手术室用药安全质量控制指标的构建

The construction of medication safety quality control indicators for operating room

目的:构建手术室用药安全质量控制指标,为手术室用药安全质量监测及评价提供标准、可量化的依据。方法:以手术室用药安全证据综合为基础,采用Donabedian结构-过程-结果理论模式为理论框架,初步拟定手术室用药安全质量控制指标,运用德尔菲法对24名专家进行两轮函询,筛选、论证与校正指标。结果:两轮咨询问卷回收率均为100.0%,专家权威系数为0.890、0.906,肯德尔和谐系数为0.246~0.329。最终形成的手术室用药安全质量控制指标包含3项一级指标、9项二级指标、19项三级指标。结论:构建的手术室用药安全质量控制指标从结构、过程、结果3个维度对手术室整个用药过程实施质量监管,可操作性强,具有较高的可靠性和科学性,可为手术室用药安全质量控制评价与监测提供参考依据。

Objective:To develop the medication safety quality control indicators for operating room,to provide standards and evaluation of medication safety quality.Methods:Based on the evidence of medication safety of the operating room,the Donabedian structural-process-results model was adopted as the theoretical framework to preliminarily formulate the quality control indicators of medication safety in operating room.The Delphi method was used to conduct two rounds of consultation among 24 experts to screen,verify and correct the indicators.Results:The response rates of the two-round consultation were 100.0%.The expert authority coefficients were 0.890 and 0.906.The Kendal coefficients were 0.246-0.329.The final indicators of medication safety quality control for operating room included 3 first-level indicators,9 second-level indicators and 19 third-level indicators.Conclusion:The development of medication safety quality control indicators for operating room can supervise throughout the medication,which is feasible,reliable,and practical,and can provide reference for medication safety and quality evaluation and monitoring in operating room.