title: [Development and validation of indicators for best patient safety practices: the ISEP-Brazil Project].
abstract: Efficacious patient safety monitoring should focus on the implementation of evidence-based practices that avoid unnecessary harm related to healthcare. The ISEP-Brazil project aimed to develop and validate indicators for best patient safety practices in Brazil. The basis was the translation and adaptation of the indicators validated in the ISEP-Spain project and the document Safe Practices for Better Healthcare (U.S. National Quality Forum), recommending 34 best practices. A 25-member expert panel validated the indicators. Reliability and feasibility were based on a pilot study in three hospitals with different management formats (state, federal, and private). Seventy-five best practice indicators were approved (39 structure; 36 process) for 31 of the 34 recommendations. The indicators were considered valid, reliable, and useful for monitoring patient safety in Brazilian hospitals.
authors.affiliation: Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, Brasil.
authors.forename: Zenewton André da Silva
authors.initials: ZA
authors.lastname: Gama
authors.affiliation: Centro de Investigación en Calidad en Salud, Instituto Nacional de Salud Pública, Cuernavaca, México.
authors.forename: Pedro Jesus
authors.initials: PJ
authors.lastname: Saturno-Hernández
authors.affiliation: Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, Brasil.
authors.forename: Denise Nieuwenhoff Cardoso
authors.initials: DN
authors.lastname: Ribeiro
authors.affiliation: Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, Brasil.
authors.forename: Marise Reis de
authors.initials: MR
authors.lastname: Freitas
authors.affiliation: Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, Brasil.
authors.forename: Paulo José de
authors.initials: PJ
authors.lastname: Medeiros
authors.affiliation: Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, Brasil.
authors.forename: Almária Mariz
authors.initials: AM
authors.lastname: Batista
authors.affiliation: Setor de Vigilância Sanitária, Secretaria Municipal de Saúde, Natal, Brasil.
authors.forename: Analúcia Filgueira Gouveia
authors.initials: AF
authors.lastname: Barreto
authors.affiliation: Subcoordenadoria de Vigilância Sanitária, Secretaria da Saúde Pública, Natal, Brasil.
authors.forename: Benize Fernandes
authors.initials: BF
authors.lastname: Lira
authors.affiliation: Hospital Giselda Trigueiro, Natal, Brasil.
authors.forename: Carlos Alexandre de Souza
authors.initials: CA
authors.lastname: Medeiros
authors.affiliation: Hospital Monsenhor Walfredo Gurgel, Natal, Brasil.
authors.forename: Cilane Cristina Costa da Silva
authors.initials: CC
authors.lastname: Vasconcelos
authors.affiliation: Hospital Monsenhor Walfredo Gurgel, Natal, Brasil.
authors.forename: Edna Marta Mendes da
authors.initials: EM
authors.lastname: Silva
authors.affiliation: Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, Brasil.
authors.forename: Eduardo Dantas Baptista de
authors.initials: ED
authors.lastname: Faria
authors.affiliation: Hospital Papi, Natal, Brasil.
authors.forename: Jane Francinete
authors.initials: JF
authors.lastname: Dantas
authors.affiliation: Liga Norte Riograndense Contra o Câncer, Natal, Brasil.
authors.forename: José Gomes
authors.initials: JG
authors.lastname: Neto
authors.affiliation: Hospital Universitário Onofre Lopes, Universidade Federal do Rio Grande do Norte, Natal, Brasil.
authors.forename: Luana Cristina Lins de
authors.initials: LC
authors.lastname: Medeiros
authors.affiliation: Natal Hospital Center, Natal, Brasil.
authors.forename: Miguel Angel
authors.initials: MA
authors.lastname: Sicolo
authors.affiliation: Centro Universitário do Rio Grande do Norte, Natal, Brasil.
authors.forename: Patrícia de Cássia Bezerra
authors.initials: Pde C
authors.lastname: Fonseca
authors.affiliation: Hospital Papi, Natal, Brasil.
authors.forename: Rosângela Maria Morais da
authors.initials: RM
authors.lastname: Costa
authors.affiliation: Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, Brasil.
authors.forename: Francisca Sueli
authors.initials: FS
authors.lastname: Monte
authors.affiliation: Hospital Unimed Natal, Natal, Brasil.
authors.forename: Veríssimo de
authors.initials: Vd
authors.lastname: Melo
mesh_terms: D001938:Brazil; D003431:Cross-Cultural Comparison; D005260:Female; D006801:Humans; D008297:Male; D061214:Patient Safety / Q000592:standards* / Q000706:statistics & numerical data; D019984:Quality Indicators, Health Care / Q000592:standards* / Q000706:statistics & numerical data; D015203:Reproducibility of Results; D017751:Safety Management / Q000592:standards* / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D014177:Translations