Development of Fast Track Service System for Patients with Stroke in Nong Saeng Hospital and Health Service Network, Udon Thani

Abstract

          Purposes : To study situation, develop fast track service system and evaluate results of  fast track service system for stroke patients, Nong Saeng Hospital and service network.

Study design : Action Research

Materials and Methods : Twenty of key informants included stroke patients, ten of service providers, and  primarily responsible for the service network. Data were collected using patient record forms, assessment of compliance with patient care/referral guidelines and focus group discussion guideline. Data were analyzed using frequencies, percentages, means, and % differences.

Main findings : From studying situations, both problems were found, pre-hospital, In hospital and post-hospital, such as access to 1669, knowledge and skills in evaluating patients with stroke, both staff and the general public. Screening for discrepancies and delays in the service system. The developed service system consists of steps (1) organizing a patient care system (2) developing BE-FAST screening tools 3) working with the service network to develop service system (4) holding a meeting to explain area and resuscitating sub-district. (5) Coordinate with network partners (7) proactive public relations (8) provide knowledge and skills (9) create referral guidelines, and (10) develop a faster patient care system, and every result were lower than target.

Conclusion and recommendations : The results of this research resulted in all results being lower than target. Therefore, the use of this system in the agency should be encouraged.