基于德尔菲法制定临床科室医疗质量关键指标

目的：建立临床科室医疗质量关键指标体系，确定关键指标与权重。方法：根据医疗管理人员与不同级别临床医师访谈的结果，建立医疗质量指标池，通过德尔菲法等方式，筛选出具有重要性、可实现性、现实性、可获得性、代表性强的指标，并确定指标权重。结果：专家咨询3轮问卷有效率分别是96．9％、100％、100％，第三轮专家权威系数为0．92，肯德尔和谐系数波动在0．630—0．726之间，3轮咨询后，专家意见趋于集中，临床科室医疗质量关键指标体系包括4个一级指标，9个二级指标。结论：专家意见趋于集中，协调程度高，结果可取。

Constructing key medical quality index system on clinical departments based on Delphi method

Objective： To construct key medical quality index system involves key index and their weight on clinical departments. Methods： According to the interview results of medical managements and different level clinicians, medical quality index pool were created and by the aspects of importance, accessible, actuality, availability and representation, key indicators were selected and their weight were also was set up. Results： The effectiveness rates of the 3 rounds Delphi questionnaire were 96.9%, 100%, and 100%, respectively. The third round experts authority coefficient was 0.92. The Kendall＇S W ranged from 0.630 to 0.726. Following the 3 rounds, consensus was achieved among experts. Key index system including 44 first-level and 9 second-level indicators were designed. Conclusions： The expert opinion trends to centralization and the coordination coefficient is accessible and the index system is effect.