全麻患者气管拔管质量评价体系的构建:基于零缺陷管理理论

Construction of quality evaluation system for tracheal extubation in patients undergoing general anesthesia:based on zero-defect management theory

目的:基于零缺陷管理理论构建全麻患者气管拔管质量评价体系。方法:以零缺陷理论模型为基础,采用文献回顾、半结构式访谈、专家咨询及层次分析法,确定全麻患者气管拔管质量评价体系的内容及各指标权重。结果:2轮专家咨询问卷有效回收率分别为93%、96%,专家权威系数分别为0.946、0.947,肯德尔和谐系数分别为0.247、0.250(P<0.001)。最终形成的评价指标体系包括3个一级指标、11个二级指标、48个三级指标。各层级指标的一致性系数均<0.1。结论:本研究构建的全麻患者气管拔管质量评价体系具有较高的科学性与可靠性,可为全麻患者气管拔管质量评价与持续改进提供依据。

Objective To construct the quality evaluation system for tracheal extubation in the patients undergoing general anesthesia based on zero-defect management theory.Methods Based on the model of zero-defect theory,literature review,semi-structured interviews,expert consultation and analytic hierarchy process were used to determine the content and weight of each index of the quality evaluation system for tracheal extubation in the patients undergoing general anesthesia.Results The effective recovery rates of the two rounds of expert consultation questionnaires were 93%and 96%respectively;the expert authority coefficients were 0.946 and 0.947 respectively;the Kendall harmony coefficients were 0.247 and 0.250 respectively(P<0.001).The final evaluation index system included 3 first-level indicators,11 second-level indicators and 48 third-level indicators.The consistency coefficients of indicators at all levels were<0.1.Conclusions The quality evaluation system for endotracheal extubation constructed for patients undergoing general anesthesia is highly scientific and reliable and can provide a basis for the quality evaluation of and continuous improvement in endotracheal extubation in the patients undergoing general anesthesia.