การพัฒนาระบบตอบสนองเร่งด่วนในการจัดการผู้ป่วยที่มีภาวะติดเชื้อและช็อกจากการติดเชื้อในกระแสเลือด

Yukonchat  Lamwanna; Teepatad Chintapanyakun; Apiradee  Charoenjunyakul; Pranom  Sakulpipat; Dararat  Sompiea

Authors

Yukonchat Lamwanna Samutprakarn Hospital
Teepatad Chintapanyakun Ramathibodi Hospital, Mahidol University
Apiradee Charoenjunyakul Samutprakarn Hospital
Pranom Sakulpipat Samutprakarn Hospital
Dararat Sompiea Samutprakarn Hospital

Keywords:

rapid response system, sepsis, septic shock

Abstract

The purposes of this research and development were to develop of rapid response system (RRS) of management in patients with sepsis and septic shock at Samutprakarn hospital and to compare the outcomes hospital service such as length of stay, cost, and mortality, before and after development of RRS. The sample consisted of the patients with sepsis or septic shock admitted to the emergency department (ED) at Samutprakarn hospital. Data were collected 134 patients by purposive selection method. Sixty-seven samples were received a pre-development of RRS and sixty-seven samples were received (RRS) of management in patients with sepsis and septic shock. The research instruments were including the guidelines for assessment, screening, and responsiveness for patients with sepsis and septic shock, guidelines for management in patients with sepsis and septic shock, and data record form. Data were analyzed using descriptive statistics, Chi-square test, and Mann-Whitney U test.

The results revealed that: 1) The RRS of management in patients with sepsis and septic shock were appropriate and possibility of use them into practice until the expected outcomes. 2) The length of stay, cost, and mortality were significant at the .05 level in pre-post development of RRS of management in patients with sepsis and septic shock.

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