Gross T, Amsler F, Ummenhofer W, Zuercher M, Regazzoni P, Jacob A L, Huegli R W, Messmer P
Abteilung Traumatologie, Allgemeinchirurgische Klinik, Universitätsspital Basel, Schweiz.
Chirurg. 2005 Oct;76(10):959-66. doi: 10.1007/s00104-005-1068-0.
The purpose of this study was to examine whether staff questionnaire evaluation is useful for quality control in the emergency room (ER) setting.
Consecutive anonymous questionnaires (Likert scale 1-5) were filled out by the involved medical staff in all ER trauma cases in a university hospital from July 2002 to December 2003 (analysis of variance, P<0.05).
In 171 ER cases, 844 staff members responded. Main criticisms concerned time management or satisfaction with personal ER training (Likert <4). Consultants rated the quality of their training significantly higher than younger doctors, two thirds of consultants vs one third of residents having passed an Advanced Trauma and Life Support course (P<0.001). Depending on responders' professional specialties and whether the situation concerned multiple trauma (Injury Severity Score >15), a significant systematic difference resulted.
Our standardized staff questionnaire evaluation was revealed to be a discriminative instrument for quality management of trauma cases in the ER. To confirm these findings, correlation with clinical outcome data and further validation of the method are needed.
本研究旨在探讨员工问卷调查评估在急诊室环境下的质量控制中是否有用。
2002年7月至2003年12月期间，一所大学医院的所有急诊创伤病例中的相关医务人员连续填写匿名问卷（李克特量表1 - 5）（方差分析，P<0.05）。
在171例急诊病例中，有844名工作人员做出了回应。主要批评意见涉及时间管理或对个人急诊培训的满意度（李克特评分<4）。顾问对其培训质量的评分明显高于年轻医生，三分之二的顾问通过了高级创伤生命支持课程，而住院医生只有三分之一（P<0.001）。根据受访者的专业特长以及情况是否涉及多发伤（损伤严重度评分>15），出现了显著的系统性差异。
我们的标准化员工问卷调查评估被证明是急诊室创伤病例质量管理的一种鉴别工具。为了证实这些发现，需要将其与临床结果数据进行关联，并对该方法进行进一步验证。
