Unidad de Transporte Pediátrico Balear, Hospital Son Espases. Palma, Mallorca, Spain.
SEMP Hospital Sant Joan de Deu, Barcelona, Spain.
An Pediatr (Engl Ed). 2021 Sep;95(3):167-173. doi: 10.1016/j.anpede.2020.09.009. Epub 2021 Aug 3.
Interhospital transport is carried out by variable teams in different regions of our country, and this makes quality evaluation and benchmarking complicated. Project objective: Select and define a consensual list of quality measurement that may be used by national transport units, whether specialised or not.
Initial set of quality indicators was proposed by coordinators (members of representative specialised transport units in Spain). Evaluation by selected transport specialists from participating units and SECIP (Society of Paediatric Intensive Care) and SENeo (Spanish Neonatology Society) work teams. Selection of definitive indicators by Delphi method according to relevance and feasibility.
A total of 35 quality indicators were included in the initial set. Evaluation was carried out by 22 specialists from 7 transport teams. In a first round, 4 indicators were consensually included in the definitive list. Results for the rest of metrics and comments were sent to all participants, and after a second assessment, 11 other indicators reached enough consensus. After list accomplishment, a consensual final definition for every indicator was established.
Using a consensual research method, a list of 15 common indicators was obtained, which may be used by specialised transport teams in our country, and by non-specialised clinics in charge of interhospital paediatric transport. It will allow individual performance to be assessed, as well as benchmarking, in order to find improvement opportunities and ensure the highest quality during interhospital transport.
医院间转运由我国不同地区的不同团队进行,这使得质量评估和基准测试变得复杂。
选择和定义一套共识质量衡量标准,供国内转运单位(无论是专业的还是非专业的)使用。
由协调员(西班牙有代表性的专业转运单位成员)提出初始质量指标集。由参与单位和 SECIP(儿科重症监护学会)和 SENeo(西班牙新生儿学会)工作组的选定转运专家进行评估。根据相关性和可行性,采用德尔菲法选择确定指标。
初步设定中包括 35 项质量指标。由来自 7 个转运团队的 22 名专家进行评估。在第一轮中,有 4 项指标被一致纳入最终确定的清单中。其余指标的结果和意见被发送给所有参与者,经过第二轮评估,又有 11 项指标达到了足够的共识。在清单完成后,为每个指标建立了一个共识的最终定义。
通过使用共识研究方法,获得了一份 15 项通用指标的清单,可由我国的专业转运团队以及负责医院间儿科转运的非专业诊所使用。这将能够评估个人的表现,并进行基准测试,以找到改进的机会,并确保医院间转运的最高质量。