护理质量与安全基础监测指标的构建与临床应用.pdfVIP

• 44 • Journal of Nursing Science Feb. 2015 Vo l. 30 No.3 护理质量与安全基础监测指标的构建与临床应用 王伟，芦凤娟，李振香，孔冬，周文红 摘要:目的构建简明、实用的临床护理质量与安全基础监测指标，并在临床初步试用。方法建立指标设置初步方案，采用德尔菲 法组织两轮专家咨询，汇总专家意见，筛选监测指标，并在临床科室试运行。结果两轮问卷的有效回收率分别为 78. 58% 、 86.37 %，专家的权威系数均大于 O. 85 , Kendall 协调系数(W)检验结果有统计学意义(PO.Ol) ， 共筛选监测指标 19 项，临床应 用可行性强，应用效果良好。结论该临床护理质量与安全基础监测指标具有较高的可靠性，可行性高，可为临床护理工作提供有 效的管理方法。 关键词:质量管理; 德尔菲法; 安全; 指标; 护理 中图分类号:R47 ， C931. 2 文献标识码:A 文章编号: 1001 - 4152(2015)03 一 0044 - 04 DOI: 10. 3870/hlxzz. 2015. 03. 044 Construction and clinical application of nursing quality and safety monitoring indexes // Wa吨 W凹 ， Lu Fe昭JJuan ， Li ZI Kong Dong , Zhou Wenhong // (Nursing De户artment ， Shangdong Provincial Hosρital ， Shangdong University , J inan 250021 , China) Abstract: Objective To establish a fundamental index system for nursing quality and safety management and apply it tentatively in clinical practice. Methods Through literature review , the authors established the primary index system for nursing quality and safety management. The Delphi method was taken to organize two rounds of expert consultation. lndexes were screened according to spe cialists opinions and were made a test run in clinical departments. Results Effective response rate of the two round questionnaires was 78. 58 % and 86. 37 % respectively. The authority coefficient was greater than O. 85 and the Kendall coordinate coefficient (W) test results were significant (PO. 01). Nineteen indexes were selected. The trial results showed that the index system was feasi ble and effective. Conclusion The index system was proved to be reliable and feasible. It can provide references for the clinical nur- sing quality management. Key words: quality management , Delphi method , safety , index , nursing