[1]姚远许宏张璇毛丽张文一徐家骅姚远许宏张璇毛丽张文一徐家骅*.应用改良Delphi法构建医疗安全（不良）事件管理指标体系[J].中国卫生质量管理,2021,28(01):9-14.[doi:10.13912/j.cnki.chqm.2021.28.1.03 ]
　YAO Yuan,XU Hong,ZHANG Xuan.Application of the Improved Delphi Method to Establish the Medical Safety (Adverse) Events Management Index System[J].Chinese Health Quality Management,2021,28(01):9-14.[doi:10.13912/j.cnki.chqm.2021.28.1.03 ]

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应用改良Delphi法构建医疗安全（不良）事件管理指标体系

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第28卷期数: 2021年01期页码: 9-14 栏目: 特别关注出版日期: 2021-01-28

Title:: Application of the Improved Delphi Method to Establish the Medical Safety (Adverse) Events Management Index System

作者:: 姚远许宏张璇毛丽张文一徐家骅姚远1许宏2张璇1毛丽1张文一1徐家骅3*; 中国人民解放军总医院

Author(s):: YAO Yuan; XU Hong; ZHANG Xuan; Chinese PLA General Hospital

关键词:: Delphi法; 医疗安全（不良）事件; 指标体系

Keywords:: Delphi Method; Medical (Adverse) Events; Index System

分类号:: R197.323

DOI:: 10.13912/j.cnki.chqm.2021.28.1.03

文献标志码:: A

摘要:: 目的基于标准化管理视角构建医疗安全（不良）事件管理指标体系。方法应用循证法、经验参照法建立指标体系草案，采用改良Delphi法，提升预测指标体系的准确性。结果医疗安全（不良）事件管理指标体系包括3个一级指标，15个二级指标，70个三级指标。三轮问卷应答率分别是96％、94％、86％；专家权威系数为0.88；变异系数随着咨询次数增加而减小，专家意见趋势集中。结论专家意见协调程度较高，研究构建的医疗安全（不良）事件管理指标体系结果可取。

Abstract:: ObjectiveTo construct the medical safety (adverse) events management index system based on standardized management perspective.MethodsThe draft index system was established by using the evidence-based method and experience reference method, and the accuracy of the prediction index system was improved by using the improved Delphi method.ResultsThe medical safety (adverse) events management index system included 3 first-level indexes, 15 second-level indexes and 70 third-level indexes. The response rates of the three rounds of questionnaire were 96%、94%、86%, respectively. The authority coefficient of experts was 0.88, the variation coefficient decreased with the increase of consultation times, and the trend of expert opinion was concentrated.Conclusion The coordination degree of expert opinions was high, and the constructed medical safety (adverse) events management index system was desirable.

参考文献/References:

［1］陈同鑑.美国医疗机构评审国际联合委员会医院评审标准（第6版）［M］.北京:中国协和医科大学出版社,2017:1-3. ［2］World Health Organization.Patient safety［EB/OL］.［2019-05-28］.https://apps.who.int/gb/ebwha/pdf_files/WHA72/A72_R6-ch.pdf. ［3］中国医院协会.三级综合医院评审标准条款评价要素与方法说明［M］.北京：人民军医出版社，2011：70-71. ［4］中国医院协会.中国医院质量安全管理团体标准医疗安全（不良）事件管理标准［T/CHAS 10-4-6-2018］［Z］.2018. ［5］360百科.德尔菲法［EB/OL］.［2019-09-02］.https://baike.so.com/doc/5395050-5632202.html. ［6］姚远,孙业勤,毛丽,等.医疗安全(不良)事件管理标准研究［J］.中华医院管理杂志, 2018, 34(12):984-988. ［7］姚远，刘月辉，张文一,等. 医疗安全（不良）事件标准化管理研究［J］.中国卫生质量管理,2016,23(1):3-5. ［8］藏磊,海涌,范宁,等.应用改良Delphi法制定神经根型颈椎病治疗专家共识［J］.中华骨科杂志,2015,35(9):890-897. ［9］夏萍,吴大嵘,黄雪莹，等.基于德尔菲法的临床路径管理评价指标体系研究［J］.中华医院管理杂志, 2012, 28(11):811-817. ［10］夏聪，许军，杨枭楠，等.德尔菲法在上市后药品价值评价指标体系构建中的应用［J］.中国卫生质量管理, 2017, 39(5):358-360.

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更新日期/Last Update: 2021-01-28