基于结构-过程-结果三维质量评价模型急诊预检分诊质量评价指标体系的构建  

Construction of quality evaluation index system of emergency triage based on structure-process-outcome model

作　　者：朱读伟 姜梅英[1] 胡少华[2] 周娟婷 刘玉妮 朱宏梅[1] 俞凤[1] ZHU Du-wei;JIANG Mei-ying;HU Shao-hua;ZHOU Juan-ting;LIU Yu-ni;ZHU Hong-mei;YU Feng(Dept.of Emergency,the First Affiliated Hospital of Anhui Medical University,Hefei 230022,China;Dept.of Nursing Administration,the First Affiliated Hospital of Anhui Medical University,Hefei 230022,China)

机构地区：[1]安徽医科大学第一附属医院急诊科,安徽合肥230022 [2]安徽医科大学第一附属医院护理部,安徽合肥230022

出　　处：《护理学报》2023年第9期69-74,共6页Journal of Nursing（China）

基　　金：安徽省级临床重点专科建设项目(皖卫传2019-91号)。

摘　　要：目的构建急诊预检分诊质量评价指标体系,用于指导临床实践。方法以“结构-过程-结果”三维质量评价模型为理论指导,采用文献研究、现场调研、半结构式访谈的方法初步拟定指标体系并编制专家函询问卷,采用德尔菲法对20名专家进行2轮函询,运用层次分析法确定各指标权重。结果2轮函询问卷有效回收率均为100%,专家权威系数分别为0.925、0.950,肯德尔和谐系数分别为0.170、0.196,P<0.001。最终确定的急诊预检分诊质量评价指标体系包括3个一级指标、13个二级指标、68个三级指标。结论构建的急诊预检分诊质量评价指标体系内容全面、科学可靠,对科学评价急诊预检分诊质量具有指导意义。Objective To construct a quality evaluation index system of emergency triage for clinical practice.Methods With a structure-process-outcome model,the draft of quality evaluation index system was constructed through literature review,field investigation and semi-structured interview.Two rounds of consultation were conducted in 20 experts with Delphi technique and analytic hierarchy process was adopted to determine the weight of indicators of all levels.Results The response rate of two rounds of expert consultation was both 100%;authority coefficient 0.925 and 0.950 respectively,and concordance coefficient 0.170 and 0.196 respectively(P<0.001).The final quality evaluation index system of emergency triage consisted of 3 first-level,13 second-level and 68 third-level indicators.Conclusion The evaluation index system of emergency triage is scientific and reliable,which provides reference for evaluating the quality of emergency triage.

关 键 词：急诊 预检分诊 指标体系 德尔菲技术 

分 类 号：R459.7[医药卫生—急诊医学]