Triage model development outpatient according to the level of emergency severity.

Abstract

Objective: The purposes of this research were to develop and evaluate of using the level of emergency severity Triage model in the Outpatient Department of Mahasarakham Hospital.

Method: This research is action research. The study was conducted from October 2022 to June 2023.The researcher applied the concept of continuous quality improvement using the Kemmis & Mc Taggart (1988: 11). The sample group consisted of 8 registered nurses who performed procedures in the Outpatient Department and 380 patients who received services from February 2022 to April 2023 at the Outpatient Department. The instruments consisted of: 1) The level of emergency severity Triage model consisted of criteria, guideline and the triage manual 2) The data collection form and 3) The questionnaire for registered nurse was verified by 3 experts. The content validity index was 0.90. The data obtained were analyzed for descriptive statistic such as frequencies, percentages, means and standard deviations.

          Result: The finding of this research were: 1) The level of emergency severity Triage model consisted of 5 levels classification including resuscitation, emergency, urgency, semi-urgency and non-urgency levels and 2) The outcome of using the level of emergency severity triage model found that the accuracy of triage model was 89.21%, Under triage 2.89%and Over Triage 7.89%. Overall opinion of registered nurses with using of the level of emergency severity Triage model was at highest level (=4.72, SD=0.52)

Conclusion: The research showed that the level of emergency severity Triage model was effective for using in the outpatient department.