预防接种门诊接种风险评估研究  

A study on the integrated application of risk matrix and analytic hierarchy process in risk assessment of vaccination operation

作　　者：何奔[1] 向泽林[1] 陈中文[1] 沈国初 杜哲群 朱红良[1] 

机构地区：[1]嘉兴市疾病预防控制中心,浙江嘉兴314050

出　　处：《预防医学》2016年第8期776-780,共5页CHINA PREVENTIVE MEDICINE JOURNAL

基　　金：2014年浙江省预防医学会软课题计划(2014YF03);2015年省医药卫生一般研究计划(B类)科研项目(2015KYB392)

摘　　要：目的应用层次分析法和风险矩阵法综合评估预防接种门诊接种风险,为制定预防接种风险应对策略提供依据。方法采用层次分析法和风险矩阵法评价嘉兴市预防接种门诊接种风险发生的可能性和严重性,分析风险权重、风险排序及等级。结果确定第一层(7项)和第二层(31项)预防接种风险,其中第一层E级风险(极严重风险)为疫苗接种实施风险,H级风险(高危险度风险)为预检告知和健康宣传风险、疫苗和冷链管理风险,其中所占权重最大的风险为疫苗接种实施风险(权重系数38.95%);第二层E级风险为接种前"三查七对",H级风险有7项,分别为人员专业素质,人员责任心,预检,接种前告知,接种途径、部位和剂量,接种操作和接种后告知和留观,所占权重最大的风险为接种前"三查七对"(权重系数10.14%);各项权重逻辑一致性检验结果均满意,一致性比率(CR)<0.1。结论风险矩阵法和层次分析法综合评估接种门诊预防接种风险,有助于进一步规范预防接种服务,具有应用推广价值。Objective To evaluate the risks of vaccination operation in order to provide scientific basis for policy makings of vaccination operation.Methods The risk matrix and analytic hierarchy process approach were used to evaluate the risks of vaccination operation,including the possibility,severity,risk weight,and risk level.Results Seven items for the first level and thirty one items for the second level vaccination risk factors were determined.In the first level,E level risk （Extremely serious risk ） was vaccination implementation risk,and H level risk （high risk ） was the risks of pre -notification and health education and risks of vaccine and cold chain management.Vaccination implementation risk accounted the largest weight （weight coefficient=38.95%）.In second level,E level risk was three inspection and seven verification before vaccination,and H level risk were personnel professional quality,personnel responsibility,pre -inspection,informed before vaccination, vaccination route, site and dose, vaccination operation, post vaccination notification and retention,and three inspection and seven verification before vaccination,accounted the largest weight （weight coefficient=10.14%）.The weight of the logical consistency of the test results were satisfactory （consistency ratio〈0.1 ）.Conclusion The integrated application of risk matrix and analytic hierarchy process in risk assessment of vaccination operation helps to further regulate vaccination services and has application and promotion value.

关 键 词：预防接种 风险评估 层次分析法 风险矩阵法 

分 类 号：R186[医药卫生—流行病学]