0002-1335-409X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aims to assess the development and the validity analysis of the Assessment of Risk Management in Health Care Questionnaire (AGRASS).

methodsThis 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.

resultsThe 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).

conclusionsThe AGRASS Questionnaire is a potentially useful instrument for the surveillance and monitoring of the risk management and patient safety in health services.

Indexed as

AdultBrazilFactor Analysis, StatisticalFemaleHumansMaleMiddle AgedPatient SafetyPilot ProjectsQuality of Health CareReproducibility of ResultsRisk ManagementSurveys and Questionnaires

Identifiers

PMID32049211
PMCPMC7006914

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.