To develop a context-adaptive sensitive indicator evaluation system for sepsis care quality, addressing unique challenges in Chinese healthcare settings.
Key Findings:
Two rounds of expert consultation achieved a 100% questionnaire return rate, indicating strong engagement.
Sixteen experts participated, with high expert authority coefficients (Cr = 0.95 and 0.96), demonstrating the reliability of the panel.
Significant consensus was reached in both rounds (p < 0.001), confirming the validity of the NSQIs.
A comprehensive list of sensitive indicators for sepsis care quality was established, including three primary, nine secondary, and 30 tertiary indicators.
Interpretation:
The established NSQIs encompass three fundamental dimensions of sepsis care quality: importance, rationality, and feasibility, providing a valuable framework for evaluating clinical care quality in sepsis management and enhancing patient outcomes.
Limitations:
The study is context-specific to China, which may limit generalizability to other regions.
The reliance on expert opinion may introduce bias in the development of NSQIs, potentially affecting their validity.
Conclusion:
This research provides a scientific and measurable tool for clinical nursing quality assessment and continuous improvement in sepsis management, supporting healthcare policy reform and implementation of international guidelines to enhance patient outcomes.
