The construction of terminology standard for hospital quality and safety_Chinese Journal of Evidence-Based Medicine

Authors：

LI Huiping ¹ , YAO Haiyan ² , WANG Jun ¹ , LUO Di ¹ ,  XIAO Mingzhao ³ , ZHAO Qinghua ¹ , ZHENG Shuangjiang ⁴ , ZHANG Chuanlin ⁵

1. Department of Nursing, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, P. R. China;
2. Library of the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, P. R. China;
3. Department of Urology, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, P. R. China;
4. Department of Medical Affair, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, P. R. China;
5. Department of Critical Care Medicine, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, P. R. China;

Corresponding?author：

XIAO Mingzhao, Email: xmz.2004@163.com

Keywords：

Hospital management; Terminology standard; Delphi method; Expert meeting

DOI：

10.7507/1672-2531.202303200

Video：

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Objective To construct the terminology standard of hospital quality and safety. Methods The draft terminology standard was constructed through group discussions, and the final draft terminology standard was formed after one round of Delphi expert consultation and two rounds of expert consensus meetings. Results The recovery rate of the questionnaire was 100%, and the authority coefficient of experts was 0.87. A total of 15 experts were invited to two rounds of expert consensus meetings. The terminology standard for hospital quality and safety (TCHAS 10-1-1-4—2022) was finally released, including 4 first-level categories, 20 second-level categories, and 370 terms in total. Conclusion The terminology standard of hospital quality and safety developed in this study is scientific and reliable, which can be used as a tool to assist medical institutions in carrying out standardized management.

Citation： LI Huiping, YAO Haiyan, WANG Jun, LUO Di, XIAO Mingzhao, ZHAO Qinghua, ZHENG Shuangjiang, ZHANG Chuanlin. The construction of terminology standard for hospital quality and safety. Chinese Journal of Evidence-Based Medicine, 2023, 23(8): 951-954. doi: 10.7507/1672-2531.202303200 Copy

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2.	Mansour W, Boyd A, Walshe K. The development of hospital accreditation in low- and middle-income countries: a literature review. Health Policy Plan, 2020, 35(6): 684-700.
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4.	陳燕. 全質量體系理念下醫院質量與安全管理探索. 中華醫院管理雜志, 2021, 37(Z2): 49-51.
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6.	馮倩, 馮磊, 李珞暢. 從醫療質量安全到患者安全: 醫療風險治理的觀念更新與政策優化. 中國全科醫學, 2019, 22(31): 3805-3809.
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13.	劉暢暢, 高紅霞, 張研. 農村家庭醫生崗位勝任力指標體系構建. 醫學與社會, 2021, 34(1): 20-24, 33.
14.	黃天雯, 張偉玲, 劉圓圓, 等. 基于敏感指標的骨科專科護理質量標準的構建. 護理研究, 2022, 36(4): 580-586.
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17.	周愛霞, 楊燕, 楊琳琳, 等. 山東省護理人員對臨床照護分類系統標準化術語的認知及應用現狀調查. 護士進修雜志, 2022, 37(3): 284-287.
18.	Sherman H, Castro G, Fletcher M, et al. Towards an international classification for patient safety: the conceptual framework. Int J Qual Health Care, 2009, 21(1): 2-8.
19.	PSNet. Glossary.
20.	Runciman WB. Shared meanings: preferred terms and definitions for safety and quality concepts. Med J Aust, 2006, 184(S10): S41-S43.
21.	Chang A, Schyve PM, Croteau RJ, et al. The JCAHO patient safety event taxonomy: a standardized terminology and classification schema for near misses and adverse events. Int J Qual Health Care, 2005, 17(2): 95-105.

1. 鮑玉榮, 李林, 何宇, 等. 醫院管理標準化的國際經驗借鑒. 中國醫院, 2013, 17(8): 13-15.
2. Mansour W, Boyd A, Walshe K. The development of hospital accreditation in low- and middle-income countries: a literature review. Health Policy Plan, 2020, 35(6): 684-700.
3. 韓勇, 梁辰, 曾憲濤, 等. 國外醫院管理研究現狀的文獻計量學分析. 中國循證醫學雜志, 2017, 17(12): 1456-1460.
4. 陳燕. 全質量體系理念下醫院質量與安全管理探索. 中華醫院管理雜志, 2021, 37(Z2): 49-51.
5. Pereira-Argenziano L, Levy FH. Patient safety and quality improvement: terminology. Pediatr Rev, 2015, 36(9): 403-411.
6. 馮倩, 馮磊, 李珞暢. 從醫療質量安全到患者安全: 醫療風險治理的觀念更新與政策優化. 中國全科醫學, 2019, 22(31): 3805-3809.
7. 萬曉君, 樊榮. 醫療安全與患者安全理念差異分析與轉換. 醫學與哲學, 2019, 40(12): 6-10.
8. 劉孝文, 趙晶. 醫療質量管理相關概念和工具. 麻醉安全與質控, 2017, 1(3): 148-151.
9. 馬謝民. 《醫療質量管理辦法》中醫療質量概念及相關問題探討. 中國醫院管理, 2022, 42(3): 56-58.
10. 解文君, 肖龍華, 李秋燕, 等. 不良事件屬性及相關概念界定研究. 中國醫藥導報, 2018, 15(35): 177-180.
11. 李慧平, 姚海燕, 劉璟, 等. 國外患者安全術語分類體系對比分析及對我國的啟示. 中國醫院, 2022, 26(8): 62-64.
12. 程章. “互聯網+護理服務”背景下護士的認知程度、服務意愿和風險因素的問卷編制及應用. 開封: 河南大學, 2021.
13. 劉暢暢, 高紅霞, 張研. 農村家庭醫生崗位勝任力指標體系構建. 醫學與社會, 2021, 34(1): 20-24, 33.
14. 黃天雯, 張偉玲, 劉圓圓, 等. 基于敏感指標的骨科專科護理質量標準的構建. 護理研究, 2022, 36(4): 580-586.
15. 國家衛生健康委員會. 關于印發“十四五”衛生健康標準化工作規劃的通知. 2022.
16. 劉霖, Amy Coenen, 陶紅, 等. 國際護理術語分類體系發展概況及其對我國護理的啟示. 中華護理雜志, 2015, 50(5): 593-597.
17. 周愛霞, 楊燕, 楊琳琳, 等. 山東省護理人員對臨床照護分類系統標準化術語的認知及應用現狀調查. 護士進修雜志, 2022, 37(3): 284-287.
18. Sherman H, Castro G, Fletcher M, et al. Towards an international classification for patient safety: the conceptual framework. Int J Qual Health Care, 2009, 21(1): 2-8.
19. PSNet. Glossary.
20. Runciman WB. Shared meanings: preferred terms and definitions for safety and quality concepts. Med J Aust, 2006, 184(S10): S41-S43.
21. Chang A, Schyve PM, Croteau RJ, et al. The JCAHO patient safety event taxonomy: a standardized terminology and classification schema for near misses and adverse events. Int J Qual Health Care, 2005, 17(2): 95-105.

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