Results of using the quality assessment form for the nursing service system for transferring between health care facilities. on the accuracy and adverse events of referred patients In Por Than Klai Wajasit Hospital, Nakhon Si Thammarat Province.

Abstract

This study was descriptive research. It studied the results of using the quality assessment model for the nursing service system for referrals between health care facilities on the accuracy and adverse events of referred patients. The sample was purposively selected, consisting of 24 professional nurses working at Por Than Klai Wajasit Hospital and 50 patients who received treatment for whom the doctor had a treatment plan to refer the patient to another hospital between December 2023 and February 2024. The research tool consisted of 2 parts: 1) Evaluation of the quality assessment of the nursing service system for transfers between health care facilities, consisting of evaluating vehicle operators, preparation before forwarding, care during transfer, and safety assessment 2) data collection which had been applied and adapted from emergency patient transfer operations between medical facilities by the National Institute of Emergency Medicine (2014). Statistics used in data analysis were descriptive and inferential statistics, One sample t-test.

The results of the study found that the assessment of the preparedness of the patient care team before transfer from Por Than Klai Wajasit Hospital to the host hospital showed that the vehicle operator survey of readiness to use a car and readiness to wear seat belts was 100.0%. The referral nurse survey of medical equipment readiness to use and wearing seat belts by nurses and drivers was 98.0% of belts worn at the referring and host hospitals. No adverse events occurred during the transfer, 100.0%. Comparative analysis of accuracy scores in caring for transferred patients between hospitals by professional nurses at Por Than Klai Wajasit Hospital, Nakhon Si Thammarat Province, and the host hospital using the evaluation form that the researcher had designed showed that after using the evaluation form with the 90.0 percent criteria, the accuracy score was greater than 90 percent, with a statistical significance of 0.01.