基于Ridit和RSR法的临床手术科室风险系数及其风险等级评价  

Risk Coefficient and Risk Level of Clinical Surgery Departments Based on Ridit and RSR Methods

作　　者：侯天春 吴正一 崔迎慧 柏金喜[2] HOU Tian-chun;WU Zheng-yi;CUI Ying-hui(School of Public Health,Shanghai Jiaotong University,Shanghai,200025,China)

机构地区：[1]上海交通大学公共卫生学院,上海200025 [2]上海交通大学医学院附属第九人民医院,上海200011

出　　处：《中国医院管理》2021年第1期48-51,62,共5页Chinese Hospital Management

基　　金：上海市卫生健康委员会科研课题项目(201840065)。

摘　　要：目的探寻构建临床手术科室风险系数并客观评价其风险等级的方法。方法结合Ridit法与RSR法,对临床手术科室风险系数进行分档评级。结果手术科室风险系数(Ki)=各科室平均Ridit值+三四级手术占比+复杂病人占用床日比。后期通过运用RSR法和最佳分档准则,将Ki值分为3档,即临床手术科室风险分为3个等级:第一级为低风险科室,第二级为一般风险科室,第三级为高风险科室。结论利用临床手术科室风险系数Ki值反映各科承担的手术风险,能相对客观公正地表现临床医生的工作量和工作强度,有利于优化医院内部运营绩效考核与分配等工作。Objective To explore the method of constructing the risk coefficient of clinical surgery department and to evaluate its risk level objectively.Methods Combined with Ridit method and RSR method,the risk coefficient of clinical surgery department was graded.Results The risk coefficient(Ki)=the average Ridit value of each department+the ratio of three-and four-level operations+the daily ratio of complex patients.Combined with the RSR method and Best Classification Criteria,the Ki value was divided into three levels,namely,the risk of the clinical surgery department was divided into three grades:the first represents low-risk department,the second represents general-risk department,and the third represents high-risk department.Conclusion The use of risk coefficient Ki value in clinical surgery departments to reflect the surgical risks undertaken by each department can show the workload and work intensity of clinicians relatively objectively and impartially,which is conducive to optimizing the performance assessment and distribution of hospital internal operation.

关 键 词：RIDIT法 秩和比法 风险系数 风险等级 

分 类 号：R197.323.4[医药卫生—卫生事业管理]