基于公开的手术部位感染指标遴选研究

发布时间：2018-11-14 13:50

【摘要】：目的为了创新手术部位感染监管方法,遴选适合公开的手术部位感染指标,为实施手术部位感染率的公开提供参考。方法建立由17~20名国内权威专家组成的德尔菲法专家组,通过文献法确定供筛选的手术部位感染指标,专题小组讨论法确定指标的选择标准;采用Likert 5分制法,由专家依据选择标准对指标进行评分;经过两轮专家咨询,用界值法筛选指标,确定适合公开的手术部位感染指标集。结果经过二轮筛选共纳入包括剖宫产手术部位感染率、疝缝术手术部位感染率、乳腺切除术手术部位感染率等13个适合公开的手术部位感染率指标,并且9个选择标准的平均分均3.5,且变异系数0.3,总评分在35.50~37.40;其中,9个指标为特定手术的手术部位感染率,占69.2%。结论初步遴选出适合公开的手术部位感染指标集,为实施透明监管这种新的监管方式打下基础。为了提高可比性,手术部位感染指标在公开前还需要进行风险调整。
[Abstract]:Objective in order to innovate the monitoring method of surgical site infection, select the suitable surgical site infection index, and provide reference for the open operation site infection rate. Methods the expert group of Delphi method was established, which was composed of 1720 experts from China. The infection index of surgical site for screening was determined by literature method, and the selection criteria of index were determined by panel discussion. The index was scored by experts according to the selection criteria and the index set suitable for open operation site was determined through two rounds of expert consultation and the selection of indicators by the method of boundary value. Results the infection rate of cesarean section site, hernia suture operation site and mammary resection site infection rate were all included after two rounds of screening. The average score of the nine selection criteria was 3.5, and the coefficient of variation was 0.3, the total score was 35.50 ~ 37.40; Among them, 9 indexes were specific surgical site infection rate (69.2%). Conclusion A suitable index set of surgical site infection was preliminarily selected to lay the foundation for the implementation of transparent supervision. In order to improve comparability, surgical site infection indicators need to be adjusted before they are made public.
【作者单位】：南昌大学公共管理学院;华中科技大学同济医学院医药卫生管理学院;华中科技大学同济医学院附属同济医院医院感染科;
【基金】：国家自然科学基金资助项目(71473098)
【分类号】：R619.3

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