OUTCOMES OF PATIENT MANAGEMENT WITH EMERGENCY-RESUSCITATION IN THE EMERGENCY DEPARTMENT AT DANCHANG HOSPITAL
Keywords:
Triage, Retrospective, Outcomes of Patient Management with Emergency- Resuscitation, Emergency RoomAbstract
MOPH ED. Triage disease severity classification system of the Ministry of Public Health isa triage process by categorizing patients according to the severity of their injuries to determinethe urgency of medical assistance. Accurate triage will help classify patients correctly and reducewaiting times in emergency units. Screening the wrong type of patient will cause delays indiagnosis and affect patient safety, which may lead to death.
This research aims to study patient management outcomes with emergency-resuscitationin the emergency department at Dan Chang Hospital. It is a study of a retrospective study of medicalrecords of emergency patients by using the MOPH ED. Triage disease severity classificationsystem of the Ministry of Public Health from January 1 to March 31, 2023. A sample of 238people was calculated, and a purposive selection was conducted. The tool used in the processis the MOPH ED. Triage screening guidelines of the Ministry of Public Health. The tools usedto collect data are a general data recording form, a disease severity classification record formaccording to the MOPH ED. Triage criteria of the Ministry of Public Health, and a form recordingthe duration of nursing care for patients receiving services in the emergency unit according to patient management procedures in Dan Chang Hospital.
The research findings show that as the results of screening for disease severity accordingto the MOPH ED. Triage criteria according to the level of urgent emergency and during the periodof service, the majority of them were at Level 2 Emergency (71.43%), and most patients cameto use the service during the morning shift (43.70%). The accuracy of the screening is inaccordance with the level of emergency and urgency. As for the evaluation results of emergencypatient sorting quality, it is found that 94.96% of the cases were correctly sorted, with 2.10%under triage and 2.94% over triage. Regarding the duration of nursing care at the emergencyunit according to patient management procedures of Dan Chang Hospital from the triage pointto being discharged from the emergency unit, it took an average of 22.08 minutes (S.D = 5.47),which is a measure to reduce ER-Overcrowding according to the guidelines for organizingemergency room services of the Department of Medical Services, Ministry of Public Health.
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