新生儿专科医院感染管理质控指标体系构建研究

Establishment of quality control index system for healthcare-associated infection management in neonatal specialty hospital

摘要:

目的 建立一套可量化的新生儿专科医院感染管理质量控制指标体系,用于新生儿医院感染管理质量的综合评价,促进新生儿医院感染管理质量持续提升和改进。方法 采用文献研究法和专题小组讨论法初步建立指标体系框架,采用Delphi专家函询法对指标进行反复筛选,采用层次分析法确定各指标的权重。采用TOPSIS法和秩和比法对所建立的指标体系进行实证研究。结果 共开展3轮专家函询,问卷有效回收率均为100%。第3轮函询专家权威系数为0.89,专家意见Kendall和谐系数为0.322。所建立的指标体系包含一级指标3个,二级指标6个,三级指标16个。三级指标中可直接从医院信息系统获取13个。结论 本研究建立的新生儿医院感染管理质量控制指标体系较为科学,权重设置合理,且均为可量化指标,可用于新生儿医院感染管理质量的纵向和横向评价,为新生儿医院感染管理工作的持续改进提供参考。

Abstract:

Objective To establish a quantifiable quality control index system for infection management in neonatal specialty hospitals for the comprehensive evaluation of neonatal healthcare-associated infection (HAI) management quality, and to promote the continuous enhancement and improvement of neonatal HAI management quality. Methods The framework of the index system was preliminarily established through literature research and focus group discussion, the indexes were repeatedly screened using Delphi expert consultation approach, and the weights of each index were determined using the analytic hierarchy process. The empirical study of the established index system was conducted using TOPSIS method and rank sum ratio method. Results Three rounds of expert consultation were conducted, and the effective response rate of the questionnaire was 100%. The authoritative coefficient of the third round of expert consultation was 0.89, and the Kendall’s coefficient of concordance for expert opinion was 0.322. The established index system included 3 first-level indexes, 6 second-level indexes, and 16 third-level indexes. Thirteen of third-level indexes could be directly obtained from the hospital information system. Conclusion The quality control index system for neonatal HAI management established in this study is relatively scientific, with rational weights and all quantifiable indexes. It can be used for vertical and horizontal evaluations of neonatal HAI management quality, providing a reference for the continuous improvement of neonatal HAI management work.