急诊危重患者院内转运质量评价指标的构建

doi:10.3761/j.issn.0254-1769.2021.03.003

摘要/Abstract

摘要：

目的构建急诊危重患者院内转运质量评价指标,用于指导临床实践,科学评价急诊危重患者院内转运质量。方法以“结构-过程-结果”三维结构理论为指导,采用文献分析法、半结构访谈法、德尔菲专家函询法和层次分析法,筛选指标并确定指标的权重,构建急诊危重患者院内转运质量评价指标。结果 2轮专家函询问卷的有效回收率分别为90%（18/20）和100%（18/18）,专家权威程度系数为0.903,专家意见的肯德尔和谐系数为0.243。最终确定的评价指标包括一级指标3个,二级指标13个,三级指标60个。结论形成的评价指标科学、可靠、合理、内容全面、临床实用性强,可对急诊危重患者院内转运全过程进行连续性科学评价。

关键词: 危重病, 患者转送, 急诊护理, 护理质量审核, 质量指标, 卫生保健, 护理管理研究

Abstract:

Objective To construct a quality evaluation index system for intra-hospital transport of emergency critically ill patients,so as to guide clinical practice and scientifically evaluate the quality of intra-hospital transport of emergency critically ill patients. Methods Based on structure-process-outcome theory,the indicator definition and weight were identified and the quality evaluation index was constructed by literature review,semi-structured interviews,Delphi method and Hierarchy analysis. Results The effective recovery rates of questionnaires in the first and second round expert consultation were 90%（18/20） and 100%（18/18）,respectively. The expert authority coefficient was 0.903,and the Kendall harmony coefficient was 0.243. The finalized evaluation index included 3 first-level indicators,13 second-level indicators and 60 third-level indicators. Conclusion The constructed evaluation index is scientific,reliable,reasonable,comprehensive,and clinically practical. It can provide continuous scientific evaluation for intra-hospital transport of emergency critically ill patients.

Key words: Critical Illness, Transport of Patients, Emergency Nursing Care, Nursing Quality Audit, Quality Indicators, Health Care, Nursing Administration Research

刘盎, 孟倩倩, 张洪磊, 王洪梅, 肖红, 孟丽红. 急诊危重患者院内转运质量评价指标的构建[J]. 中华护理杂志, 2021, 56(3): 336-341.

LIU Ang, MENG Qianqian, ZHANG Honglei, WANG Hongmei, XIAO Hong, MENG Lihong. Construction of a quality evaluation index for intra-hospital transport of emergency critically ill patients[J]. Chinese Journal of Nursing, 2021, 56(3): 336-341.

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