摘要
目的构建新的重症医学医疗质量控制指标体系,为持续改进医疗质量提供参考。方法成立研究小组,通过查阅文献、课题组讨论、总结国内外经验,以“结构-过程-结果”理论为指导,初步拟定重症医学医疗质量控制指标,并通过两轮德尔菲专家函询构建新重症医学医疗质量控制指标体系。结果两轮专家函询问卷回收率均为100%,专家权威系数分别为0.805和0.800,协调系数在第二轮函询后一级、二级指标分别为0.379和0.570(P<0.05)。最终确定指标体系包含一级指标3项、二级指标17项。结论构建的新重症医学医疗质量控制指标体系具有一定可靠性和合理性,但在应用中还需不断完善。
Objective To construct a new medical quality control index system for critical care medicine to provide reference for improvement of medical quality.Methods A research group was set up to preliminarily formulate medical quality control indicators for critical care medicine by reviewing literature,discussing in the research group,summarizing domestic and foreign experience,and guided by the"structure-process-result"theory.Finally,the medical quality control index system of critical care medicine was constructed through two rounds of Delphi expert consultation.Results The questionnaires collection rate of the two rounds of expert consultation was 100%.The expert authority coefficients were 0.805and 0.800,respectively.The coordination coefficients were 0.379and 0.570(P<0.05)after the second round of expert consultation.The final index system includes 3first-level indexes and 17second-level indexes.Conclusion The new medical quality control index system of critical care medicine has certain reliability and rationality,but it still needs to be improved in application.
作者
李增辉
高嗣法
马旭东
李奇
李尊柱
苏龙翔
杜微
周翔
刘大为
杨涛
LI Zenghui;GAO Sifa;MA Xudong(不详;State Key Laboratory of Difficult Severe and Rare Diseases,Chinese Academy of Medical Sciences,Peking Union Medical College,Beijing,100730,China)
出处
《中国卫生质量管理》
2022年第3期26-29,共4页
Chinese Health Quality Management
基金
国家重点研发计划“公共安全风险防控与应急技术装备”重点专项(2020YFC0861000)
中国医学科学院医学与健康科技创新工程项目(2020-I2M-CoV19-001)
2019年度北京协和医学院校级在线开放课程建设项目
2020CMBOpenCompetitionProgram(No.20-381)
2020年度中国卫生信息与健康医疗大数据学会应急项目专项基金。
关键词
重症医学
医疗质量
指标体系
指标构建
Critical Care Medicine
Medical Quality
Quality Indicators
Indicator Construction
