基于德尔菲法的外科手术风险因素评价指标构建

目的 构建外科手术风险因素评价指标体系,为有效监管外科手术质量与安全提供参考依据。方法 运用文献分析法、德尔菲法、层次分析法进行外科手术风险因素评价体系的构建和指标权重的确定。结果 建立了一个由手术固有风险、医疗机构风险、医务人员风险、患者风险4 个一级指标和手术本身风险、医务人员专业技术水平、患者个体差异、医务人员责任心、医学科学的局限性、医院诊疗流程、医务人员团队协作,医院诊疗服务水平、工作负荷等等20 个二级指标组成的手术风险因素评价指标体系。结论 建立一套完善的外科手术风险因素评价指标体系,对于保障手术患者安全、有效进行外科手术质量与安全监管具有重要意义。

Construction of the Risk Factors Evaluation Indicator for Surgical Operation by Delphi Method

Objective To construct risk factors evaluation indicator system for surgical operation, to provide advice on effectively supervising quality and safety of surgical operation. Methods Literature analysis method, Delphi method, analytic hierarchy process were used to construct risk evaluation indicator system for surgical operation. Results A risk factors evaluation indicator system which consists of 4 first grade assessment indicators, including operation risk, medical institution risk, medical staff risk and patients risk, and 20 second grade assessment indicators, including operation risk, medical staff professional technology level, patients individual difference, medical staff responsibility, the limitation of medical science, hospital diagnosis and treatment process, medical staff team cooperation, hospital diagnosis and treatment service level and workload, were constructed. Conclusion Developing a set of scientific risk factors evaluation indicator system for surgical operation has significance for keeping safety of patients and effectively supervising quality safety of surgical operation.