Beattie E, Mackway-Jones K
Accident and Emergency Department, St Mary's Hospital, London, UK.
Emerg Med J. 2004 Jan;21(1):47-50. doi: 10.1136/emj.2003.001123.
The aim of this study was to identify performance indicators thought to reflect the quality of patient care in the emergency department.
A three round accelerated Expert Delphi study was conducted by email or fax. A panel of 33 experts drawn from the fields of emergency medicine, emergency nursing, professional service users, and patients were consulted. Participants were initially asked to propose performance indicators that reflected the quality of care given in the emergency department setting in the United Kingdom. In the second round these proposals were collated and scored using a 9 point Likert scale; those that had not reached consensus were returned for reconsideration in the light of group opinion. Those statements reaching a pre-defined consensus were identified.
224 performance indicators were proposed. Altogether 36 indicators reached consensus reflecting good departmental performance after round three; 24 of these were process measures.
36 potential indicators of good quality of care in the emergency department in the UK have been identified.
本研究旨在确定被认为能反映急诊科患者护理质量的绩效指标。
通过电子邮件或传真进行三轮加速专家德尔菲研究。咨询了一个由急诊医学、急诊护理、专业服务使用者和患者领域的33名专家组成的小组。参与者最初被要求提出反映英国急诊科护理质量的绩效指标。在第二轮中，这些提议被整理并使用9点李克特量表评分；未达成共识的提议根据小组意见返回重新审议。确定了达成预先定义共识的陈述。
共提出224个绩效指标。经过三轮，共有36个指标达成共识，反映了良好的科室绩效；其中24个是过程指标。
已确定36个英国急诊科优质护理的潜在指标。
