为中央无菌供应部门建立护理敏感的质量指标:修改后的Delphi研究
Ruixue Hu1, Yanhua Chen, Juan Hu
1Author Affiliations : Department of Sterile processing Nursing, West China Second University Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, China; and Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China.
这项研究为中国中央无菌供应部 (CSSD) 建立了五个基于证据的护理敏感质量指标,以改善感染控制. 这些指标旨在提高质量管理,减少医院感染.
科学领域:
- 护理 护理 护理
- 医疗保健质量管理 医疗保健质量管理
- 感染控制 感染控制
背景情况:
- 改善中央无菌供应部门 (CSSD) 的质量管理对于控制医院感染至关重要.
- 以前的研究支持CSSD质量与感染率之间的联系.
研究的目的:
- 为中国的CSSD护理建立护理敏感的质量指标.
- 为评估和改善CSSD护理实践提供一个框架.
主要方法:
- 基于结构-流程-结果模型的指标开发.
- 使用了经过修改的Delphi方法,并进行了两轮专家咨询.
- 通过专家共识确定指标和科学测量方法.
主要成果:
- 确定了CSSD的五个护理敏感的质量指标.
- 在两轮的有效问卷中实现了100%的恢复率.
- 专家权威系数高 (0.810和0.902),肯德尔的一致系数在统计学上显著 (P < .05).
结论:
- 成功建立了基于证据的护理敏感质量指标,用于CSSD.
- 这些指标为CSSD护理的质量改善举措提供了基础.
- 这些发现有助于通过更好的无菌供应管理来提高患者安全.
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