Abstract:
Abstract
Introduction: The baseline assessment in this study showed that the implementation of
Central Triage physical examination procedure was too low In Outpatient Department at
University of Gondar Comprehensive Specialized Hospital.
Objectives: To increase the proportion of patients physical examining procedures from
1.1% to 40 % in the Central Triage at Outpatient Department at UoGCSH, by the end of
January / 2017.
Method: A facility based pre- post interventional study was conducted from March/2016 to
January/2017 in the University of Gondar Comprehensive Specialize Hospital, Ethiopia
The interventions included 1) Training of Central Triage health personnel and other multi
disciplinary concerned department heads 2) Establish and availing policy supported
Central Triage protocol 3) Accelerate scale-up best experience from similar hospital 4)
Fulfill requirement of medical equipment and furniture 5) Strengthening internal
supportive supervision. The sample consisted of 267 patients’ medical record review and
observations of patients who got appropriate Physical Examination by using simple
random sampling techniques. Independent T- Test used to compare the difference in the
outcome of interest between the pre – and post –intervention periods with equal sample
size and the same variable.
Results: The percentage of physical examination, measurement of vital sign, quick
problem oriented system examination and linkage of emergency patient from Central
Triage to Emergency Room showed an improvement from 1.1% to 43.4%, 1.4% to 47.5%,
4.3 to 39.1% and 1.4% to 11.6% respectively. Intervention results established and make
availing policy supported Central Triage protocol, and percentage of medical equipment
and furniture and CT standards showed an improvement from 11.8% to 76.5 %.and 40%
to 80 % respectively,(P value.<05).
Conclusion: Establish and availing organizational Central Triage protocol and resources
based on national standards and hospital context, resulted in improving physical
examination.
Recommendations: Continuous internal Supportive Supervision of health personals
followed by on job training related to protocol can improve the implementation of physical
examination.
