Construction of quality evaluation system for tracheal extubation in patients undergoing general anesthesia: based on zero-defect management theory
10.3760/cma.j.cn131073.20220704.01116
- VernacularTitle:全麻患者气管拔管质量评价体系的构建：基于零缺陷管理理论
- Author:
Rong WANG
1
;
Han SHENG
;
Ming YAO
;
Qinghe ZHOU
;
Xuyan ZHOU
;
Zhihong ZHU
;
Limei WANG
;
Min KONG
Author Information
1. 嘉兴市第一医院（嘉兴学院附属医院）麻醉手术部，嘉兴 314000
- Keywords:
Anesthesia, general;
Health care quality, access, and evaluation;
Extubation
- From:
Chinese Journal of Anesthesiology
2022;42(11):1348-1352
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct the quality evaluation system for tracheal extubation in the patients undergoing general anesthesia based on zero-defect management theory.Methods:Based on the model of zero-defect theory, literature review, semi-structured interviews, expert consultation and analytic hierarchy process were used to determine the content and weight of each index of the quality evaluation system for tracheal extubation in the patients undergoing general anesthesia.Results:The effective recovery rates of the two rounds of expert consultation questionnaires were 93% and 96% respectively; the expert authority coefficients were 0.946 and 0.947 respectively; the Kendall harmony coefficients were 0.247 and 0.250 respectively ( P<0.001). The final evaluation index system included 3 first-level indicators, 11 second-level indicators and 48 third-level indicators.The consistency coefficients of indicators at all levels were <0.1. Conclusions:The quality evaluation system for endotracheal extubation constructed for patients undergoing general anesthesia is highly scientific and reliable and can provide a basis for the quality evaluation of and continuous improvement in endotracheal extubation in the patients undergoing general anesthesia.
