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门诊患者突发意外事件应急防御安全指标体系构建
发布人：yaot 发布时间：2023/2/1 11:43:45 浏览次数：1298次
——肖华丽 周金艳 屈梅香 陈永红 刘智群 廖红兰 陈云芳
【摘要】目的 构建门诊患者突发意外事件应急防御安全指标体系。方法 研究小组通过理论分析、文献回顾、半结构式访谈构建指标体系框架，邀请来自北京、上海、广东、浙江、山东、湖南等省市19名专家进行两轮咨询以筛选指标，运用层次分析法计算各级指标权重。结果 形成了包含5项一级指标、13项二级指标、57项三级指标的门诊患者突发意外事件应急防御安全指标体系。两轮咨询专家积极系数分别为86.4%和100%，第二轮咨询专家权威系数为0.85，第二轮咨询专家协调系数为0.169。三级指标权重在0.004 4～0.046 0之间。结论 构建的门诊患者突发意外事件应急防御安全指标体系具有一定科学性和实用性，可用于门诊患者突发意外事件应急防御安全管理实践。
【关键词】门诊；突发意外事件；应急防御；安全指标；患者安全
中图分类号：R197.323文献标识码：A
Establishment of Safety Index System of Emergency Defense for Outpatient Emergencies/XIAO Huali,ZHOU Jinyan,QU Meixiang,et al.//Chinese Health Quality Management，2023,30(1):21-25
Abstract Objective To construct the safety index system of emergency defense for outpatient emergencies.Methods The research team constructed the framework of the index system through theoretical analysis, literature review and semi-structured interview, invited 19 experts from Beijing, Shanghai, Guangdong, Zhejiang, Shandong, Hunan and other provinces and cities for two rounds of consultation to screen the indicators, and calculated the weights of indicators at all levels by using the analytic hierarchy process.Results An emergency defense safety index system for outpatient emergencies had been formed, which included 5 first-level indexes, 13 second-level indexes and 57 third-level indexes. The positive coefficients of experts in the two rounds of consultation were 86.4% and 100%, the authority coefficient of experts in the second round was 0.85, and the coordination coefficient of experts in the second round was 0.169. The weight of the three level index was between 0.004 4 and 0.046 0. Conclusion The constructed safety index system of emergency defense for outpatients is scientific and practical, and can be used in the practice of emergency defense safety management for outpatients.
Key words Outpatient Clinic; Emergency; Emergency Defense; Safety Indicators; Patient Safety
Firstauthor's address Shenzhen Qianhai Shekou Free Trade Zone Hospital, Shenzhen, Guangdong,518036, China
门诊患者突发意外事件应急防御安全管理是医院管理的重要组成部分。门诊患者突发意外事件是指患者及其家属在门诊挂号、候诊、就诊、缴费、取药和治疗等过程中突然发生意识丧失、急性循环功能或呼吸功能严重障碍等危及生命的急性非预期事件［1］。综合医院门诊患者突发意外事件概率为每1万门诊量0.91人次～1.18人次［2］。门诊由于公共区域分布广、布局不集中、人员配备不充足及人员急救经验少等，医务人员应急意识和急救能力较临床科室明显不足［3］。一旦出现不良后果，直接关系到患者生命安全，引发医患纠纷，同时会对医院社会声誉产生不利影响。目前，尚未有门诊患者突发意外事件应急防御安全体系研究。本研究通过德尔菲法构建门诊患者突发意外事件应急防御安全指标体系，旨在提高医院门诊管理水平，保障门诊患者安全。1研究方法
1.1成立研究小组
研究小组成员包括急诊医学科副主任医师1名、呼吸与危重症医学科副主任医师1名、心血管内科副主任医师1名、门诊部主任1名、门诊护士长1名、门诊高年资护士2名、护理研究生导师1名以及在读硕士1名。研究小组主要负责拟定体系基本框架，选取咨询专家，制定专家咨询表，发放和回收咨询表，统计分析数据等。
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