DEVELOPMENT OF TRIAGE SYSTEM IN HOSPITAL FOR THE MANAGEMENT OF SEVERE COVID-19 IN MAHASARAKHAM PROVINCE AND NETWORK

Abstract

The purpose of this research is to develop at triage model at the first point for receiving COVID-19 patients and to manage the severity of the disease in MahaSarakham Province. The target groups divided into 2 groups: 1) the model developer group of 40 people and 2) the experimental target group of 768 people. The instruments included a medical record review form, group discussion form, in-depth interview, the COVID-19 patients' triage record form, and observation form.The quantitative data analyzed by descriptive statistics. The qualitative data analyzed by content analysis. The results of the research were as follows:

1.Problem situation of COVID-19 patients in Mahasarakham Province had a continuous outbreak of disease with a total of 39,997 patients with 180 deaths. The problem in triage patients,the number of patients receiving services has increased. The symptoms of the disease are diverse.The number of staff was insufficient for triage and lack of availability of triage sites and inadequate equipment

2.The development of a total of 2 cycles, which was a policy operation, workforce, health service system management, health information system, access to medicines and medical technology, budget and resources together with linking with affiliate networks in the province, integration resources.

3.The results of the model development showed that there was an effective triage and referral system. In addition, adequate facilities for severe patients. JIRAPORN Model formed to drive the triage system in hospital for the management of severe COVID-19.