Research on the Construction of Standardized Evaluation System for Medical Faults Based on Delphi Method
- VernacularTitle:基于德尔菲法的医疗过错标准化评估体系构建研究
- Author:
Xiaogang WANG
1
;
Longyao RAN
;
Changying LIU
;
Yongsheng WANG
;
Tao CHEN
;
Rui HE
;
Shuzhi XIA
;
Li LIU
;
Xue XIE
Author Information
1. 成都市第二人民医院 四川 成都 610017
- Keywords:
medical fault;
standardisation;
evaluation system;
Delphi method
- From:
Chinese Hospital Management
2024;44(10):81-86
- CountryChina
- Language:Chinese
-
Abstract:
Objective Establish a standardized evaluation system for medical faults,and provide theoretical basis for medical institutions and related industries to evaluate the illegality of medical behaviors.Methods Based on a litera-ture review,the medical fault assessment system was initially constructed,and then a research group was estab-lished to use Delphi method to invite 31 experts to evaluate the importance and feasibility of each article of the medi-cal fault assessment system and put forward suggestions for modification.Results The effective recovery rates of the two rounds of expert consultation were 83.9％and 96.8％,the expert authority coefficient was 0.902 and 0.887,and the Kendall's W test of all levels differences were statistically significant(P＜0.001).The medical fault assess-ment system finally constructed includes 5 first-level items including practicing medicine according to law,informed notification,diagnosis and treatment technology,medical record documents and hospital management,as well as 10 second-level items,20 third-level items and 47 fourth-level items.The mean values of importance and feasibili-ty scores of all articles were greater than 4,standard deviations were less than 1,and coefficients of variation were less than 0.2.Conclusion The medical fault standardized evaluation system is scientific,reliable,innovative and appli-cable.
