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基于SPO模型的医院感染管理质量评价指标体系构建

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目的:依据Donabedian"结构-过程-结果"(structure-process-outcome,SPO)三维质量评价模型,通过德尔菲法(Delphi)与层次分析法(analytic hierarchy process,AHP)构建综合医院感染管理质量评价指标体系.方法:通过查阅文献资料及小组讨论的方法,初步拟定医院感染管理质量评价指标条目,采用Delphi法选取20名专家进行两轮函询,确定医院感染管理质量评价指标体系,并应用层次分析法计算各指标权重.结果:两轮专家函询的积极系数均为100%;专家权威系数为0.869、0.877;肯德尔和谐系数分别为0.156、0.219,最终形成3个维度、21个条目的医院感染管理质量评价指标体系.结论:经过两轮专家咨询,对指标进行修改与整理,评选出的医院感染管理质量评价指标结果可靠、各指标权重合理,能为医院感染管理提供客观、可量化的依据.
Construction of nosocomial infection management quality evaluation index system based on SPO model
Objective:Based on Donabedian"structure-process-outcome"(SPO)three-dimensional quality evaluation model,this study adopts Delphi method and analytic hierarchy process construct the quality evaluation index system of nosocomial infection management in general hospitals.Methods:Through literature review and group discussion,the indexes of nosocomial infection management quality evaluation were initially drawn up,and 20 experts were selected by Delphi method for two rounds of correspondence consultation to determine the index system of nosocomial infection management quality evaluation,and the weights of each index were calculated by analytic hierarchy process.Results:The positive coefficient of the two rounds of expert correspondence was 100%.The expert authority coefficients were 0.869 and 0.877,Kendall's W were 0.156 and 0.219,respectively,and finally formed a 3-dimensional,21-item nosocomial infection management quality evaluation index system.Conclusion:After two rounds of expert consultation,the indexes were modified and sorted out,and the results of the selected quality evaluation indexes of nosocomial infection management were reliable and the weights of each index were reasonable,which could provide an objective and quantifiable basis for nosocomial infection management.

nosocomial infectionmanagement qualityindex systemSPO modelDelphi

赵明、田芳英、王雪玉、王鸿伟

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宁夏医科大学总医院感染科,宁夏银川 750000

山西医科大学第二医院医院感染管理科,山西太原 030001

浙江大学医学院附属第一医院感染科,浙江 杭州 310000

山西医科大学护理学院,山西太原 030001

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医院感染 管理质量 指标体系 SPO模型 德尔菲法

2024

暨南大学学报(自然科学与医学版)
暨南大学

暨南大学学报(自然科学与医学版)

CSTPCD北大核心
影响因子:0.996
ISSN:1000-9965
年,卷(期):2024.45(6)