9 Valencia, Spain | 16 - 18 May 2024 11th EORNA Congress Symposia Symposium 4: Patient safety 328 The Retained Surgical Items Risk Assessment Scale: Development and Psychometric Characteristics Hamide Nur Erkan1, Özlem Soyer Er2 3 1Afyonkarahisar State Hospital, Infection Control, Afyonkarahisar, Turkey, 2Afyonkarahisar Health Sciences University, Surgical Nursing Department, Afyonkarahisar, Turkey, 3Afyonkarahisar Health Sciences University, Surgical Nursing Department, Afyonkarahisar Background: The retained surgical items is a serious patient safety problem, especially for patients undergoing surgery. Objectives: The aim of this study was to develop the Retained Surgical Items Risk Assessment Scale and examined its psychometric properties. Methods: Methodological design.The research was carried out with 270 patients who underwent surgery in a university hospital. The data of the study were collected with the Sociodemographic and Clinical Characteristics Form, Operating Room Count Control Form and the Retained Surgical Items Risk Assessment Scale developed. In the analysis of the data, Content Validity Index (CVI), Cronbach α, item-total score correlation, Kuder-Richardson, Cohen Kappa, exploratory and confirmatory factor analysis, and Recevier Operating Characteristic (ROC) curve analysis were performed. Results: The CVI of the scale was found to be 0.92. Cohen Kappa value was found to be 0.993. The variance explained in the exploratory factor analysis of the scale is 50.03%. After confirmatory factor analysis, two factors were obtained for the final version of 15 items. Factors has been determined as “Count and Surgery” and “Equipment”. Among the subdimensions of the scale, Cronbach’s α values were between 0.742 and 0.760, and 0.722 for the whole scale. When the ROC analysis results were examined, the cut-off point was ≥ 8 points, the specificity was 93.13%, and the sensitivity was 87.50%. The area under the ROC curve (AUC) was calculated as 0.938. Conclusions: The scale was presented as a valid and reliable measurement tool developed to assess the risk of retained surgical items in operating rooms. 208 Hospital self-evaluation to detect room for improvement in perioperative patient safety, a European multicenter study Anita Heideveld-Chevalking1, Ana Rodriguez2, Paula Perez Caballero3, María José Felip Llácer3, Yvette Emond1, Hiske Calsbeek1, Kaja Polluste4, Adam Žaludek5, Paulo Sousa6, Daniel Arnal7, Marieke Voshaar8, Claudia Valli2, Henriette SmitNanninga9, Hans Boer, de9, Marion Kolk, van der10, Jan Hofland10, Sjoukje Vet, de-Kersten10, Nuno Diogo11, Maria José Maia11, Ana Azevedo12, Ayshe Seyfulayeva11, Sara Rodrigues12, Elsa Guimarães12, Laura Bruno13, Mónica Millan Scheiding13, Rodrígo Molina14, Laura Vidaurreta14, Liis Jaanimäe15, Maret Laheveer15, Olav Tammik16, Kristina Lillemets15, Helena Mcmenamin17, Lucie Kubátová17, Michal Ondica17, Jan Frühauf17, Blanka Hošková18, Martina Landová18, Carola Orrego2 1Radboud University Medical Center, Nijmegen, Netherlands, 2Fundación Avedis Donabedian, Barcelona, Spain, 3La Fe University and Hospital, València, Spain, 4University of Tartu, Tartu, Estonia, 53rd Faculty of Medicine, Czech Republic, 6University of Lisbon, Lisboa, Portugal, 7Hospital Universitario Fundación Alcorcón, Alcorcón, Spain, 8NIVEL Netherlands Institute for Health Services Research, Utrecht, Netherlands, 9SAFEST hospital group: Martini Hospital, Groningen, Netherlands, 10SAFEST hospital group: Radboud University Medical Center, Nijmegen, Netherlands, 11SAFEST hospital group: Centro Hospitalar Universitário Lisboa Central, Lisbon, Spain, 12SAFEST hospital group: Centro Hospitalar Universitário de São João, Porto, Portugal, 13SAFEST hospital group: Hospital Universitari i Politècnic La Fe, Valencia, Spain, 14SAFEST hospital group: Hospital Universitario Fundación Alcorcón, Madrid, Spain, 15SAFEST hospital group: Tartu University Hospital, Tartu, Estonia, 16SAFEST hospital group: North Estonia Medical Centre, Tallinn, Estonia, 17SAFEST hospital group: University Hospital Prague, Prague, Czech Republic, 18SAFEST hospital group: Hořovice Hospital, Hořovice, Czech Republic Background: In Europe, 8%-12% of patients admitted to hospitals experience adverse events; perioperative care is one of the most reported fields. Adverse events lead to patient complications and increased costs, highlighting the need for continuous improvement. Objectives: This study is part of international research ‘Improving quality and patient SAFEty through STandardisation and harmonisation of perioperative care in Europe (SAFEST)’, funded by the European Union’s Horizon Europe research
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