基于三维质量评价模式构建住院患者非计划拔管风险管理质量评价体系

目的 构建住院患者非计划拔管风险管理质量评价体系,为非计划拔管风险管理的质量评价提供科学依据。方法 基于“结构-过程-结果”三维质量评价模式,通过文献回顾、德尔菲专家咨询法对评价指标进行筛选,构建非计划拔管风险管理质量评价体系。结果 2轮专家咨询的有效回收率分别为100%和88%,权威系数Cr值分别为0.821、0.807,协调系数分别为0.278、0.339,差异具有统计学意义（P<0.001）。构建的住院患者非计划拔管护理质量评价体系包含3项一级指标、10项二级指标及31项三级指标。结论 本研究所构建的医院内非计划拔管风险管理质量评价体系科学性、合理性、实用性较强,可为非计划拔管的临床护理和管理工作提供科学、客观的依据。

Development of Quality Evaluation System for Risk Management of Unplanned Extubation of Inpatients Based on 3D Quality Evaluation Model

Objective To develop a quality evaluation system for the risk management of unplanned extubation of inpatients, and provide reference for quality evaluation of unplanned extubation care. Methods Based on the “structure-process-result” theory, through literature review and expert group discussion by using Delph method, a quality evaluation system for unplanned extubation risk management was developed. Results The effective recovery rates of the two rounds of expert consultation were 100% and 88% respectively; the authority coefficient Cr value 0.821,0.807 respectively,and the coordination coefficient 0.278 and 0.339, respectively. The difference was statistically significant (P<0.01). The quality evaluation index system consisted of 3 first-level, 10 second-level, and 31 third-level indicators. Conclusion The developed quality evaluation system for the risk management of unplanned extubation of inpatients is scientific, and practical, which can provide Objective basis for clinical nursing and management of unplanned extubation.