Medeiros, Paulo José deCaldas, Anna Cláudia Sales GomesAraújo, Rafael Santiago deFreitas, Marise Reis deAledo, Victoriano SoriaGama, Zenewton André da Silva2023-07-312023-07-312023MEDEIROS, Paulo José de; CALDAS, Anna Cláudia Sales Gomes; ARAÚJO, Rafael Santiago de; FREITAS, Marise Reis de; ALEDO, Victoriano Soria; GAMA, Zenewton André da Silva. Validação de indicadores de qualidade do cuidado cirúrgico no Sistema Único de Saúde. Revista de Saúde Pública, [S.L.], v. 57, n. 1, p. 27, 12 abr. 2023. Universidade de São Paulo, Agência USP de Gestão da Informação Acadêmica (AGUIA). http://dx.doi.org/10.11606/s1518-8787.2023057004723. Disponível em: https://www.revistas.usp.br/rsp/article/view/211950. Acesso em: 12 jul. 2023.https://repositorio.ufrn.br/handle/123456789/54295OBJECTIVE: To validate a set of indicators for monitoring the quality of surgical procedures in the Unified Health System (SUS). METHODS: Validation study developed in 5 stages: 1) literature review; 2) prioritization of indicators; 3) content validation of indicators by RAND/UCLA consensus method; 4) pilot study for reliability analysis; and 5) development of instruction for tabulation of outcome indicators for monitoring via official information systems. RESULTS: From the literature review, 217 indicators of surgical quality were identified. The excluded indicators were: those based on scientific evidence lower than 1A, similar, specific, which corresponded to sentinel events; and those that did not apply to the SUS context. Twenty-six indicators with a high level of scientific evidence were submitted to expert consensus. Twenty-two indicators were validated, of which 14 process indicators and 8 outcome indicators with content validation index ≥80%. Of the validated process indicators, 6 were considered substantially reliable (Kappa coefficient between 0.6 and 0.8; p < 0.05) and 2 had almost perfect reliability (Kappa coefficient > 0.8, p < 0.05), when the inter-rater agreement was analyzed. One could measure and establish tabulation mechanism for TabWin for 7 outcome indicators. CONCLUSION: The study contributes to the development of a set of potentially effective surgical indicators for monitoring the quality of care and patient safety in SUS hospital services.Attribution 3.0 Brazilhttp://creativecommons.org/licenses/by/3.0/br/qualidade da assistência à saúdeindicadores de qualidade em assistência à saúdesegurança do pacienteprocedimentos cirúrgicos operatóriosarticlehttps://doi.org/10.11606/s1518-8787.2023057004723