Application of analytic hierarchy process for measuring and comparing the global performance of intensive care units
Application of analytic hierarchy process for measuring and comparing the global performance of intensive care units
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DOI：
10.1016/j.jcrc.2005.04.002
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发表时间：
2005-06-01
影响因子：
3.7
通讯作者：
Kumar, AY
中科院分区：
文献类型：
--
作者：
Hariharan, S;Dey, PK;Kumar, AY
目的：为了开发一个模型，重症监护病房（ICU）的全球性能测量，并应用该模型来比较的服务质量improvement.Materials和方法：层次分析法，多属性决策技术，是在这项研究中使用的演变这样一个模型。这些步骤包括确定ICU最佳性能的关键成功因素，确定影响关键因素的子因素，成对比较它们，推导出它们的相对重要性和评级，并根据给定ICU的属性计算累积性能。模型中的每一步都是通过小组讨论，头脑风暴和intensivists.Results之间的共识得出的：该模型适用于3 ICU，我每个在巴巴多斯，特立尼达和印度的三级护理教学医院的类似设置。巴巴多斯ICU的累积性能评分为1.17，而特立尼达和印度ICU的累积性能评分分别为0.82和0.75，表明特立尼达和印度ICU的性能分别为巴巴多斯ICU的70%和64%。该模型还使识别特定领域的ICU没有表现得很好，这有助于即兴这些areas.Conclusions：层次分析法是一个非常有用的模型来衡量ICU的全球性能。(c)2005年爱思唯尔公司All rights reserved.
Purpose: To develop a model for the global performance measurement of intensive care units (ICUs) and to apply that model to compare the services for quality improvement.Materials and Methods: Analytic hierarchy process, a multiple-attribute decision-making technique, is used in this study to evolve such a model. The steps consisted of identifying the critical success factors for the best performance of an ICU, identifying subfactors that influence the critical factors, comparing them pairwise, deriving their relative importance and ratings, and calculating the cumulative performance according to the attributes of a given ICU. Every step in the model was derived by group discussions, brainstorming, and consensus among intensivists.Results: The model was applied to 3 ICUs, I each in Barbados, Trinidad, and India in tertiary care teaching hospitals of similar setting. The cumulative performance rating of the Barbados ICU was 1.17 when compared with that of Trinidad and Indian ICU, which were 0.82 and 0.75, respectively, showing that the Trinidad and Indian ICUs performed 70% and 64% with respect to Barbados ICU. The model also enabled identifying specific areas where the ICUs did not perform well, which helped to improvise those areas.Conclusions: Analytic hierarchy process is a very useful model to measure the global performance of an ICU. (c) 2005 Elsevier Inc. All rights reserved.