急诊预检分诊质量评价指标体系的构建与应用
Construction and Application of Quality Evaluation Index System for Emergency Triage
吴昊鸣 1黄萍 2梅天舒 2周田田 2彭迎欣 1张敏 3陶俊杰 1王玉川1
作者信息
- 1. 南京中医药大学护理学院 江苏 南京 210023
- 2. 南京中医药大学鼓楼临床医学院 江苏 南京 210008
- 3. 南京大学医学院 江苏 南京 210008
- 折叠
摘要
目的 构建急诊预检分诊质量评价指标体系并形成质量评价表进行应用,为急诊预检分诊质量的监管提供参考依据.方法 以Donabedian结构模型为理论基础并参考最新发布的相关政策标准,采用德尔菲法,确定急诊预检分诊质量评价指标以及各级指标的分值和评价方法.采用便利抽样法在江苏省内7家三级甲等医院进行应用,检验急诊预检分诊质量评价表信效度及分析应用情况.结果 2轮专家函询问卷的有效回收率为100％,专家权威系数分别为0.869和0.927,最终形成的急诊预检分诊质量评价指标体系包括一级指标3项、二级指标12项、三级指标43项.急诊预检分诊质量评价表Cronbach's α系数为0.719,7家医院急诊预检分诊质量平均得分为93.36分,处于良好水平.结论 构建的急诊预检分诊质量评价指标体系具有良好的专家认可度、专科性和信效度,所包含内容合理明确,具有可行性.
Abstract
Objective To construct a quality evaluation index system for emergency triage and form a quality evalua-tion table for application,it provides a reference basis for the supervision of the quality of emergency triage.Methods Based on the Donabedian structural model and referring to the latest released relevant policies and stan-dards,a Delphi method were used to determine the quality evaluation indicators of emergency triage,as well as the scores and evaluation methods of each level of indicators.The convenience sampling method was applied to seven tertiary hospitals in Jiangsu Province to test the reliability and validity of the emergency triage quality evaluation scale and to analyze the application.Results The effective recovery rate of the two rounds of expert correspondence ques-tionnaires was 100％,and the expert authority coefficients were 0.869 and 0.927,respectively,and the resulting emergency triage quality evaluation index system included 3 first-level indexes,12 second-level indexes,and 43 third-level indexes.The Cronbach coefficient of the emergency triage quality evaluation table was 0.719,and the average score of emergency triage quality of the seven hospitals was 93.36 points,which was at a good level.Conclusions The constructed emergency triage quality evaluation index system has good expert recognition,specialty and good reliability and validity,and the contents included are reasonable and clear with feasibility.
关键词
急诊预检分诊/质量指标/质量评价/德尔菲法Key words
emergency triage/quality indicators/quality evaluation/Delphi method引用本文复制引用
基金项目
江苏省研究生实践创新计划(SJCX23_0835)
出版年
2024
NETL
NSTL
万方数据