[1]张琦张玉侠徐建鸣冯丽冯志仙黄春美.急诊专科护理质量控制指标构建与应用[J].中国卫生质量管理,2022,29(10):011-16.[doi:10.13912/j.cnki.chqm.2022.29.10.03 ]
　ZHANG Qi,ZHANG Yuxia,XU Jianming.Construction and Application of Nursing Quality Control Index in Emergency Department[J].Chinese Health Quality Management,2022,29(10):011-16.[doi:10.13912/j.cnki.chqm.2022.29.10.03 ]
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急诊专科护理质量控制指标构建与应用
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第29卷
期数:
2022年10期
页码:
011-16
栏目:
特别关注
出版日期:
2022-10-28

文章信息/Info

Title:
Construction and Application of Nursing Quality Control Index in Emergency Department
作者:
张琦张玉侠徐建鸣冯丽冯志仙黄春美
复旦大学附属中山医院
Author(s):
ZHANG Qi; ZHANG Yuxia; XU Jianming
Zhongshan Hospital, Fudan University
关键词:
急诊; 质量指标; 质量控制; 德尔菲法; 层次分析法; 护理质量
Keywords:
Emergency;  Quality Index;  Quality Control;  Delphi Method;  Analytic Hierarchy Process; Nursing Quality
分类号:
R47；R459.7
DOI:
10.13912/j.cnki.chqm.2022.29.10.03
文献标志码:
A
摘要:
目的构建急诊专科护理质量控制指标，为急诊专科护理质量评价与改进提供依据。方法基于文献回顾、小组讨论、专家函询和专家现场论证等构建急诊专科护理质量控制指标，使用层次分析法确定各指标权重，通过专家函询形成急诊专科护理质量控制指标评分表。回顾性收集某三甲综合医院2020年10月-12月指标数据进行资料收集可操作性验证和急诊专科护理质量控制指标评分表应用。结果共确定了包含结构指标1项、过程指标7项的急诊专科护理质量控制指标，指标判断矩阵一致性比例CR为0~0.022 2，指标评分表总内容效度指数为0.90。某三甲综合医院2020年10月-12月8项急诊专科护理质量控制指标分子和分母数据均完整收集并计算得出指标值，仅急诊工作年限≥5 a预检护士占比和急诊患者首次疼痛评估率达到满分。结论本研究构建的急诊专科护理质量控制指标体现了急诊专科特点，指标评分表可量化评价护理质量，能够帮助急诊专科合理设定各项指标改善目标值，有助于不同医疗机构间急诊护理质量比较，但结果质控指标有待进一步研究。
Abstract:
ObjectiveTo construct the nursing quality control index of Emergency Department, so as to provide evidence for the evaluation and improvement of nursing quality in Emergency Department. MethodsBased on literature review, group discussion, expert consultation and expert on-site demonstration, the nursing quality control index of Emergency Department was constructed. The weight of each index was determined by Analytic Hierarchy Process (AHP), and the evaluation table of quality control index of emergency specialist nursing was formed by expert consultation. The index data of a tertiary hospital from October to December 2020 were retrospectively collected for operability verification of data collection and application of emergency specialty nursing quality control index score sheet.ResultsThe Emergency Department nursing quality control indexes including 1 structural index and 7 process indicators were determined.Consistency ratio of indicator judgement matrix CR was 0~0.022 2. The total content validity coefficient of the index rating scale was 0.90. The numerator and denominator data of 8 emergency department specialist nursing quality control indicators from October to December 2020 in a tertiary hospital were completely collected and calculated to obtain the index values. Only the proportion of pre-inspection nurses with above five working years in the Emergency Department and the first pain assessment rate of emergency patients reached full marks.Conclusion The nursing quality control index of Emergency Department constructed in this study reflects the characteristics of emergency department, and the index rating scale quantifies the evaluation of nursing quality, which can help the emergency department reasonably set the indicators to improve the target value. It is helpful to compare the quality of emergency care among different medical institutions, but the quality control index of nursing outcome needs to be further studied.

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更新日期/Last Update: 2022-10-28