主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2025, Vol. 25 ›› Issue (1): 20-26.doi: 10.3969/j.issn.1672-1756.2025.01.005

• 特别策划·改善门诊患者就医体验 • 上一篇    下一篇

门诊突发事件应急准备能力评估指标体系构建

陈柯宇 王志新 绳宇 李聪 刘晓颖 周文华   

  1. 北京协和医学院护理学院,100144 北京市(陈柯宇,绳宇);中国医学科学院北京协和医院门诊部(王志新,周文华);外科门诊(李聪);放射科(刘晓颖)
  • 出版日期:2025-01-15 发布日期:2025-01-15
  • 通讯作者: 周文华,本科,主任护师,门诊总护士长,E-mail:Zhouwh57@126.com
  • 作者简介:陈柯宇,硕士在读
  • 基金资助:
    中华护理学会科研课题(ZHKY202314)

Construction of an evaluation index system for emergency preparedness ability of outpatient emergencies

CHEN Keyu, WANG Zhixin, SHENG Yu, LI Cong, LIU Xiaoying, ZHOU Wenhua   

  1. School of Nursing, Peking Union Medical College, Beijing, 100144, China
  • Online:2025-01-15 Published:2025-01-15
  • Contact: E-mail:Zhouwh57@126.com

摘要: 目的:构建门诊突发事件应急准备能力的评估指标体系,为我国大型综合医院应急管理能力评价提供依据。方法:基于“情景-任务-能力”分析框架,通过调查分析及文献回顾,初步构建门诊突发事件应急准备能力评估指标体系。2024年4月—9月经2轮德尔菲函询确定评估指标的重要性及相关性。结果:2轮函询结束后形成8个一级指标、21个二级指标、77个三级指标的指标体系,专家积极性为100%,专家权威系数为0.960,变异系数不超过0.158,肯德尔协调系数具有统计学意义,总体水平和条目水平的内容效度指数均>0.85。结论:门诊突发事件应急准备能力评估指标体系可帮助医院管理层及医护人员进行应急能力评价自查,为提高门诊管理质量、保障患者安全、改善门诊患者就医体验提供参考。

关键词: 应急准备;门诊管理;指标构建;德尔菲法;就医体验

Abstract: Objective: To construct an evaluation index system of emergency preparedness ability for outpatient emergencies, so as to provide a basis for the evaluation of emergency management capacity of large general hospitals in China. Methods: Based on the "situation-task-capability" analysis framework, an initial assessment index system for emergency preparedness ability of outpatient emergencies was constructed through a retrospective survey and literature review. During April to September 2024, two rounds of Delphi consultation were conducted to determine the importance and relevance of the assessment indicators. Results: After two rounds of consultation, totally 8 first-level indicators, 21 second-level indicators and 77 third-level indicators were formed. The enthusiasm of experts was 100%, the authority coefficient of experts was 0.960, the coefficient of variation was not more than 0.158, the Kendall coordination coefficient was statistically significant, the I-CVI and S-CVI were greater than 0.85. Conclusion: The evaluation index system of emergency preparedness ability for outpatient emergencies can help hospital management and medical staff to evaluate and self-examine their emergency response ability, improve the quality of outpatient management, ensure patient safety, and improve the medical experience of outpatients.

Key words: emergency preparedness; outpatient management; construction of indicators; Delphi method; medical experience

中图分类号:  R47;R197