Development of a screening model for outpatient types according to emergency severity level at the surgery outpatient department, Nakhon Pathom Hospital.

Abstract

     This research was action research. The objective is to develop an outpatient screening model according to the emergency severity level and study the results of developing an outpatient screening model according to the emergency severity level at the surgery outpatient department in Nakhon Pathom Hospital. The duration of the study included 4 months between March 2025 to June 2025. The sample was 420 patients aged 18 years and over who came for examination in the surgery outpatient department. The research instruments used were screening criteria, screening guidelines, and a patient screening manual based on emergency severity levels, adapted from the MOPH ED Triage process. Data were collected using a form to record the results of using the outpatient screening according to the emergency severity level and evaluating the opinions of professional nurses on the outpatient screening model according to the emergency severity level. Data analysis using descriptive statistics includes frequency, percentage, mean, and standard deviation (SD).

     The results of the study found that 1. Outpatient surgical screening model according to emergency severity level Previously divided into 3 levels: 1) Emergency patient 2) Urgent patient and 3) Non-urgent patient changed to 5 levels: 1) Critical emergency patient (Resuscitation) 2) Very emergency patient (Emergency) 3) Emergency patient (Urgency) 4) Semi-emergency patient (Semi–urgency) and 5) Non-emergency patient (Non–urgency) 2. A Results of model development It was found that 71.43 percent were screened correctly according to the criteria and 28.57 percent were incorrect according to the criteria. Incorrect screening according to the criteria is divided into 24.05 percent had under-screening and 4.52 percent had over-screening. Regarding the professional nurses' opinion on the use of the screening model, there was a high level of satisfaction (mean = 4.19, standard deviation=0.11)