基于德尔菲法和层次分析法构建外科药学风险管理指标体系  

Construction of Surgical Pharmaceutical Risk Management Index System by Delphi Method and Analytic Hierarchy Process

作　　者：王晓娟[1] 张瑞[1] 曹雨晴 张毅[1] 乔丽娟 郝洁[1] 杜书章[1] WANG Xiaojuan;ZHANG Rui;CAO Yuqing;ZHANG Yi;QIAO Lijuan;HAO Jie;DU Shuzhang(Department of Pharmacy,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院药学部,郑州450052

出　　处：《医药导报》2025年第5期823-828,共6页Herald of Medicine

基　　金：河南省医学科技攻关联合共建项目(2018020073)。

摘　　要：目的构建外科药学服务风险管理指标体系,以提高外科药学服务质量。方法通过查阅文献、咨询专家初步拟定风险管理指标体系,采用德尔菲法对20名专家进行函询,经过2轮函询确立外科药学风险管理指标体系,并运用层次分析法确定各指标权重。结果最终确定的外科药学风险管理指标体系包含4项一级指标、14项二级指标及71项三级指标。2轮专家函询问卷回收率均为100.00%,权威系数为0.832,2轮函询的一、二、三级指标的肯德尔协调系数分别为0.743、0.491、0.277(P<0.05)。确定了各个指标的权重,并通过了一致性检验,权重占比较大的一级指标是专业因素和药师因素。结论构建的外科药学风险管理指标体系科学、实用,可为外科药师的临床工作提供参考,最大限度地规避风险。Objective To construct a surgical pharmaceutical risk management index system and then to enhance surgical pharmaceutical service quality.Methods Literature research and consulting pharmaceutical experts were used to collect relevant data and construct initial scale items.The Delphi expert consultation method was used to revise and improve indicators with 20 experts,after 2 rounds of inquiry improvement.The analytic hierarchy process(AHP)was used to calculate the weight of each indicator,finally forming the surgical pharmaceutical risk management index system.Results The final construction of the scale entries includes four dimensions,14 second-grade indexes,and 71 third-grade indexes.The questionnaire response rates were 100.00%,while the authority coefficient of experts was 0.832.In the consultation,the harmony coefficients of the first,second,and third indicators were 0.743,0.491,and 0.277,respectively.The AHP was used to determine the weights of indicators,and the result passed the consistency test.The professional factors and pharmacist factors of the first indicators are large in weight.Conclusion The constructed surgical pharmaceutical risk management index system is scientific and practical,which can provide a reference for the clinical work of surgeons and maximize the risk of avoidance.

关 键 词：外科药学 风险管理 指标体系 德尔菲法 层次分析法 

分 类 号：R982[医药卫生—药品] R95[医药卫生—药学]