危重患者院内转运护理质量评价指标体系的构建及应用

The construction and clinical application of nursing quality evaluation index system for intrahospital transport of critically ill patients

目的构建危重患者院内转运护理质量评价指标体系并进行临床应用,为危重患者院内转运护理质量的评价与监测提供参考依据.方法基于德尔菲法建立指标体系,并用患者风险评估准确率、转运前准备合格率对急诊科危重患者转运护理质量进行管理,基于指标数据进行持续质量改进.结果构建的危重患者院内转运护理质量评价指标体系包含3个一级指标、13个二级指标、43个三级指标.2019年7月、10月,患者风险评估准确率分别为62.4%(241/379)和91.4%(454/497),转运前准备合格率分别为71.6%(453/632)和87.3%(774/881).医院信息系统的数据显示,转运设备相关不良事件发生率由32.12%下降至12.79%.结论构建的危重患者院内转运护理质量评价指标体系科学、合理,可用于评价危重患者院内转运护理质量.

Objective To construct and apply the nursing quality evaluation index system for intrahospital transport of critically ill patients,in order to provide standard and quantitative basis for the nursing quality of intrahospital transport of critically ill patients.Methods The index system was established based on Delphi method.In addition,the patient risk assessment accuracy rate and readiness qualified rate before transport were used to manage the transport quality of critical patients in emergency department.Continuous quality improvement was performed based on indicator data.Results The final evaluation index system included 3 level indicators,13 secondary indicators,43 tertiary indicators.In July and October 2019,62.4%(241/379)and 91.4%(454/497)of patients received correct risk assessment,and 71.6%(453/632)and 87.3%(774/881)of patients were qualified for transport.Data extracted from the hospital information system showed that the incidence of adverse events related to transport equipment decreased from 32.12%to 12.79%.Conclusion The nursing quality evaluation index system for intrahospital transport of critically ill patients is scientific and reasonable,which can be used to evaluate the nursing quality of intrahospital transport in critically ill patients.