论文部分内容阅读
目的探讨接种门诊预防接种风险评估方法,评估预防接种风险,为制定接种门诊预防接种风险应对策略提供科学依据。方法采用德尔菲法(Delphi法)对预防接种风险发生的可能性及后果的严重性进行风险分析;应用风险矩阵法评价预防接种风险水平;采用Borda序值法对各项风险的风险概率和风险影响进行量化评估及排序。结果专家共开展了2轮风险调研,2轮调研的专家积极系数均高于95%,权威系数为0.85±0.09;2轮专家Kendall协调系数为0.374~0.545,差异均有统计学意义(P<0.01)。本研究构建了包含7项一级风险指标、26项二级风险指标的接种门诊预防接种评估指标体系,确定了各项预防接种风险发生的可能性和后果严重性,划分了风险水平并排序。结论目前接种门诊预防接种越来越规范,但仍存在许多风险等级较高的潜在风险。将Delphi法、Borda序值法与风险矩阵法综合应用到预防接种服务领域,是一种新思想、新模式、新手段,能够为预防接种风险评估工作提供参考,为接种门诊提供了应对预防接种风险做出正确决策的科学依据,具有推广价值。
Objective To explore the risk assessment methods of vaccination in vaccination clinics and assess the risk of vaccination, so as to provide a scientific basis for coping strategies of risk vaccination in vaccination clinics. Methods The Delphi method was used to analyze the risk of vaccination and the severity of the consequences. The risk matrix method was used to evaluate the risk of vaccination. The risk probability and risk of each risk were estimated by Borda method. Impact Quantification and sequencing. Results The experts carried out two rounds of risk survey. The positive coefficients of experts in two rounds of investigation were higher than 95% and the authority coefficient was 0.85 ± 0.09. The coordination coefficient of two rounds of experts Kendall was 0.374-0.545, with significant difference (P < 0.01). In this study, an evaluation index system for inoculation outpatient vaccination including 7 first-level risk indicators and 26 second-level risk indicators was constructed. The possibility of vaccination risks and the severity of the consequences were determined, and the risk levels were divided and ranked. Conclusion At present vaccination clinics in vaccination are more and more standardized, but there are still many potential risks with higher risk levels. The combination of Delphi method, Borda ordinal value method and risk matrix method in the field of vaccination services is a new idea, new model and new method that can provide reference for vaccination risk assessment and provide vaccination clinics with vaccination Risks to make the right scientific basis for decision-making, with promotional value.