OBJECTIVE  To construct an event monitoring indicators system for outpatient hemodialysis infection to reduce the risk of infection for outpatient hemodialysis, and provide a basis for summarizing applicable prevention and control measures for outpatient environment.

METHODS  Based on the relevant documents and literatures from domestic hemodialysis centers and the present status of hospital-acquired infection management and surveillance, the Delphi method was used to consult national experts in hemodialysis, management of hospital-acquired infection and nursing, and finally the monitoring index system for outpatient hemodialysis dialysis events was constructed.

RESULTS  The response rate of experts for both rounds inquiry questionnaires was 100.00%. The coefficient of expert authority was 0.91 and 0.94, respectively. After organizing and modifying the inquiry opinions of the first round, the average importance and feasibility of monitoring indicators in the second round of correspondence was 4.55-5.00 and 4.65-5.00, respectively, and the full score ratio of importance and feasibility was at the intervals of 60.00%-100.00% and 70.00%-100.00%, respectively. The coefficient of variation was 0.000-0.153 and 0.000-0.156, respectively, and Kendall′s W value had statistical significance (P < 0.05). Finally, the monitoring indicators system for infection events in outpatient hemodialysis was constructed including 8 first-level, 31 second-level and 41 third-level indicators.

CONCLUSION  This monitoring indicators system is scientific and rational, and has popularization significance, which can help reducing infection risks and guarantee medical safety for outpatient hemodialysis.