医院感染管理质量评价指标体系构建及综合评价实证研究  

Construction of a healthcare-associated infection management quality evaluation index system and an empirical study of comprehensive evaluation

作　　者：黄文治[1,2] 尹维佳 乔甫[1] 张伟[2] HUANG Wenzhi;YIN Weijia;QIAO Fu;ZHANG Wei(Department of Infection Control,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China;Institute of Hospital Management,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China)

机构地区：[1]四川大学华西医院医院感染管理部,成都610041 [2]四川大学华西医院医院管理研究所,成都610041

出　　处：《华西医学》2022年第3期349-356,共8页West China Medical Journal

基　　金：四川省软科学研究计划项目(2017ZR0170)。

摘　　要：目的构建医院感染管理质量评价指标体系,并用以对临床科室的医院感染管理质量进行实证评价。方法2018年1月-12月采用文献研究法和专题小组讨论法初步形成医院感染管理质量评价指标体系框架,采用德尔菲法和层次分析法确立指标体系及权重。收集2018年四川大学华西医院临床科室各指标数据,采用密切值法、优劣解距离法等8种综合评价方法对临床科室的医院感染管理质量进行评价,采用肯德尔和谐系数(W)评价各评价结果的一致性,以各评价方法的标化分的均数作为标化总分,得到科室排序情况。结果最终确立的医院感染管理质量评价指标体系由3个一级指标和15个二级指标构成,各综合评价方法对于四川大学华西医院39个临床科室的医院感染管理质量评价结果具有一致性(W=0.952,χ^(2)=259.800,P<0.001)。科室18的标化总分为100分,排在第1位。结论构建的医院感染管理质量评价指标体系可与综合评价方法相结合用于临床科室的医院感染管理质量评价。Objective To construct a quality evaluation index system for healthcare-associated infection(HAI) management,and conduct an empirical evaluation on the quality of HAI management in clinical departments.Methods The literature research method and panel discussion method were adopted to initially form the framework of HAI management quality evaluation index system,and the Delphi method and the analytic hierarchy process were used to establish the index system and determine the weights from January to December 2018.Eight comprehensive evaluation methods,such as osculating value method and technique for order preference by similarity to an ideal solution method,were used to evaluate the quality of HAI management in clinical departments of West China Hospital,Sichuan University in 2018.Kendall’s coefficient of concordance(W)was used to assess the consistency of the results.The clinical departments were ranked by the standardized total scores,which were the means of the normalized scores of the eight methods.Results A quality evaluation index system for HAI management with 3 first-level indicators and 15 second-level indicators was established finally.The results of the eight comprehensive evaluation methods for the quality evaluation of HAI management in 39 clinical departments of West China Hospital,Sichuan University were consistent(W=0.952,χ^(2)=259.800,P<0.001).The standardized total score of Department 18 was 100,which ranked the first place.Conclusion The HAI management quality evaluation index system constructed in this study could be used in clinical departments to evaluate the quality of HAI management in combination with comprehensive evaluation methods.

关 键 词：医院感染 指标体系 层次分析法 综合评价法 

分 类 号：R197.323[医药卫生—卫生事业管理]