The Effect of Patient Emergency Referral Guidelines in Nam pad hospital, Uttaradit province.

Abstract

This research aimed to study the effects of implementing patient transfer guidelines for accident and emergency cases on the quality of care and services at Nam Pad Hospital, compare the satisfaction of medical personnel, and analyze factors contributing to the success and obstacles in adopting these guidelines. The study employed a quasi-experimental design with a single-group pre-test and post-test approach. The sample consisted of 21 professional nurses working in patient transfer. The research instruments included patient transfer guidelines, clinical data recording forms, transfer quality assessment forms, and satisfaction questionnaires. Data were analyzed using descriptive statistics and the Wilcoxon signed-rank test.              

The results showed that after implementing the guidelines, the number of patients transferred according to the protocol increased to 93.3%. Complications during transfer decreased from 11.1% to 6.7%, and the average transfer time reduced from 60 to 45 minutes. Patient and family satisfaction increased from 75.6% to 91.1%, while the survival rate of critically ill patients being transferred improved from 84.4% to 91.1%. Nurses' satisfaction with the guidelines increased significantly (p < 0.001). In conclusion, the implementation of accident and emergency patient transfer guidelines enhanced transfer efficiency, reduced complications, and increased medical personnel satisfaction. Key factors contributing to success included administrative support, staff training, and multidisciplinary team involvement.