Journal of Police Medicine

fa طراحی و روان‌سنجی چک‌لیست ارزیابی دستورالعمل‌های ثبت و برچسب‌گذاری داروهای بیهوشی در اتاق عمل Designing and Psychometry of the Evaluation Checklist for the Registration and Labeling Guidelines of Anesthetic Drugs in the Operating Room فوریت‌های طب انتظامی Police Medicine Emergencies پژوهشی اصيل Original Research <div style="text-align: justify;">اهداف: ثبت و برچسب‌گذاری صحیح داروهای بیهوشی در اتاق عمل از اصول اساسی و مهم در جهت حفظ ایمنی بیمار، کاهش اتلاف داروها و هزینه‌های متعاقب آن و کاهش آلودگی محیط زیست به شمار می‌روند. از این رو مطالعه حاضر با هدف طراحی و روانسنجی چک‌لیست ارزیابی دستورالعمل‌های ثبت و برچسب گذاری داروهای بیهوشی در اتاق عمل انجام شد. مواد و روش‌ها: این پژوهش توصیفی_تحلیلی در سال ۱۴۰۱ در دانشگاه علوم پزشکی ایران انجام شد. جهت طراحی چک‌لیست، جدیدترین و معتبرترین منابع علمی در حیطه بیهوشی مورد بررسی قرار گرفت و از نظرات خبرگان گروه هوشبری دانشگاه استفاده شد. جهت تعیین روایی چک‌لیست، روایی صوری و محتوایی (شاخص روایی محتوایی و نسبت روایی محتوایی) محاسبه شد. به منظور تعیین پایایی چک‌لیست از دو روش اعتبار بازآزمایی و توافق بین ارزیابان استفاده شد. نتایج پژوهش با استفاده از نرم افزار SPSS ۲۲ تجزیه و تحلیل شد. یافته‌ها: چک‌لیست اولیه با ۱۹ گویه طراحی شد. در بررسی روایی صوری تمامی آیتم‌ها با دارا بودن حد مطلوب ۱/۵ در چک‌لیست باقی ماندند. در بررسی روایی محتوایی سه گویه با نسبت روایی محتوایی کمتر از ۰/۶۲ و شاخص روایی محتوایی کمتر از ۰/۷۹ از چک‌لیست حذف شدند. ضریب همبستگی درون‌رده‌ای در پایایی به روش اعتبار بازآزمایی ۰/۹۹۲ و در روش توافق بین ارزیابان ۰/۹۸۷ محاسبه شد که نشان‌دهنده پایایی مطلوب چک‌لیست بود. نتیجه‌گیری: یافته‌های پژوهش نشان‌دهنده روایی صوری و محتوایی و پایایی مطلوب چک‌لیست است. بنابراین می‌توان از آن برای ارزیابی میزان رعایت دستورالعمل‌های ثبت و برچسب‌گذاری داروهای بیهوشی استفاده کرد.</div> <div style="text-align: justify;">Aims: The correct registration and labeling of anesthetic drugs in the operating room are the basic and important principles in order to maintain patient safety, reduce the wastage of drugs and their subsequent costs, and reduce environmental pollution. Therefore, the present study was conducted with the aim of designing and psychometry of evaluation checklist for the registration and labeling guidelines of anesthetic drugs in the operating room. Materials and Methods: This descriptive-analytical research was conducted in 2022 in the Iran University of Medical Sciences. In order to design the checklist, the latest and most reliable scientific sources in the field of anesthesia were examined and the opinions of experts of the university's Department of Anesthesia were used. To determine the validity of the checklist, face and content validity (content validity index and content validity ratio) were calculated. In order to determine the reliability of the checklist, two methods of test-retest reliability and inter-rater reliability were used. The research results were analyzed using SPSS 22 software. Findings: All the examined items in the checklist had good status in terms of face validity index and terms of the obtained importance score in comparison with the optimal level of effect (1.5 and more) (Table 1). Based on this, all items on the checklist obtained the necessary criteria for face validity and remained on the checklist. The evaluation results of the content validity index and value of the content validity index showed that most of the items had the desired statistical limits in the field of content validity, and their validity was confirmed in this respect; in other words, the measurement of the content validity ratio (CVR) showed that the score of 15 of the 19 initial items of the checklist was greater than the value of the Lawshe table (0.62) and these items remained in the checklist. This indicated that essential and important items were used in this checklist (Table 2). The score of the item of "the method of writing capital letters is used for drugs with similar names" was obtained as 0.60; due to the closeness of this number to the optimal level and due to the high content validity index of this item which was obtained as 1, and using the opinion of experts, this item was retained. Also, based on the research findings, the content validity index (CVI) in all items was more than 0.79; therefore, the mentioned items were recognized as suitable, and there was no change in the appearance of the items. Finally, using the results of CVR and CVI and considering the optimal level for these indicators, three items were removed from the checklist, and the final checklist with 16 items was designed and psychometrically evaluated (Table 2). The results of the retest method using the intraclass correlation coefficient are presented in Table 3. In this method, ICC value was 0.992 (95% confidence interval). Also, Cronbach's alpha was 0.912 for the preliminary test and 0.992 for the second test (retest), which results showed that the checklist designed in terms of reliability over time (using the test-retest or test-retest validity method) has good reliability. The results of the inter-rater agreement method using the intraclass correlation coefficient to check the reliability are presented in Table 4. In this method, the ICC rate was 0.987 (with a 95% confidence interval), which indicated that the checklist designed with the method of an inter-rater agreement had good reliability. Conclusion: The research findings show the checklist's face and content validity and good reliability. Therefore, it can be used to evaluate the level of observance of the guidelines for registering and labeling anesthetic drugs. Clinical & Practical Tips in POLICE MEDICINE: The current checklist is a practical tool to evaluate the process of registering and labeling intravenous anesthetics in operating rooms. Police hospitals can use this checklist as a quick and safe method to evaluate compliance with the instructions for registration and labeling of anesthetic drugs by the anesthesia experts working in the operating room. Acknowledgments: Iran University of Medical Sciences and the medical staff of Shafa Yahyayan Hospital in Tehran are gratefully acknowledged. Conflict of interest: The article's authors stated that the present study has no conflict of interest. Authors' Contribution: Data collection and article writing by Shaghayegh Taghizadeh; Presenting the idea and design of the study by Parisa Moradi Majd; Data collection by Shahnam Sediq Maroufi; Data interpretation by Azam Saei; Statistical data analysis by Jamile Abolghasemi. All authors have approved the present article, and they accept responsibility for the accuracy and correctness of the content. Financial Sources: The financial sponsor of the present study was the Research Vice-Chancellor of the Paramedical Faculty of Iran University of Medical Sciences.   <div style="text-align: center;">Table 1) face validity of checklist items for the evaluation of guidelines  for registration and labeling of anesthetic drugs in the operating room</div> <table align="center" class="MsoTableGrid" style="border-collapse:collapse; border:none"> <tbody> <tr> <td style="border-bottom: 1px solid black; width: 30px; padding: 0cm 2px; height: 30px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;">Row</td> <td style="border-bottom: 1px solid black; width: 264px; padding: 0cm 2px; height: 30px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;">Items</td> <td style="border-bottom: 1px solid black; width: 55px; padding: 0cm 2px; height: 30px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;">Optimal impact score</td> <td style="border-bottom: 1px solid black; width: 68px; padding: 0cm 2px; height: 30px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;">The resulting effect coefficient</td> </tr> <tr> <td style="border-bottom: 1px solid black; width: 30px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">1</td> <td style="border-bottom: 1px solid black; width: 264px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">All drug syringes are labeled as soon as they are prepared.</td> <td style="border-bottom: 1px solid black; width: 55px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">1.5<</td> <td style="border-bottom: 1px solid black; width: 68px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">5</td> </tr> <tr> <td style="border-bottom: 1px solid black; width: 30px; padding: 0cm 2px; height: 37px; border-top: none; border-right: none; border-left: none; text-align: center;">2</td> <td style="border-bottom: 1px solid black; width: 264px; padding: 0cm 2px; height: 37px; border-top: none; border-right: none; border-left: none; text-align: center;">Labels with appropriate size and transparent background have been used.</td> <td style="border-bottom: 1px solid black; width: 55px; padding: 0cm 2px; height: 37px; border-top: none; border-right: none; border-left: none; text-align: center;">1.5<</td> <td style="border-bottom: 1px solid black; width: 68px; padding: 0cm 2px; height: 37px; border-top: none; border-right: none; border-left: none; text-align: center;">4.80</td> </tr> <tr> <td style="border-bottom: 1px solid black; width: 30px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">3</td> <td style="border-bottom: 1px solid black; width: 264px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">Colored medicinal labels have been used.</td> <td style="border-bottom: 1px solid black; width: 55px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">1.5<</td> <td style="border-bottom: 1px solid black; width: 68px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">4.60</td> </tr> <tr> <td style="border-bottom: 1px solid black; width: 30px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">4</td> <td style="border-bottom: 1px solid black; width: 264px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">Labels are inserted vertically or below the graduation lines on the syringe.</td> <td style="border-bottom: 1px solid black; width: 55px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">1.5<</td> <td style="border-bottom: 1px solid black; width: 68px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">4.60</td> </tr> <tr> <td style="border-bottom: 1px solid black; width: 30px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">5</td> <td style="border-bottom: 1px solid black; width: 264px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">The full generic name of the drugs is written on the syringe label.</td> <td style="border-bottom: 1px solid black; width: 55px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">1.5<</td> <td style="border-bottom: 1px solid black; width: 68px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">4.90</td> </tr> <tr> <td style="border-bottom: 1px solid black; width: 30px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">6</td> <td style="border-bottom: 1px solid black; width: 264px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">The concentration of drugs in units per milliliter is written on the syringe label.</td> <td style="border-bottom: 1px solid black; width: 55px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">1.5<</td> <td style="border-bottom: 1px solid black; width: 68px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">4.90</td> </tr> <tr> <td style="border-bottom: 1px solid black; width: 30px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">7</td> <td style="border-bottom: 1px solid black; width: 264px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">The medicinal concentration units are fully written on the syringe label. If needed, the unit of micrograms is written in mcg and the unit of milligrams is written in mg on the syringe label.*</td> <td style="border-bottom: 1px solid black; width: 55px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">1.5<</td> <td style="border-bottom: 1px solid black; width: 68px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">4.80</td> </tr> <tr> <td style="border-bottom: 1px solid black; width: 30px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">8</td> <td style="border-bottom: 1px solid black; width: 264px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">The time of drug preparation is written on the syringe label.</td> <td style="border-bottom: 1px solid black; width: 55px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">1.5<</td> <td style="border-bottom: 1px solid black; width: 68px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">4.50</td> </tr> <tr> <td style="border-bottom: 1px solid black; width: 30px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">9</td> <td style="border-bottom: 1px solid black; width: 264px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">The date of drug preparation is written on the syringe label.</td> <td style="border-bottom: 1px solid black; width: 55px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">1.5<</td> <td style="border-bottom: 1px solid black; width: 68px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">4.50</td> </tr> <tr> <td style="border-bottom: 1px solid black; width: 30px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">10</td> <td style="border-bottom: 1px solid black; width: 264px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">The name of the person preparing the medicine is written on the syringe label.</td> <td style="border-bottom: 1px solid black; width: 55px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">1.5<</td> <td style="border-bottom: 1px solid black; width: 68px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">3.70</td> </tr> <tr> <td style="border-bottom: 1px solid black; width: 30px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">11</td> <td style="border-bottom: 1px solid black; width: 264px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">The name and volume of the drug dilution solution is written on the syringe label.</td> <td style="border-bottom: 1px solid black; width: 55px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">1.5<</td> <td style="border-bottom: 1px solid black; width: 68px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">4</td> </tr> <tr> <td style="border-bottom: 1px solid black; width: 30px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">12</td> <td style="border-bottom: 1px solid black; width: 264px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">The expiration date of the drug after preparation is written on the syringe label.</td> <td style="border-bottom: 1px solid black; width: 55px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">1.5<</td> <td style="border-bottom: 1px solid black; width: 68px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">4</td> </tr> <tr> <td style="border-bottom: 1px solid black; width: 30px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">13</td> <td style="border-bottom: 1px solid black; width: 264px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">Medication information is legibly written on the syringe label.</td> <td style="border-bottom: 1px solid black; width: 55px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">1.5<</td> <td style="border-bottom: 1px solid black; width: 68px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">4.90</td> </tr> <tr> <td style="border-bottom: 1px solid black; width: 30px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">14</td> <td style="border-bottom: 1px solid black; width: 264px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">Capital letters have been used for drugs with similar names.</td> <td style="border-bottom: 1px solid black; width: 55px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">1.5<</td> <td style="border-bottom: 1px solid black; width: 68px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">4.60</td> </tr> <tr> <td style="border-bottom: 1px solid black; width: 30px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">15</td> <td style="border-bottom: 1px solid black; width: 264px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">Drug information is not deleted after being recorded on the syringe label.</td> <td style="border-bottom: 1px solid black; width: 55px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">1.5<</td> <td style="border-bottom: 1px solid black; width: 68px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">4.60</td> </tr> <tr> <td style="border-bottom: 1px solid black; width: 30px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">16</td> <td style="border-bottom: 1px solid black; width: 264px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">The drug information is written in the registration sheet immediately after the injection to the patient.</td> <td style="border-bottom: 1px solid black; width: 55px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">1.5<</td> <td style="border-bottom: 1px solid black; width: 68px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">4/40</td> </tr> <tr> <td style="border-bottom: 1px solid black; width: 30px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">17</td> <td style="border-bottom: 1px solid black; width: 264px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">The name, dose, and time of administration of anesthesia-inducing drugs are written in the registration form.</td> <td style="border-bottom: 1px solid black; width: 55px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">1.5<</td> <td style="border-bottom: 1px solid black; width: 68px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">4.70</td> </tr> <tr> <td style="border-bottom: 1px solid black; width: 30px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">18</td> <td style="border-bottom: 1px solid black; width: 264px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">The name, dose and time of administration of anesthesia maintenance drugs are written in the registration form**</td> <td style="border-bottom: 1px solid black; width: 55px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">1.5<</td> <td style="border-bottom: 1px solid black; width: 68px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">4.70</td> </tr> <tr> <td style="border-bottom: 1px solid black; width: 30px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">19</td> <td style="border-bottom: 1px solid black; width: 264px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">The name, dose and time of administration of other drugs required during the procedure are written in the registration form***</td> <td style="border-bottom: 1px solid black; width: 55px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">1.5<</td> <td style="border-bottom: 1px solid black; width: 68px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">4.70</td> </tr> </tbody> </table> <div style="text-align: center;">*If there is a need to mention more information about the concentration of the drug **Using capital letters in writing the names of drugs with similar names to emphasize the  difference in the names ***Infusion of drugs**** such as drugs that neutralize the effect of neuromuscular relaxants, drugs To control pain, nausea and vomiting, inflammation, etc <div aria-label="Page Break" class="cke_pagebreak" contenteditable="false" data-cke-display-name="pagebreak" data-cke-pagebreak="1" style="page-break-after:always" title="Page Break"></div> Table 2) The content validity of checklist items for the evaluation of the guidelines  for registration and labeling of anesthetic drugs in the operating room</div> <table align="center" class="MsoTableGrid" style="border-collapse:collapse; border:none"> <tbody> <tr> <td style="border-bottom: 1px solid black; width: 30px; padding: 0cm 2px; height: 30px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;">Row</td> <td style="border-bottom: 1px solid black; width: 283px; padding: 0cm 2px; height: 30px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;">Items</td> <td style="border-bottom: 1px solid black; width: 35px; padding: 0cm 2px; height: 30px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;">CVR</td> <td style="border-bottom: 1px solid black; width: 35px; padding: 0cm 2px; height: 30px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;">CVI</td> </tr> <tr> <td style="border-bottom: 1px solid black; width: 30px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">1</td> <td style="border-bottom: 1px solid black; width: 283px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">All medication syringes are labeled as soon as they are prepared.</td> <td style="border-bottom: 1px solid black; width: 35px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">1</td> <td style="border-bottom: 1px solid black; width: 35px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">1</td> </tr> <tr> <td style="border-bottom: 1px solid black; width: 30px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">2</td> <td style="border-bottom: 1px solid black; width: 283px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">Labels with appropriate size and transparent background have been used.</td> <td style="border-bottom: 1px solid black; width: 35px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">0.80</td> <td style="border-bottom: 1px solid black; width: 35px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">1</td> </tr> <tr> <td style="border-bottom: 1px solid black; width: 30px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">3</td> <td style="border-bottom: 1px solid black; width: 283px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">Colored medicinal labels have been used.</td> <td style="border-bottom: 1px solid black; width: 35px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">0.80</td> <td style="border-bottom: 1px solid black; width: 35px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">0.80</td> </tr> <tr> <td style="border-bottom: 1px solid black; width: 30px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">4</td> <td style="border-bottom: 1px solid black; width: 283px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">Labels are inserted vertically or below the graduation lines on the syringe.</td> <td style="border-bottom: 1px solid black; width: 35px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">0.80</td> <td style="border-bottom: 1px solid black; width: 35px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">1</td> </tr> <tr> <td style="border-bottom: 1px solid black; width: 30px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">5</td> <td style="border-bottom: 1px solid black; width: 283px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">The full generic name of the drugs is written on the syringe label.</td> <td style="border-bottom: 1px solid black; width: 35px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">1</td> <td style="border-bottom: 1px solid black; width: 35px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">1</td> </tr> <tr> <td style="border-bottom: 1px solid black; width: 30px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">6</td> <td style="border-bottom: 1px solid black; width: 283px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">The concentration of drugs in units per milliliter is written on the syringe label.</td> <td style="border-bottom: 1px solid black; width: 35px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">1</td> <td style="border-bottom: 1px solid black; width: 35px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">1</td> </tr> <tr> <td style="border-bottom: 1px solid black; width: 30px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">7</td> <td style="border-bottom: 1px solid black; width: 283px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">The medicinal concentration units are fully written on the syringe label. If needed, the unit of micrograms is written in mcg and the unit of milligrams is written in mg on the syringe label.*</td> <td style="border-bottom: 1px solid black; width: 35px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">1</td> <td style="border-bottom: 1px solid black; width: 35px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">1</td> </tr> <tr> <td style="border-bottom: 1px solid black; width: 30px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">8</td> <td style="border-bottom: 1px solid black; width: 283px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">The time of drug preparation is written on the syringe label.</td> <td style="border-bottom: 1px solid black; width: 35px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">0.80</td> <td style="border-bottom: 1px solid black; width: 35px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">1</td> </tr> <tr> <td style="border-bottom: 1px solid black; width: 30px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">9</td> <td style="border-bottom: 1px solid black; width: 283px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">The date of drug preparation is written on the syringe label.</td> <td style="border-bottom: 1px solid black; width: 35px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">0.80</td> <td style="border-bottom: 1px solid black; width: 35px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">1</td> </tr> <tr> <td style="border-bottom: 1px solid black; width: 30px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">10</td> <td style="border-bottom: 1px solid black; width: 283px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">The name of the person preparing the medicine is written on the syringe label.</td> <td style="border-bottom: 1px solid black; width: 35px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">0.20</td> <td style="border-bottom: 1px solid black; width: 35px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">0.80</td> </tr> <tr> <td style="border-bottom: 1px solid black; width: 30px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">11</td> <td style="border-bottom: 1px solid black; width: 283px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">The name and volume of the drug dilution solution is written on the syringe label.</td> <td style="border-bottom: 1px solid black; width: 35px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">0.40</td> <td style="border-bottom: 1px solid black; width: 35px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">0.80</td> </tr> <tr> <td style="border-bottom: 1px solid black; width: 30px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">12</td> <td style="border-bottom: 1px solid black; width: 283px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">The expiration date of the drug after preparation is written on the syringe label.</td> <td style="border-bottom: 1px solid black; width: 35px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">0.20</td> <td style="border-bottom: 1px solid black; width: 35px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">0.80</td> </tr> <tr> <td style="border-bottom: 1px solid black; width: 30px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">13</td> <td style="border-bottom: 1px solid black; width: 283px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">Medication information is legibly written on the syringe label.</td> <td style="border-bottom: 1px solid black; width: 35px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">1</td> <td style="border-bottom: 1px solid black; width: 35px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">0.90</td> </tr> <tr> <td style="border-bottom: 1px solid black; width: 30px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">14</td> <td style="border-bottom: 1px solid black; width: 283px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">Capital letters have been used for drugs with similar names.</td> <td style="border-bottom: 1px solid black; width: 35px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">0.60</td> <td style="border-bottom: 1px solid black; width: 35px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">1</td> </tr> <tr> <td style="border-bottom: 1px solid black; width: 30px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">15</td> <td style="border-bottom: 1px solid black; width: 283px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">Drug information is not deleted after being recorded on the syringe label.</td> <td style="border-bottom: 1px solid black; width: 35px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">0.80</td> <td style="border-bottom: 1px solid black; width: 35px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">1</td> </tr> <tr> <td style="border-bottom: 1px solid black; width: 30px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">16</td> <td style="border-bottom: 1px solid black; width: 283px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">The drug information is written in the registration sheet immediately after the injection to the patient.</td> <td style="border-bottom: 1px solid black; width: 35px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">0.80</td> <td style="border-bottom: 1px solid black; width: 35px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">0.80</td> </tr> <tr> <td style="border-bottom: 1px solid black; width: 30px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">17</td> <td style="border-bottom: 1px solid black; width: 283px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">The name, dose, and time of administration of anesthesia-inducing drugs are written in the registration form.</td> <td style="border-bottom: 1px solid black; width: 35px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">1</td> <td style="border-bottom: 1px solid black; width: 35px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">1</td> </tr> <tr> <td style="border-bottom: 1px solid black; width: 30px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">18</td> <td style="border-bottom: 1px solid black; width: 283px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">The name, dose and time of administration of anesthesia maintenance drugs are written in the registration form**</td> <td style="border-bottom: 1px solid black; width: 35px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">0.80</td> <td style="border-bottom: 1px solid black; width: 35px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">1</td> </tr> <tr> <td style="border-bottom: 1px solid black; width: 30px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">19</td> <td style="border-bottom: 1px solid black; width: 283px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">The name, dose and time of administration of other drugs required during the procedure are written in the registration form***</td> <td style="border-bottom: 1px solid black; width: 35px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">1</td> <td style="border-bottom: 1px solid black; width: 35px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">1</td> </tr> </tbody> </table> <div style="text-align: center;">* If it is necessary to mention more information about the concentration of the drug ** Using capital letters in writing the names of drugs with similar names to emphasize the  difference in the names *** Infusion of drugs **** such as drugs that neutralize the effect of neuromuscular relaxants, drugs for Control of pain, nausea and vomiting, inflammation, etc <div aria-label="Page Break" class="cke_pagebreak" contenteditable="false" data-cke-display-name="pagebreak" data-cke-pagebreak="1" style="page-break-after:always" title="Page Break"></div> Table 3) intraclass correlation coefficient (ICC) to check reliability (retest reliability)</div> <table align="center" class="TableGrid4" style="border-collapse:collapse; border:none"> <tbody> <tr> <td style="border-bottom: 1px solid black; width: 85px; padding: 0cm 2px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;">ICC</td> <td style="border-bottom: 1px solid black; width: 76px; padding: 0cm 2px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;">Number of items</td> <td style="border-bottom: 1px solid black; width: 95px; padding: 0cm 2px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;">lower limit ICC</td> <td style="border-bottom: 1px solid black; width: 76px; padding: 0cm 2px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;">upper limit ICC</td> <td style="border-bottom: 1px solid black; padding: 0cm 2px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;">Possibility</td> </tr> <tr> <td style="border-bottom: 1px solid black; width: 85px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">0.992</td> <td style="border-bottom: 1px solid black; width: 76px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">16</td> <td style="border-bottom: 1px solid black; width: 95px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">0.980</td> <td style="border-bottom: 1px solid black; width: 76px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">0.997</td> <td style="border-bottom: 1px solid black; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">0.001></td> </tr> </tbody> </table> <div style="text-align: center;"> <div aria-label="Page Break" class="cke_pagebreak" contenteditable="false" data-cke-display-name="pagebreak" data-cke-pagebreak="1" style="page-break-after:always" title="Page Break"></div> Table 4) intraclass correlation coefficient (ICC) to check reliability (Inter-rater agreement)</div> <table align="center" class="MsoTableGrid" style="border-collapse:collapse; border:none"> <tbody> <tr> <td style="border-bottom: 1px solid black; width: 76px; padding: 0cm 2px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;">ICC</td> <td style="border-bottom: 1px solid black; width: 76px; padding: 0cm 2px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;">Number of items</td> <td style="border-bottom: 1px solid black; width: 104px; padding: 0cm 2px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;">lower limit ICC</td> <td style="border-bottom: 1px solid black; width: 96px; padding: 0cm 2px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;">upper limit ICC</td> <td style="border-bottom: 1px solid black; padding: 0cm 2px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;">Possibility</td> </tr> <tr> <td style="border-bottom: 1px solid black; width: 76px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">0.987</td> <td style="border-bottom: 1px solid black; width: 76px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">16</td> <td style="border-bottom: 1px solid black; width: 104px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">0.968</td> <td style="border-bottom: 1px solid black; width: 96px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">0.995</td> <td style="border-bottom: 1px solid black; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;">0.001></td> </tr> </tbody> </table>  </div> روان‌سنجی,چک‌لیست,ثبت,برچسب‌گذاری,داروهای بیهوشی, Psychometrics,Checklist,Registration,Labeling,Anesthetic Drugs, 1 13 http://jpmed.ir/browse.php?a_code=A-10-1291-1&slc_lang=fa&sid=1 Parisa Moradimajd پریسا مرادی مجد moradimajd.p@gmail.com 100319475328460013488 100319475328460013488 Yes Department of Anesthesia, Faculty of Paramedicine, Iran University of Medical Sciences, Tehran, Iran گروه هوشبری، دانشکده پیراپزشکی، دانشگاه علوم پزشکی ایران، تهران، ایران Shaqayeq Taghizadeh شقایق تقی‌زاده 100319475328460013489 100319475328460013489 No Department of Anesthesia, Faculty of Paramedicine, Iran University of Medical Sciences, Tehran, Iran گروه هوشبری، دانشکده پیراپزشکی، دانشگاه علوم پزشکی ایران، تهران، ایران Shahnam Sedigh Maroufi شهنام صدیق معروفی 100319475328460013490 100319475328460013490 No Department of Anesthesia, Faculty of Paramedicine, Iran University of Medical Sciences, Tehran, Iran گروه هوشبری، دانشکده پیراپزشکی، دانشگاه علوم پزشکی ایران، تهران، ایران اعظم ساعی 100319475328460013491 100319475328460013491 No Research Center for Trauma in Police Operations, Directorate of Health, Rescue & Treatment, Police Headquarter, Tehran, Iran مرکز تحقیقات تروما در عملیات پلیس، معاونت بهداشت، امداد و درمان، فرماندهی انتظامی، تهران، ایران جمیله ابوالقاسمی 100319475328460013492 100319475328460013492 No Department of Biostatistics, Faculty of Health, Iran University of Medical Sciences, Tehran, Iran گروه آمار زیستی، دانشکده بهداشت، دانشگاه علوم پزشکی ایران، تهران، ایران