基于三维质量模型的手术室医疗设备管理质量敏感指标体系构建

Construction of Management Quality-Sensitive Indicator System of Medical Equipment in Operating Room Based on Three-Dimensional Quality Theory Model

目的基于“结构-过程-结果”三维质量模型建立手术室医疗设备管理质量敏感指标体系,为提高手术室医疗设备管理质量提供量化及客观的监测依据。方法基于文献回顾法和小组讨论法初步拟定手术室医疗设备管理质量敏感指标体系;运用两轮德尔菲专家函询法,最终确立符合手术室实际的医疗设备管理质量敏感指标体系及权重。结果构建的手术室医疗设备管理质量敏感指标体系包含3项一级指标、6项二级指标和16项三级指标;权重排名前三的敏感指标为手术室医疗设备维修率(0.1334)、手术室医疗设备故障报损率(0.1334)、手术室医疗设备参数设置正确率(0.0913)。两轮函询的问卷有效回收率均为100%,专家的权威系数分别为0.881与0.892,Kendall协调系数分别为0.123~0.152与0.257~0.271(P<0.001)。结论基于“结构-过程-结果”三维质量模型构建的手术室医疗设备管理质量敏感指标体系可为手术室医疗设备规范化管理提供依据,有利于管理质量提升。

Objective To establish quality-sensitive indicator system of medical equipment management in operating room based on“structure-process-result”three-dimensional quality model,and to provide quantitative and objective monitoring basis for improving the quality of medical equipment management in operating room.Methods Based on the method of literature review and group discussion,the management quality-sensitive indicators system of medical equipment in operating room was preliminarily established.And two rounds of Delphi expert consultation were used to finally establish the management quality sensitive index and weight conforming to the actual operating room.Results The indicator system included 3 primary indicators,6 secondary indicators,and 16 tertiary indicators,and the top three sensitive indicators ranked by weight were maintenance rate of medical equipment in operating room(0.1334),failure loss rate(0.1334),and accuracy rate of parameters setting(0.0913).The effective recovery rates of questionnaire for the two rounds of consultation were both 100%,the authority coefficients of experts were 0.881 and 0.892,and the Kendall coordination coefficients were 0.123-0.152 and 0.257-0.271,respectively(P<0.001).Conclusion The management quality sensitive indicator system based on“structure-process-result”three-dimensional quality model provides a basis for the standardized management of medical equipment in operating room and is conducive to the improvement of management quality.