The Results of Using Guidelines for Triage According to Level of Emergency at The Emergency Department, Sri Chiang Mai Hospital in the New Normal Way

Abstract

     This research has the objective To compare the knowledge and skills of triagers before and after using the guidelines for sorting patients according to emergency level. Emergency accident and forensic work Sri Chiang Mai Hospital in the New Normal era and to compare efficiency before and after using the guidelines for sorting patients according to their level of emergency. Using a quasi-experimental research method. (Quasi-Experimental Research) Case Studies, a sample of medical records obtained from simple random sampling, which was divided into 2 phases, namely the pre-educational period of 285 samples and the post-educational period of 217 samples, and after that, The second phase consisted of another sample of 162 medical records. Instruments used for data collection It is a test and recording of patient triage skills. Computer programs in hospitals. Conduct research by measuring knowledge and skills. Follow up on sorting efficiency before and after providing knowledge and sorting practice. Analyze the obtained data. By distributing frequency values (f), percentage (Percentile), and use non-parametric statistics (non-parametric) Comparative statistics used the Wilcoxon signed rank test to compare the before and after data of the sample of professional nurses and the number of percentages in the sample of medical records.
     The results found that  1) Providing knowledge on patient triage and training in practical skills in real situations resulted in workers having knowledge. Skills and efficiency in sorting have increased. Statistical significance level is .05. 2) the sample group professional nurses, 8 people there were 3 samples in the age range of 21-30 years, 1 sample in the 31–40-year age, another 1 sample in the 41–50-year age, and 3 samples in the 51–60-year age group. There were 4 samples with work experience of no more than 5 years, no sample with work experience ranging from 6-15 years, and 4 people with work experience of 16 years or more. Checking the accuracy of medical records in the first phase is before providing overall knowledge. Nurses assessed the separation of patients according to emergency types 1, 2, and 3. A total of 285 cases were correctly sorted, 239 cases, accounting for 84 percent. Sorted below reality, 26 cases, accounting for 9 percent. The separation was higher than the actual number of 20 cases, accounting for 7 percent, and after providing knowledge Nurses were able to evaluate the separation of patients according to emergency types 1, 2, and 3. A total of 217 cases were correctly sorted, 189 cases, accounting for 87 percent, and under-sorted, 17 cases, accounting for 8 percent. The selection was higher than the actual number of 11 cases, accounting for 5 percent in the second phase of providing knowledge. Individual advice A total of 162 cases were excluded, 147 cases were correctly sorted, 8 cases were under-sorted, or 5 percent, 7 cases were over-sorted, or 4 percent.