| 摘 要: 目的 通过构建职业中毒应急救援能力评价指标体系,评估当前我国公立医院职业中毒应急救援能力。方法 基于4R危机管理理论,综合运用德尔菲法、层次分析法构建公立医院职业中毒应急救援能力评价指标体系。结果 3轮问卷回收率均>85%,专家咨询可靠性较高,平均权威系数0.834,总体协调系数0.505,假设检验结果P均<0.001。经3轮专家咨询,最终确定公立医院职业中毒应急救援能力评价指标,包含4个一级指标、16个二级指标和50个三级指标,所有指标Cronbach’s α系数为0.894,问卷评价指标具有较好的信度和效度。结论 构建的评价指标体系立足于公立医院应急管理体系整体性,涵盖医疗机构针对职业中毒应急救援全过程所具备的能力,研究内容聚焦应急事件救援前准备、救援时行动、救援后恢复评估等方面,为提升公立医院职业中毒应急救援能力提供参考。 |
| 关键词: 公立医院 职业中毒 应急救援能力 4R危机管理 |
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中图分类号:
文献标识码: A
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| 基金项目: 青岛市2022年度医药卫生科研指导项目———公立医院职业中毒应急救援能力评价指标体系研究(2022-WJZD098);青岛市卫生科技发展计划———职业性肺病康复技术及管理模式研究 (2020-WJZD085) |
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| Construction of the evaluation index system of occupational poisoning emergency rescue capability of public hospitals based on 4R crisis management theory |
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MA Hongxia,ZHANG Hua,HAN Jianjian,LIU Meng,SONG Pingping,WANG Xiaoyan
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Qingdao Central Hospital, University of Health and Rehabilitation Sciences/Qingdao Central Hospital, Qingdao, Shandong266000, China
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| Abstract: Objective To evaluate the current occupational poisoning emergency rescue capability of public hospitals in China by constructing an evaluation index system for emergency rescue capability. Methods Based on 4R crisis management theory, the evaluation index system of occupational poisoning emergency rescue capability of public hospitals was constructed by comprehensive application of Delphi method and analytic hierarchy process. Results The results showed that the experts had high reliability for consulting, the response rates of the three rounds of questionnaires were all more than 85%, the average au-thority coefficient of experts was 0. 834, and the overall coordination coefficient of experts was 0. 505 (P<0. 001), after three rounds of expert consultation, the evaluation indexes system of the emergency rescue capability of occupational poisoning in public hospitals were finally determined, the system consists of 4 first-level indicators, 16 second-level indicators and 50 third-level in-dicators. The Cronbachs α coefficient of all indexes was 0.894. The reliability and validity of the questionnaire evaluation inde-xes were good. Conclusion The evaluation index system is based on the integrity of the emergency management system in public hospitals, and focuses on the aspects of pre-rescue preparation, rescue operation, and recovery assessment after rescue, which can provide reference for improving the emergency rescue capability of public hospitals for occupational poisoning. |
| Keywords: public hospital occupational poisoning emergency rescue capability 4R crisis management |
