ผลการใช้แนวทางการคัดกรองผู้ป่วยโดยดัชนีความรุนแรงฉุกเฉิน ต่ออุบัติการณ์การคัดกรองผู้ป่วยผิดประเภท งานผู้ป่วยนอก โรงพยาบาลบึงกาฬ Effects of using the Emergency Severity Index triage Guideline on incidence triage Outpataint Department, BuengKan Hospital

Abstract

Abstract

               This  research study were Pre-experimental research, the One group pre-test – posttest design have the objective aim to compare the incidence triage between the performance of the screening nurse in the period of pre and post of using the Emergency severity Index triage Guideline. The sample group were 7 professional Nurse who work as the screener for the Outpatient Department, for the general examination clinic, Surgery, Bone surgery, and pediatric section by using purposive sampling method. The data collection divided into 2 period, 1^st Pre-using the Emergency Severity Index triage Guideline started from 1 October – 30 September 2016, and the 2^nd period post-using the Emergency Severity Index triage Guideline from 1 October – 30 September 2018. Tools using for this study  research were 1) The Emergency Severity Index triage Guideline 2) The assessment test for evaluate the effective of working performance when using the Emergency Severity Index triage Guideline 3) Registration record of the incidental risk, which have been evaluate, and examined by 5 experts specialist, doctor and nurses for the validity which have IOC value = 1 To test the validity of the tools and the assessment test for the effectiveness of using the Emergency Severity Index triage Guideline, by using Co-efficiency Alfa Cronbach method, value = 0.91, data analysis were used narrative statistic and implication statistic such as Percentile, Mean, Standard Deviation and Paired Samples test.

               The result of research study found that the average incidence occurred, and the condition of the patients getting worsen (under triage) and the patients type 4-5 (over triage)  have been sent to the Emergency Room. The comparison between the patients groups pre and post using the Emergency Severity Index triage Guideline, have the difference result, statistic significantly.

               From the above result we can see that the Emergency Severity Index triage Guideline can be use as a tools for screening the out patient incidence, more effectively and we should prepare to develop the hand book, for screening out patient, and others department for more effective work performance  further more.

Key word :     screening the patients by using Emergency Severity Index (ESI), Outpatients service Bueng kan Hospital