Development of Stroke Fast Track Patient Triage system of the Emergency Response and Dispatch Center Yasothon Hospital

Abstract

This research and development aimed to develop a patient triage system and study outcomes of the Response and Dispatch Center, Yasothon Hospital. Purposive sampling was used to select two groups of subjects. A group of service users were 46 patients entering the stroke fast track and a group of 12 service providers were namely 6 professional nurses and 6 advanced emergency medical technicians. The research instruments consisted of the experimental instruments and the tools used for data collection and data analysis. Data were analyzed using numbers, percentage, standard deviation and Paired – Sample was used to analyze pre-post comparative data. The correctness and access used to analyze Chi-square. The results revealed that the accessibility to the stroke fast track system increased from 29.03% through 86.96%. The accuracy of post-operative triage was 82.61% higher than pre-operative triage (22.58%). Patients receiving recombinant tissue plasminogen activator (rt-PA) intravenous thrombolytic agents (rt-PA) with correct triage. The patients with post-comparative triage received the drug 58.70 %, higher than pre-comparative triage (6.45 %). The results of the development were that the accuracy of Stroke Fast Track patients resulted in increased number of patients receiving intravenous thrombolytic drugs.