The Study of Patient Assessment and Anesthesia Preparation in Emergency Surgery using Digital Database Applied to LEAN Concept, Mahasarakham Hospital

Abstract

Emergency surgery is a surgery that patients cannot wait for a long time. The waiting can have a negative impact on the patient and is a condition in which the patient is suffering both physically and mentally. The anesthetist team at Maha Sarakham Hospital is unable to assess patients before surgery. Therefore, fast forwarding of accurate information from wards will help to prepare anesthesia and surgery so it is very important.

Objective : 1) To study the effectiveness of patient assessment and anesthesia preparation in emergency surgery by using the digital database applied to LEAN concept, Mahasarakham Hospital 2) To study the satisfaction of the personnel in using patient assessment and anesthesia preparation in emergency surgery by using the digital database applied to LEAN concept, Mahasarakham Hospital

 Method : Is a Action Research using the conceptual framework of Maran in Mahasarakham Hospital. The research is divided into 3 phases, which are 1) preparation phase

 2) Development phase 3) Assessment phase Data were collected between April 2019 - January 2020. The sample group used in this research was anesthetized nurses. Operating room nurse And nursing nurses in the amount of 101 patients. The research instruments were General information query The evaluation form for the efficiency of patient evaluation and anesthesia preparation   in emergency surgery by using the digital database applied to lean concept, Mahasarakham Hospital. The reliability of the test was 0.96. Personnel satisfaction assessment form for using patient assessment and anesthesia preparation  in  emergency surgery using the Lean Digital Database applied the concept of Mahasarakham Hospital. And the risk recording form for using patient assessment and anesthesia preparation   in emergency surgery using the digital database applied to lean concept, Mahasarakham Hospital. The statistics used for data analysis are frequency, percentage, mean, and standard deviation.

Results : It was found that the effectiveness of patient assessment and anesthesia preparation  in emergency surgery by using the digital database applied to LEAN concept, Mahasarakham Hospital the questions given were mostly in line with what actually happened. ( = 3.73, S.D. = 0.85). Personnel satisfaction with the use of patient assessment and anesthesia preparation before emergency surgery by using the digital database applied to LEAN concept, Mahasarakham Hospital were high level of satisfaction ( = 7.47, S.D. = 1.95 ). And the risk of using patient assessment and anesthesia preparation in emergency surgery by using the digital database applied to LEAN concept, Mahasarakham Hospital found that the surgery booking was in error accounting for 1.54 percent. This research suggests that the development of patient assessment and anesthesia preparation  in emergency surgery by using the digital database applied to LEAN concept, Mahasarakham Hospital and lead to concrete actions, personnel are very satisfied. It also helps to reduce the risk that may occur the patients before surgery.

Keywords : patient assessment and anesthesia preparation  in emergency surgery, effectiveness, LEAN concept