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Advisor(s)
Abstract(s)
Purpose: To adapt and validate the Global Trigger Tool (IHI-GTT), which identifies and analyzes adverse events (AE) in hospitalized patients and their measurement properties in the Portuguese context. Methods: A retrospective cross-sectional study was based on a random sample of 90 medical records. The stages of translation and cross-cultural adaptation of the IHI-GTT were based on the Cross-Cultural Adaptation Protocol that originated from the Portuguese version, GTT-PT, for the hospital context in medical-surgical departments. Internal consistency, reliability, reproducibility, diagnostic tests, and discriminatory predictive value were investigated. Results: The final phase of the GTT-PT showed insignificant inconsistencies. The pre-test phase confirmed translation accuracy, easy administration, effectiveness in identifying AEs, and relevance of integrating it into hospital risk management. It had a sensitivity of 97.8% and specificity of 74.8%, with a cutoff point of 0.5, an accuracy of 83%, a positive predictive value of 69.8%, and a negative predictive value of 0.98%. Conclusion: The GTT-PT is a reliable, accurate, and valid tool to identify AE, with robust measurement properties.
Description
Keywords
Medical error Patient safety Risk management Global Trigger Tool
Citation
Pierdevara L, Porcel-Gálvez AM, Ferreira-da-Silva AM, Barrientos-Trigo S, Eiras M. Translation, cross-cultural adaptation, and measurement properties of the Portuguese version of the Global Trigger Tool for adverse events. Ther Clin Risk Manag. 2020;16:1175-83.