Nik Hisamuddin Rahman, Tuan Hairulnizam Tuan Kamauzaman
Department of Emergency Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.
Hospital Universiti Sains Malaysia, Kelantan, Malaysia.
Malays J Med Sci. 2022 Apr;29(2):114-125. doi: 10.21315/mjms2022.29.2.11. Epub 2022 Apr 21.
This article demonstrates combination of the fuzzy Delphi method (FDM) and the nominal group technique (NGT) to consolidate consensus agreement within a panel of experts regarding key performance indicators (KPIs) development for emergency department (ED).
Twenty-four participants for NGT and 10 experts for FDM were randomly chosen from the emergency medicine (EM) department staff list obtained from the human resource department of study centres. A set of item constructs related to KPIs was developed from the NGT session and used for the FDM session in the second phase of the study.
We found that 16 out of 22 and 11 out of 15 items satisfied the first prerequisite '' value ≤ 0.2. Ten items (45%) from the service KPI domain and six items (40%) from the academic KPI domain had expert consensus of more than 75%. A total of 16 out of 22 (73%) and 14 out of 15 (93%) fit the criteria of an average fuzzy number ( value) of more than 0.5. Fifteen items that fulfilled the prerequisites were retained for the final KPI draft.
The FDM and NGT analyses reached experts' consensus on the suitability of the pre-selected items in the ED KPIs. The development of the KPI framework is expected to enhance future improvement of EM services and academic activities in all teaching hospitals in the country.
本文展示了模糊德尔菲法（FDM）和名义小组技术（NGT）的结合，以在一组专家中就急诊科（ED）关键绩效指标（KPI）的制定达成共识。
从研究中心人力资源部门获取的急诊科（EM）部门员工名单中随机选择24名参与名义小组技术的人员和10名参与模糊德尔菲法的专家。在研究的第二阶段，从名义小组技术会议中制定了一组与关键绩效指标相关的项目构建，并用于模糊德尔菲法会议。
我们发现，22项中的16项和15项中的11项满足第一个前提条件“值≤0.2”。服务关键绩效指标领域的10项（45%）和学术关键绩效指标领域的6项（40%）获得了超过75%的专家共识。22项中的16项（73%）和15项中的14项（93%）符合平均模糊数（值）大于0.5的标准。15项满足前提条件的项目被保留用于最终的关键绩效指标草案。
模糊德尔菲法和名义小组技术分析就急诊科关键绩效指标中预选项目的适用性达成了专家共识。关键绩效指标框架的制定有望促进该国所有教学医院未来急诊科服务和学术活动的改善。
