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Manchester triage

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https://www.readbyqxmd.com/read/27873299/using-the-manchester-triage-system-for-refusing-nonurgent-patients-in-the-emergency-department-a-30-day-outcome-study
#1
Roger Daglius Dias, Izabel Cristina Rios, Carlos Luis Benites Canhada, Maria Dolores Galinanes Otero Fernandes, Leila Suemi Harima Letaif, Eloisa Bonfá, Maria Beatriz Moliterno Perondi
OBJECTIVE: To evaluate the long-term outcomes and satisfaction of nonurgent patients who seek care in the emergency department (ED) and are diverted to primary health services (PHS). METHODS: Data were collected from 264 nonurgent patients diverted from the ED of a tertiary public university hospital in São Paulo, Brazil. The nonurgent patient definition was performed by Manchester triage system version II (MTS-II) associated to medical interview in the triage service...
September 2016: Journal of Emergency Management: JEM
https://www.readbyqxmd.com/read/27852722/patient-motives-behind-low-acuity-visits-to-the-emergency-department-in-germany-a-qualitative-study-comparing-urban-and-rural-sites
#2
Martina Schmiedhofer, Martin Möckel, Anna Slagman, Johann Frick, Stephan Ruhla, Julia Searle
OBJECTIVES: The increasing number of low-acuity visits to emergency departments (ED) is an important issue in Germany, despite the fact that all costs of inpatient and outpatient treatment are covered by mandatory health insurance. We aimed to explore the motives of patients categorised with low-acuity conditions for visiting an ED. METHODS: We conducted a qualitative study in two urban and one rural ED. We recruited a purposive sample of adults, who were assigned to the lowest two categories in the Manchester triage system...
November 16, 2016: BMJ Open
https://www.readbyqxmd.com/read/27832678/-prospective-study-of-the-health-care-utilization-of-a-clinic-by-outpatients-in-a-rural-region
#3
P R Issing, M Spreng, H Atie
Background: Medical care of emergency cases is based primarily on the so called KV-emergency service in Germany. However, it seems that hospitals are more and more frequented in such cases, which was the focus of our study. Material and Methods: The prospective study started in April 2013 and ended in March 2014. All outpatients were analyzed according several items such as personal data, the reason, time and urgency for presentation. An emergency case was defined by the patient's need of acute ENT-care. Results: All in all 11 002 patients were enrolled in this study...
November 10, 2016: Laryngo- Rhino- Otologie
https://www.readbyqxmd.com/read/27814440/views-from-the-prehospital-perspective-a-comparison-with-a-prehospital-score-to-triage-categorisation-in-the-emergency-department
#4
D Gaumont, N Cummins, A Hannigan, D Ryan
This aim of this observ estigate how the recently introduced National Early Warning Score (ViEWS) applied in the prehospital setting (Ph-ViEWS) compares with the Manchester Triage System (MTS) used in most Emergency Departments (ED) in Ireland. 386 patients fitted the inclusion criteria of which 272 (69%) had a complete set of values. Of 272 MTS 1 and 2 patients, only 114 (42%) had a Ph-ViEWS ⋝7. This study found that a substantial number of patients deemed urgent at the time of triage do not have elevated Ph-ViEWS...
June 10, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/27792290/the-reliability-of-the-manchester-triage-system-mts-a-meta-analysis
#5
Amir Mirhaghi, Reza Mazlom, Abbas Heydari, Mohsen Ebrahimi
OBJECTIVE: Although the Manchester Triage System (MTS) was first developed two decades ago, the reliability of the MTS has not been questioned through comparison with a moderating variable; therefore, the aim of this study is to determine the extent of the reliability of MTS using a meta-analytic review. METHOD: Electronic databases were searched up to March 1st, 2014. Studies were only included if they had reported sample sizes, reliability coefficients, and adequate description of the Emergency Severity Index (ESI) reliability assessment...
September 9, 2016: Journal of Evidence-based Medicine
https://www.readbyqxmd.com/read/27725842/forecasting-daily-volume-and-acuity-of-patients-in-the-emergency-department
#6
Rafael Calegari, Flavio S Fogliatto, Filipe R Lucini, Jeruza Neyeloff, Ricardo S Kuchenbecker, Beatriz D Schaan
This study aimed at analyzing the performance of four forecasting models in predicting the demand for medical care in terms of daily visits in an emergency department (ED) that handles high complexity cases, testing the influence of climatic and calendrical factors on demand behavior. We tested different mathematical models to forecast ED daily visits at Hospital de Clínicas de Porto Alegre (HCPA), which is a tertiary care teaching hospital located in Southern Brazil. Model accuracy was evaluated using mean absolute percentage error (MAPE), considering forecasting horizons of 1, 7, 14, 21, and 30 days...
2016: Computational and Mathematical Methods in Medicine
https://www.readbyqxmd.com/read/27579934/manchester-triage-system-main-flowcharts-discriminators-and-outcomes-of-a-pediatric-emergency-care
#7
Camila Amthauer, Maria Luzia Chollopetz da Cunha
OBJETIVE: to characterize the care services performed through risk rating by the Manchester Triage System, identifying demographics (age, gender), main flowcharts, discriminators and outcomes in pediatric emergency. METHOD: cross-sectional quantitative study. Data on risk classification were obtained through a search of computerized registration data from medical records of patients treated in the pediatric emergency within one year. Descriptive statistics with absolute and relative frequencies was used for the analysis...
2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27250249/national-early-warning-score-news-as-an-emergency-department-predictor-of-disease-severity-and-90-day-survival-in-the-acutely-dyspneic-patient-a-prospective-observational-study
#8
Bente Bilben, Linda Grandal, Signe Søvik
BACKGROUND: National Early Warning Score (NEWS) was designed to detect deteriorating patients in hospital wards, specifically those at increased risk of ICU admission, cardiac arrest, or death within 24 h. NEWS is not validated for use in Emergency Departments (ED), but emerging data suggest it may be useful. A criticism of NEWS is that patients with chronic poor oxygenation, e.g. severe chronic obstructive pulmonary disease (COPD), will have elevated NEWS also in the absence of acute deterioration, possibly reducing the predictive power of NEWS in this subgroup...
June 2, 2016: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/27138492/nurse-staffing-calculation-in-the-emergency-department-performance-oriented-calculation-based-on-the-manchester-triage-system-at-the-university-hospital-bonn
#9
Ingo Gräff, Bernd Goldschmidt, Procula Glien, Sophia Klockner, Felix Erdfelder, Jennifer Lynn Schiefer, Daniel Grigutsch
BACKGROUND: To date, there are no valid statistics regarding the number of full time staff necessary for nursing care in emergency departments in Europe. MATERIAL AND METHODS: Staff requirement calculations were performed using state-of-the art procedures which take both fluctuating patient volume and individual staff shortfall rates into consideration. In a longitudinal observational study, the average nursing staff engagement time per patient was assessed for 503 patients...
2016: PloS One
https://www.readbyqxmd.com/read/27135864/-patients-with-acute-non-traumatic-abdominal-pain-in-german-emergency-departments-a-prospective-monocentric-observation-study
#10
M Kulla, S Kraus, F Walcher, R Somasundaram, C E Wrede, L Lampl, M Helm
Background: Up to 11 % of patients in an Emergency Department (ED) present with non-traumatic acute abdominal pain. Based on this presenting symptom, this study aimed to analyse how residents (surgery, internal medicine, anaesthesiology and other fields) working in an ED during their second and third year of education treat these patients. Material and Methods: We performed a prospective, monocentric observation study in an ED in accordance with the STROBE recommendations, following the recommendations from the Ethics Committee of the University of Ulm (application no...
May 2, 2016: Zentralblatt Für Chirurgie
https://www.readbyqxmd.com/read/26974710/building-a-decision-support-system-for-inpatient-admission-prediction-with-the-manchester-triage-system-and-administrative-check-in-variables
#11
Alexander Zlotnik, Miguel Cuchí Alfaro, María Carmen Pérez Pérez, Ascensión Gallardo-Antolín, Juan Manuel Montero Martínez
The usage of decision support tools in emergency departments, based on predictive models, capable of estimating the probability of admission for patients in the emergency department may give nursing staff the possibility of allocating resources in advance. We present a methodology for developing and building one such system for a large specialized care hospital using a logistic regression and an artificial neural network model using nine routinely collected variables available right at the end of the triage process...
May 2016: Computers, Informatics, Nursing: CIN
https://www.readbyqxmd.com/read/26939102/-emergency-triage-an-overview
#12
REVIEW
Michael Christ, Roland Bingisser, Christian Hans Nickel
In emergency departments, patients present with different severities of diseases and traumatic injuries. However, patients with severe and life-threatening conditions compete for the same resources such as personal and structure. As a general rule, each patient should receive immediate diagnostic and treatment, independent of his or her severity of disease or traumatic injury. However, an unexpected number of patients presenting to the emergency department at the same time may exceed available resources. Thus, waiting times will occur and management of patients may be impeded...
March 2016: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/26883991/-triage-esi-or-manchester-triage
#13
LETTER
C H Nickel, F F Grossmann, M Christ, R Bingisser
No abstract text is available yet for this article.
March 2016: Medizinische Klinik, Intensivmedizin und Notfallmedizin
https://www.readbyqxmd.com/read/26657465/assessing-sensitivity-and-specificity-of-the-manchester-triage-system-in-the-evaluation-of-acute-coronary-syndrome-in-adult-patients-in-emergency-care-a-systematic-review-protocol
#14
Fernanda Ayache Nishi, Flávia Oliveira de Motta Maia, Dina Almeida de Lopes Monteiro da Cruz
REVIEW QUESTION/OBJECTIVE: The objective of this review is to assess the sensitivity and specificity of the Manchester Triage System in the evaluation of adult patients with acute coronary syndrome in emergency departments. BACKGROUND: Acute coronary syndrome (ACS) is a group of clinical conditions that include myocardial infarction with or without elevation of the ST segment and unstable angina. The term acute myocardial infarction (AMI) can be applied when there is evidence of myocardium necrosis with a clinical sign compatible with myocardial ischaemia...
November 2015: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/26526278/criterion-validity-of-a-computer-assisted-instrument-of-self-triage-ca-iset-compared-to-the-validity-of-regular-triage-in-an-ophthalmic-emergency-department
#15
COMPARATIVE STUDY
Eva S V Eijk, Marijke Wefers Bettink-Remeijer, Reinier Timman, Marion H B Heres, Jan J V Busschbach
OBJECTIVES: The computer-assisted version of a self-triage tool (ca-ISET) for an ophthalmic emergency department (ED) was developed to increase the validity of the triage procedure when trained ED staff is absent. METHODS: We tested whether sensitivity, specificity, Negative Predictive Value (NPV) and Positive Predictive Value (PPV) of the ca-ISET deviated from regular triage. Patients ≥18 years visiting the ED of the Rotterdam Eye Hospital in the Netherlands were invited to participate in this prospective study...
January 2016: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/26458788/performance-of-the-manchester-triage-system-in-adult-medical-emergency-patients-a-prospective-cohort-study
#16
Deborah Steiner, Fabienne Renetseder, Alexander Kutz, Sebastian Haubitz, Lukas Faessler, Janet Byron Anderson, Svenja Laukemann, Anna Christina Rast, Susan Felder, Antoinette Conca, Barbara Reutlinger, Marcus Batschwaroff, Petra Tobias, Ulrich Buergi, Beat Mueller, Philipp Schuetz
BACKGROUND: Accurate initial patient triage in the emergency department (ED) is pivotal in reducing time to effective treatment by the medical team and in expediting patient flow. The Manchester Triage System (MTS) is widely implemented for this purpose. Yet the overall effectiveness of its performance remains unclear. OBJECTIVES: We investigated the ability of MTS to accurately assess high treatment priority and to predict adverse clinical outcomes in a large unselected population of medical ED patients...
April 2016: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/26444159/relationship-between-complaints-presented-by-emergency-patients-and-the-final-outcome
#17
Helisamara Mota Guedes, Kesia Meiriele Souza, Patrícia de Oliveira Lima, José Carlos Amado Martins, Tânia Couto Machado Chianca
OBJECTIVE: to relate complaints presented by emergency room patients, classified using the Manchester Triage System, with the final outcome (discharge/death/transfer). METHODS: prospective cohort study, involving 509 patients who were admitted to the emergency room and remained there for more than 24 hours after admission, being monitored to the final outcome. Data were analyzed with a statistical program using descriptive and analytical statistics. RESULTS: the mean age of the patients was 59...
July 2015: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/26362190/-triage-in-emergency-departments-comparative-evaluation-of-4-international-triage-systems
#18
J Krey
BACKGROUND: Facing increasing pressure emergency departments have to replace the previously unstructured approach used to document incoming patients by a standardized quick method, which allows easy documentation of the results. OBJECTIVES: The article describes the initial situation in international comparison and compares the available systems. The aim is to answer the following questions: what aspects should be taken into consideration when choosing a system, and what impact does this have on the selection of a system...
March 2016: Medizinische Klinik, Intensivmedizin und Notfallmedizin
https://www.readbyqxmd.com/read/26314716/what-are-we-waiting-for-factors-influencing-completion-times-in-an-academic-and-peripheral-emergency-department
#19
I L Vegting, N Alam, K Ghanes, O Jouini, F Mulder, M Vreeburg, T Biesheuvel, J van Bokhorst, P Go, M H H Kramer, G M Koole, P W B Nanayakkara
BACKGROUND: A long completion time in the Emergency Department (ED) is associated with higher morbidity and in-hospital mortality. A completion time of more than four hours is a frequently used cut-off point. Mostly, older and sicker patients exceed a completion time of four hours on the ED. The primary aim was to examine which factors currently contribute to overcrowding and a time to completion of more than four hours on the EDs of two different hospitals, namely: the VU Medical Center (VUmc), an academic level 1 trauma centre and the St...
August 2015: Netherlands Journal of Medicine
https://www.readbyqxmd.com/read/26225614/short-term-predictive-capacity-of-two-different-triage-systems-in-patients-with-acute-heart-failure-trica-eahfe-study
#20
Òscar Miró, Josep Tost, Pablo Herrero, Javier Jacob, Francisco Javier Martín-Sánchez, Víctor Gil, Cristina Fernández-Pérez, Rosa Escoda, Pere Llorens
OBJECTIVE: To evaluate whether prioritization of patients with acute heart failure (AHF) in the Andorran Triage Model/Spanish Triage System (MAT/SET) and the Manchester Triage System (MTS) also allows the identification of different profiles of outcome and prognosis and determine whether either system has a better predictive capacity of outcomes. PATIENTS AND METHODS: Patients with AHF included in the Spanish EAHFE registry from hospitals using the MAT/SET or MTS were selected and divided according to the triage system used...
July 29, 2015: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
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