基于企业风险管理-整合框架的日间手术患者护理安全管理指标的构建  

Establishment of indicators for day-surgery patients’ safety management based on the Enterprise Risk ManagementIntegrated Framework

作　　者：王晓杰[1] 于雁 楚蔚昕[3] 陈静[4] 王升英[5] 商晓芬[6] WANG Xiaojie;YU Yan;CHU Weixin;CHEN Jing;WANG Shengying;SHANG Xiaofen(School of Nursing,Qingdao University,Qingdao,Shandong province,266021,China)

机构地区：[1]青岛大学护理学院,山东省青岛市266021 [2]青岛市市立医院质量管理科 [3]青岛市市立医院妇科 [4]青岛市市立医院普外科 [5]青岛市市立医院运动与骨关节外科 [6]青岛市市立医院五官科

出　　处：《中国护理管理》2023年第2期250-255,共6页Chinese Nursing Management

摘　　要：目的 :构建基于企业风险管理-整合框架的日间手术患者护理安全管理指标。方法 :以企业风险管理-整合框架的目标、要素、层面为结构框架,采用文献回顾法、现状调查法和德尔菲法,构建日间手术患者护理安全管理指标,并用层次分析法确定各指标权重。结果 :构建的日间手术患者护理安全管理指标包含3项一级指标,12项二级指标,41项三级指标。本研究共进行两轮专家函询,有效回收率均为100.00%,权威系数分别为0.892与0.920,专家函询肯德尔协调系数分别为0.224和0.230(P<0.001)。结论 :本研究构建的日间手术患者护理安全管理指标,可为临床提供日间手术患者安全护理的标准,值得临床推广应用。Objective: To develop indicators for day-surgery patients’ safety management based on the Enterprise Risk Management-Integrated Framework(COSO-ERM framework). Methods: Drawing on the elements of COSO-ERM framework, we used the literature review, survey and Delphi methods to develop nursing safety management indictors for day-surgery patients. The weight of each indicator was determined by analytic hierarchy process. Results: We developed indicators for day-surgery patients’ safety management, which included 3 first-level indicators, 12 second-level indicators and 41 third-level indicators. In this study, the return rates of the two rounds of Delphi were both 100%. The authority coefficients were 0.892 and 0.920 respectively, and the Kendall’s coordination coefficients were 0.224 and 0.230 respectively(P<0.001).Conclusion: The safety management indicators for day-surgery patients developed in this study provides the standard for safe nursing care of day-surgery patients, and is worthy of clinical application and promotion.

关 键 词：企业风险管理-整合框架 日间手术 护理 安全管理 德尔菲法 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]