摘要目的:构建医疗质量与安全管理理论模型。方法:以2021年7月至2022年6月的30份专家访谈记录为基础，整合71篇中、英文核心文献内容质性分析结果，应用程序性扎根方法开展编码并构建医疗质量与安全管理理论模型。结果:经过三级编码，梳理出与医疗质量安全管理相关的555个参考点、249个初始概念、41个范畴、27个主范畴和7个核心范畴，构建了医疗质量与安全管理SQ(I-SPORT)矩阵理论模型。结论:医疗质量与安全管理从管理职能上应注重结构、过程、结果、再造、教育培训的系统性提升，从管理要素上需要对组织、员工、资源、技术与工具、患者体验方面进行改进。

abstractsObjective:To construct future-oriented theoretical management model for medical quality and patient safety.Methods:Procedure grounded theory was applied to code data including 30 expert interview records from July 2021 to June 2022 and the qualitative analysis results of 71 core literatures in Chinese and English, and then the theoretical model was constructed.Results:After three-level coding, 555 reference points, 249 initial concepts, 41 categories, 27 main categories and 7 core categories related to medical quality and safety management were sorted out, and the theoretical model of SQ (I-SPORT) matrix for medical quality and safety management was constructed. This model extended the traditional dimension in quality and safety management.Conclusions:Regarding medical quality and safety management, on one hand, should focus on the systematic improvement of structure, process, results, reengineering, education and training in terms of management functions; on the other hand, it is necessary to improve the organization, employees, resources, technology and tools, and patient experience in terms of management elements.