Emergency Nurses Association, Schaumburg, Illinois (Dr Wolf and Mss Delao, Perhats, and Olson); and UVA Health, Charlottesville, Virginia (Dr Baker).
J Nurs Care Qual. 2022;37(4):E59-E66. doi: 10.1097/NCQ.0000000000000627. Epub 2022 Apr 11.
There is no identified set of nursing-sensitive, emergency department (ED)-specific quality indicators.
The purpose of this study was to address the gap in quality indicators specific to the emergency care environment and identify a list of nursing-sensitive, ED-specific quality indicators across ED populations and phases of the ED visit for further development and testing.
A modified Delphi technique was used to reach initial consensus.
Four thematic groups were identified, and quality indicators within each were rank ordered. Of the 4 groups, 21 quality indicators were identified: triage (6) was ranked highest, followed by special populations (4), transitions of care (4), and medical/surgical (7).
Many of the recommended metrics were questionable because they are nonspecific to the ED setting or subject to influences in the emergency care environment. Some identified priorities for quality indicator development were unsupported; we recommend that alternate methodologies be used to identify critical areas of quality measurement.
目前还没有一套确定的、针对护理敏感问题的、专门适用于急诊科的质量指标。
本研究旨在针对急诊护理环境中缺乏特定质量指标的问题，确定一系列针对急诊科各人群和就诊各阶段的护理敏感、专门适用于急诊科的质量指标，以供进一步开发和测试。
采用改良德尔菲技术达成初步共识。
确定了 4 个主题组，每组内的质量指标进行了排序。在这 4 个组中，确定了 21 个质量指标：分诊（6 个）排名最高，其次是特殊人群（4 个）、护理交接（4 个）和内科/外科（7 个）。
许多推荐的指标都值得商榷，因为它们不是专门针对急诊科环境制定的，或者容易受到急诊护理环境的影响。一些确定的质量指标发展重点是没有依据的；我们建议使用替代方法来确定质量测量的关键领域。
