Zhang Jianfei, Han Pengpeng, Yuan Hui, Tang Yujun, Yang Feng
Burn and Plastic Surgery Department, The Second Affiliated Hospital, Hengyang Medical School, People's Republic of China, University of South China, Hengyang, China.
J Cosmet Dermatol. 2022 Dec;21(12):7056-7065. doi: 10.1111/jocd.15366. Epub 2022 Sep 20.
Blepharoplasty is a typical complex structural system, which involves many factors and the interaction among them. Therefore, it is the basis of controlling the occurrence of medical complications in blepharoplasty to clarify the hierarchical relationship of various risk factors and find out the key risk factors.
On the basis of identifying the risk factors for quality management of blepharoplasty by means of literature research, questionnaire survey and expert interview, the risk factor model of blepharoplasty quality management were analyzed and constructed. The relationship between the risk factors and the degree of influence on the risk factors was studied using Decision-Making Trialand Evaluation Laboratory and Interpretative Structural Modeling Method, and the hierarchical structure model of the risk factors for blepharoplasty quality management was obtained.
Six levels of risk factors in quality management of blepharoplasty were identified and classified, and the causal attributes among risk factors were determined. Six key risk factors in quality management of double eyelid surgery were determined according to centrality, and finally the above risk factors were divided into three categories: direct cause, excessive cause, and essential cause.
This study realizes the comprehensive risk factor analysis of the complex system of quality management of blepharoplasty, which can provide reference for plastic surgeons to make safety decisions of blepharoplasty.
眼睑成形术是一个典型的复杂结构系统,涉及诸多因素及其相互作用。因此,明确各种风险因素的层次关系并找出关键风险因素是控制眼睑成形术医疗并发症发生的基础。
通过文献研究、问卷调查和专家访谈等方法识别眼睑成形术质量管理的风险因素,在此基础上分析并构建眼睑成形术质量管理的风险因素模型。运用决策试验与评价实验室法和解释结构模型法研究风险因素之间的关系以及风险因素的影响程度,得到眼睑成形术质量管理风险因素的层次结构模型。
识别并分类了眼睑成形术质量管理中的六个层次风险因素,确定了风险因素之间的因果属性。根据中心度确定了双眼皮手术质量管理中的六个关键风险因素,最终将上述风险因素分为三类:直接原因、过度原因和本质原因。
本研究实现了对眼睑成形术质量管理复杂系统的综合风险因素分析,可为整形外科医生进行眼睑成形术安全决策提供参考。