The Development of Triage System at Emergency Department in Community Hospitals, Phra Nakhon Si Ayutthaya Province

Abstract

The objectives of this research and development were to 1) study the situation and problems of the triage system 2) develop the triage system 3) evaluate the results of the triage system in the Emergency accident department of a community hospital in Phra Nakhon Si Ayutthaya Province. The research was divided into 4 phases: Phase 1: studies the situation and problems Phase 2: designs and develops. Phase3 try out, the sample consisted of 30 nurses in the emergency department. Phase 4: evaluate the results. Research instruments consist of: 1) emergency triage process emergency triage record form guidelines for triaging emergency 2) guidelines of question for group discussions and after-action reviews 3) assessment of knowledge and behavior in the emergency triage process. Data were analyzed using descriptive statistics, Paired t-test statistics and content analysis.

           The results revealed 1) Problem situation: every hospital uses 5 levels of triage. There was a process for triage in some places. Need a secure and uniform triage system used everywhere. 2) The developed triage system consists of a triage process, triage record form and guidelines for triaging emergency patients 3) the knowledge and behavior in the process of triaging emergency had increased statistically significant at <.001. They were satisfied with the triage system at the highest level, from after-action reviews, it was found that the developed triage system had a process rapidly finding emergency critical patients, no patient’s found condition deteriorates while waiting. The triage record had completed and sufficient information and help make patients safer. Therefore, a patient triage system should be implemented for rapid triage. and has increased safety arrange for specialized triage nurses and organize patient triage training to increase the competency of triage nurses.