Efficacy of the Manchester Triage System: a systematic review
The growing number of patients in emergency departments can lead to overcrowding, often adding to organisational problems. Triage aims to predict the severity of disease, with the aim of organising patient flow. The aim of this study was to analyse the efficacy of the Manchester Triage System (MTS)...
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| Veröffentlicht in: | International emergency nursing 2015-04, Vol.23 (2), p.47-52 |
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| container_title | International emergency nursing |
| container_volume | 23 |
| creator | Azeredo, Thereza Raquel Machado Guedes, Helisamara Mota Rebelo de Almeida, Ricardo Alexandre Chianca, Tânia Couto Machado Martins, José Carlos Amado |
| description | The growing number of patients in emergency departments can lead to overcrowding, often adding to organisational problems. Triage aims to predict the severity of disease, with the aim of organising patient flow. The aim of this study was to analyse the efficacy of the Manchester Triage System (MTS) for risk classification of patients.
A systematic review of the literature in Ebscohost, Pubmed and Scielo (2002–2013) was undertaken. Articles were selected independently by two researchers using selection criteria. Twenty-two articles were selected for inclusion in this review.
The results support the applicability of the MTS, which has proven validity for use in children, adults, patients with coronary syndrome and patients with acute pulmonary embolism. The MTS was found to be inclusive, and to predict emergency department admission and death in the short term.
The majority of studies found that the MTS was useful in triage of patients in emergency departments, but sub-triage and super-triage (i.e. under and over classification of severity, respectively) still occur. |
| doi_str_mv | 10.1016/j.ienj.2014.06.001 |
| format | Article |
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A systematic review of the literature in Ebscohost, Pubmed and Scielo (2002–2013) was undertaken. Articles were selected independently by two researchers using selection criteria. Twenty-two articles were selected for inclusion in this review.
The results support the applicability of the MTS, which has proven validity for use in children, adults, patients with coronary syndrome and patients with acute pulmonary embolism. The MTS was found to be inclusive, and to predict emergency department admission and death in the short term.
The majority of studies found that the MTS was useful in triage of patients in emergency departments, but sub-triage and super-triage (i.e. under and over classification of severity, respectively) still occur.</description><identifier>ISSN: 1755-599X</identifier><identifier>EISSN: 1532-9267</identifier><identifier>EISSN: 1878-013X</identifier><identifier>DOI: 10.1016/j.ienj.2014.06.001</identifier><identifier>PMID: 25087059</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Emergency medical services ; Emergency Service, Hospital - standards ; Humans ; Manchester protocol ; Manchester triage ; Nursing ; Patient Selection ; Quality Assurance, Health Care ; Risk assessment ; Triage ; Triage - methods ; Triage - standards</subject><ispartof>International emergency nursing, 2015-04, Vol.23 (2), p.47-52</ispartof><rights>2014 Elsevier Ltd</rights><rights>Copyright © 2014 Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c459t-31e57de88d78321b0c2ee1105d140a407148a4be9db5513e27a0c3b1357b53e3</citedby><cites>FETCH-LOGICAL-c459t-31e57de88d78321b0c2ee1105d140a407148a4be9db5513e27a0c3b1357b53e3</cites><orcidid>0000-0001-9848-4936</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1755599X14000512$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25087059$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Azeredo, Thereza Raquel Machado</creatorcontrib><creatorcontrib>Guedes, Helisamara Mota</creatorcontrib><creatorcontrib>Rebelo de Almeida, Ricardo Alexandre</creatorcontrib><creatorcontrib>Chianca, Tânia Couto Machado</creatorcontrib><creatorcontrib>Martins, José Carlos Amado</creatorcontrib><title>Efficacy of the Manchester Triage System: a systematic review</title><title>International emergency nursing</title><addtitle>Int Emerg Nurs</addtitle><description>The growing number of patients in emergency departments can lead to overcrowding, often adding to organisational problems. Triage aims to predict the severity of disease, with the aim of organising patient flow. The aim of this study was to analyse the efficacy of the Manchester Triage System (MTS) for risk classification of patients.
A systematic review of the literature in Ebscohost, Pubmed and Scielo (2002–2013) was undertaken. Articles were selected independently by two researchers using selection criteria. Twenty-two articles were selected for inclusion in this review.
The results support the applicability of the MTS, which has proven validity for use in children, adults, patients with coronary syndrome and patients with acute pulmonary embolism. The MTS was found to be inclusive, and to predict emergency department admission and death in the short term.
The majority of studies found that the MTS was useful in triage of patients in emergency departments, but sub-triage and super-triage (i.e. under and over classification of severity, respectively) still occur.</description><subject>Emergency medical services</subject><subject>Emergency Service, Hospital - standards</subject><subject>Humans</subject><subject>Manchester protocol</subject><subject>Manchester triage</subject><subject>Nursing</subject><subject>Patient Selection</subject><subject>Quality Assurance, Health Care</subject><subject>Risk assessment</subject><subject>Triage</subject><subject>Triage - methods</subject><subject>Triage - standards</subject><issn>1755-599X</issn><issn>1532-9267</issn><issn>1878-013X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtPwzAQhC0E4v0HOKAcuSTs-hEnCA6o4iWBONADN8txNuCqbcBOQf33uBQ4ctpdaWa08zF2hFAgYHk6KTzNJwUHlAWUBQBusF1Uguc1L_Vm2rVSuarr5x22F-MEoMSS8222wxVUGlS9yy6uus4765ZZ32XDK2UPdu5eKQ4UsnHw9oWyp2W6ZmeZzeL3ZgfvskAfnj4P2FZnp5EOf-Y-G19fjUe3-f3jzd3o8j53UtVDLpCUbqmqWl0Jjg04ToQIqkUJVoJGWVnZUN02SqEgri040aBQulGCxD47Wce-hf59kZ4zMx8dTad2Tv0iGtRSC4m8kknK11IX-hgDdeYt-JkNS4NgVtTMxKyomRU1A6VJ1JLp-Cd_0cyo_bP8YkqC87WAUslUPJjoUoqj1gdyg2l7_1_-F-81fGg</recordid><startdate>20150401</startdate><enddate>20150401</enddate><creator>Azeredo, Thereza Raquel Machado</creator><creator>Guedes, Helisamara Mota</creator><creator>Rebelo de Almeida, Ricardo Alexandre</creator><creator>Chianca, Tânia Couto Machado</creator><creator>Martins, José Carlos Amado</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><orcidid>https://orcid.org/0000-0001-9848-4936</orcidid></search><sort><creationdate>20150401</creationdate><title>Efficacy of the Manchester Triage System: a systematic review</title><author>Azeredo, Thereza Raquel Machado ; Guedes, Helisamara Mota ; Rebelo de Almeida, Ricardo Alexandre ; Chianca, Tânia Couto Machado ; Martins, José Carlos Amado</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c459t-31e57de88d78321b0c2ee1105d140a407148a4be9db5513e27a0c3b1357b53e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Emergency medical services</topic><topic>Emergency Service, Hospital - standards</topic><topic>Humans</topic><topic>Manchester protocol</topic><topic>Manchester triage</topic><topic>Nursing</topic><topic>Patient Selection</topic><topic>Quality Assurance, Health Care</topic><topic>Risk assessment</topic><topic>Triage</topic><topic>Triage - methods</topic><topic>Triage - standards</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Azeredo, Thereza Raquel Machado</creatorcontrib><creatorcontrib>Guedes, Helisamara Mota</creatorcontrib><creatorcontrib>Rebelo de Almeida, Ricardo Alexandre</creatorcontrib><creatorcontrib>Chianca, Tânia Couto Machado</creatorcontrib><creatorcontrib>Martins, José Carlos Amado</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>International emergency nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Azeredo, Thereza Raquel Machado</au><au>Guedes, Helisamara Mota</au><au>Rebelo de Almeida, Ricardo Alexandre</au><au>Chianca, Tânia Couto Machado</au><au>Martins, José Carlos Amado</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Efficacy of the Manchester Triage System: a systematic review</atitle><jtitle>International emergency nursing</jtitle><addtitle>Int Emerg Nurs</addtitle><date>2015-04-01</date><risdate>2015</risdate><volume>23</volume><issue>2</issue><spage>47</spage><epage>52</epage><pages>47-52</pages><issn>1755-599X</issn><eissn>1532-9267</eissn><eissn>1878-013X</eissn><abstract>The growing number of patients in emergency departments can lead to overcrowding, often adding to organisational problems. Triage aims to predict the severity of disease, with the aim of organising patient flow. The aim of this study was to analyse the efficacy of the Manchester Triage System (MTS) for risk classification of patients.
A systematic review of the literature in Ebscohost, Pubmed and Scielo (2002–2013) was undertaken. Articles were selected independently by two researchers using selection criteria. Twenty-two articles were selected for inclusion in this review.
The results support the applicability of the MTS, which has proven validity for use in children, adults, patients with coronary syndrome and patients with acute pulmonary embolism. The MTS was found to be inclusive, and to predict emergency department admission and death in the short term.
The majority of studies found that the MTS was useful in triage of patients in emergency departments, but sub-triage and super-triage (i.e. under and over classification of severity, respectively) still occur.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>25087059</pmid><doi>10.1016/j.ienj.2014.06.001</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-9848-4936</orcidid></addata></record> |
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| identifier | ISSN: 1755-599X |
| ispartof | International emergency nursing, 2015-04, Vol.23 (2), p.47-52 |
| issn | 1755-599X 1532-9267 1878-013X |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Emergency medical services Emergency Service, Hospital - standards Humans Manchester protocol Manchester triage Nursing Patient Selection Quality Assurance, Health Care Risk assessment Triage Triage - methods Triage - standards |
| title | Efficacy of the Manchester Triage System: a systematic review |
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