Effectiveness of the Development for Emergency Patient's Triage Model at Banfang Hospital, Khon Kaen Province

Abstract

This study is action research that aims to study the effectiveness of the development of the emergency patient's Triage Model at Banfang Hospital, Khon Kaen Province. The 13 purposive samplings were registered nurses and advanced emergency medical technicain. Data collecting was carried on from June 1 to October 31, 2020. The study framework based on the Kemmis & McTaggart concept, including 1) Planning to lead the change 2) implementing plans, 3) observing, and 4) reflecting on the process and the results of the change in order to improve operational plans. Research tools include assessing knowledge and skills in emergency patient's triage, quality assessment form for emergency patient's triage, and the satisfaction assessment form of the emergency patient's triage model. The quality of research instruments was 0.88 and 0.96. Data were analyzed using descriptive statistics and analytical statistics such as the Paired t-test and Cohen’s kappa coefficient. The research results were found that the emergency patient's triage model increased the accuracy of the emergency patient's triage to 82%, the over triage error decreased to 7.33% and the under triage error decreased to 10.67, respectively. The Inter-Rater Reliability at the middle level was statistically significant at the .05 level (Cohen's kappa coefficient = .775) The satisfaction after using the emergency patient's triage new model was statistically significantly higher than before at the .05 level (p-value .003). Hence,  the emergency patient's triage new model can be applied  to  Banfang  Hospital effectively. It is recommended that there should be reskilling in emergency patient’s  triage Banfang Hospital model continuously and track the waiting time for each level of triage compare with standard waiting time can improve the emergency patient's triage model efficiently.