Quality of Classification of Emergency Patients at Na Dun Hospital, Mahasarakham Province

Abstract

This research aimed to study quality of classification of emergency patient Na Doon Hospital, Na Doon District Mahasarakham Province. The study was conducted from October to December 2020. Samples were randomly categorized into 2 groups: (1) triage nurses, emergency nurses, advanced emergency medical technicians 22 persons; and (2) 270 patients admitted to the emergency room. The tools used in data collection, participant observation group, and group discussion. The quantitative data were collected using the Emergency Severity Index (ESI) assessment form and the MOPH ED Triage screening record form. The data were analyzed using descriptive statistics, frequency, and percentage. The results of this study were: according to the study problems and situations of emergency categories of patient, classification indicated that screening errors in patients in emergency patients (urgency) was 32.14%. The error that occurs is caused by not being responsible for it, not assign of written duties, and only talk and classify and transmit information at the relevant service points. The information was not communicated clearly, no classification assessment and monitoring, not collecting information systematically, and no clear responsibility. The development of the quality of emergency patient classification consists of: (1) create guidelines for classifying emergency patients of the accident and emergency department, and (2) workshop on the use of emergency patient classification guidelines for triage nurses, emergency nurses, and advanced emergency medical technicians. The evaluation found that most illnesses are non-trauma 74.08%, relatives deliver 46.30%, classification of patients by level of urgent emergency (ESI 3) 40.70%, non-urgent (ESI 4) 35.56%, and crisis emergency (ESI 2) 12.59%. The quality assessment of emergency patient classification was accurate 81.48% and inaccurate 18.15%. Registered nurses were not properly classified 17.03% and advanced emergency medical technicians were not properly classified 21.59%. Most of the erroneous assessments were under triage 3.33% and over triage 15.19%.