基于德尔菲法和层次分析法的日间手术质量与安全评价指标体系构建  

Construction of evaluation index system for day surgery quality and safety based on Delphi method and analytic hierarchy process

作　　者：莫洋[1] 袁磊[1] 刘蔚东[2] 黄耿文[1] MO Yang;YUAN Lei;LIU Weidong;HUANG Gengwen(Department of Medical Affairs,Xiangya Hospital,Central South University,Changsha,Hunan 410008,P.R.China;Day Surgery Center,Xiangya Hospital,Central South University,Changsha,Hunan 410008,P.R.China)

机构地区：[1]中南大学湘雅医院医务部,长沙410008 [2]中南大学湘雅医院日间手术中心,长沙410008

出　　处：《华西医学》2024年第2期184-189,共6页West China Medical Journal

基　　金：中南大学湘雅医院管理研究基金(2021GL20)。

摘　　要：目的 构建日间手术质量与安全评价指标体系,为日间手术质量的监测及管理提供标准、可量化的依据。方法 2021年12月-2022年5月以“结构-过程-结果”三维质量评价模型为理论框架,采用德尔菲法针对15位日间手术相关管理专家进行2轮函询,利用层次分析法计算各指标权重。结果 2轮函询问卷的有效回收率均为100%,专家权威系数分别为0.94和0.98,变异系数分别为0.00~0.30和0.00~0.24,肯德尔和谐系数为0.382(P<0.05)和0.266(P<0.05),所有层级指标的一致性比率均<0.1。最终构建的日间手术质量与安全评价指标体系包括一级指标3项、二级指标10项、三级指标43项。结论 构建的日间手术质量与安全评价指标体系科学合理、内容全面,可为日间手术的质量和安全评价提供参考依据,扎实推进公立医院高质量发展。Objective To establish an evaluation index system for the quality and safety of day surgery,and provide standard and professional quantitative bases for monitoring and management of day surgery quality.Methods From December 2021 to May 2022,based on the frame work of the three-dimensional“structure-process-outcome”quality model,two rounds of Delphi method interviews were conducted with 15 day surgery-related management experts,and analytic hierarchy process was used to calculate the weight of each index.Results The effective questionnaire recovery rates of the two rounds of surveys were both 100%;the expert authority coefficients were 0.94 and 0.98,respectively;the variation coefficients were 0.00-0.30 and 0.00-0.24,respectively;the Kendall coordination coefficients were 0.382(P<0.05)and 0.266(P<0.05),respectively;and the consistency ratios of all levels were less than 0.1.The final day surgery quality and safety evaluation index system included 3 first-level indicators,10 second-level indicators,and 43 third-level indicators.Conclusions The quality and safety evaluation index system of day surgery is scientific,reasonable and comprehensive.It can provide a reference for the quality and safety evaluation of day surgery and solidly promote the high-quality development of public hospitals.

关 键 词：日间手术 高质量发展 质量指标 德尔菲法 层次分析法 

分 类 号：R197.323[医药卫生—卫生事业管理]