Development Triage system of phrayuen Emergency Department by MOPH ED.Triage

Abstract

     This research is a study of the development of a patient sorting model. of professional nurses, emergency accident and forensic departments, Phra Yuen Hospital Khon Kaen Province The research objectives are 1) to study the patient separation situation; Emergency Accident and Forensic Department 2) To study the development of patient triage models. Emergency Accident and Forensic Department 3) To study the results of developing a patient triage model. Emergency Accident and Forensic Department It is action research using the systems theory framework. The sample group consists of 1)Professional nurse 16 people working at the Emergency Accident and Forensic Department. 2) Patients receiving treatment in the Emergency Accident and Forensic Department, 4,800 people, divided into 3 groups: before the development, after the development of the first wheel and the wheel. 2nd place Study between April 2020 and September 2020. The research tools consisted of a general information questionnaire.

knowledge test Sorting record form Data were analyzed using descriptive statistics. Demographic characteristics were analyzed. (frequency distribution in numbers, percentages, means and standard deviations Minimum-maximum value) knowledge information and separation results. Interpret results using Paired t-test statistics.

     Research results 1) Before the development, there were no clear guidelines for sorting using KESI triage. The qualifications of the sorters and the sorting locations were not specified. Record information in medical records and programs, 43 files. 2) Develop a triage model using MOPH.ED.Triage ESI 5 levels of the Department of Medical Services, Ministry of Public Health. The triage point is in front of the emergency room. The triage nurse is a professional nurse with more than 3 years of experience. The triage information is recorded in the medical record and in the program, 43 files. 3) Research results: The average nurse knowledge score increased after development with statistical significance at the 0.00 level. Average scores were 13.19, 18.56, respectively.) The separation results were higher than reality. Decreased with statistical significance at the 0.00 level, 15.19, 10.81, 8.38 percent, respectively.) Selection is lower than reality, comparing before and after the development of Wheel 1. Decreased with statistical significance at the 0.00 level (7.62 percent to 4.44 percent) and after the development of wheel 1 and after the development of wheel 2 Decreased with statistical significance at the level of 0.02 (4.44 percent to 3.44 percent)