Read by QxMD icon Read

Manchester triage

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
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
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...
2016: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
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
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
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
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
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
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
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
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
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
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
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
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
Luís Leite, Rui Baptista, Jorge Leitão, Joana Cochicho, Filipe Breda, Luís Elvas, Isabel Fonseca, Armando Carvalho, José Nascimento Costa
BACKGROUND: Fast and accurate chest pain risk stratification in the emergency department (ED) is critical. The HEART score predicts the short-term incidence of major adverse cardiac events (MACE) in this population, dividing it in three risk categories. We aimed to describe the population with chest pain, to characterize the subgroup of patients with acute coronary syndrome (ACS) and to assess the prognostic value of Manchester triage system and of HEART score. METHODS: Retrospective observational study including patients admitted to the ED of a tertiary hospital with chest pain as the presenting symptom...
2015: BMC Cardiovascular Disorders
J W Keep, A S Messmer, R Sladden, N Burrell, R Pinate, M Tunnicliff, E Glucksman
INTRODUCTION: Severe sepsis and septic shock (SS) are time-critical medical emergencies that affect millions of people in the world. Earlier administration of antibiotics has been shown to reduce mortality from SS; however, the initiation of early resuscitation requires recognition that a patient may have sepsis. Early warning scores (EWS) are broadly used to detect patient deterioration, but to date have not been evaluated to detect patients at risk for SS. The purpose of our study was to look at the relationship between the initial national EWS (NEWS) in the emergency department (ED) and the diagnosis of SS...
January 2016: Emergency Medicine Journal: EMJ
Helisamara Mota Guedes, José Carlos Amado Martins, Tânia Couto Machado Chianca
OBJECTIVE: To analyze the predictive value of the Manchester Triage System in relation to clinical outcome of patients. METHODS: Prospective observational study of 577 patients admitted to the ER and subjected to risk classification. The Therapeutic Intervention Scoring System-28 (TISS-28) was used to measure the severity of patients (primary outcome) and secondary outcomes: high / transfer, death, and length of hospital stay. Descriptive and univariate analyzes were conducted...
January 2015: Revista Brasileira de Enfermagem
Cristiane Chaves de Souza, Francielli Aparecida Araújo, Tânia Couto Machado Chianca
OBJECTIVE: To analyze the scientific production about the validity and reliability of the Manchester Triage System (MTS) protocol. METHOD: A descriptive study of an integrative literature review. Articles on the validity and reliability of the MTS developed with children and adults published between 1999 and 2013 were included. RESULTS: 14 articles were selected from a total of 8438, nine of validity and five of reliability. The reliability of the MTS ranged from moderate to almost perfect, with higher intra-evaluation...
February 2015: Revista da Escola de Enfermagem da U S P
Seán Cournane, Declan Byrne, Deirdre O'Riordan, Bernard Silke
BACKGROUND: Hospitals are under pressure to use resources in the most efficient manner. We have examined the factors predicting Length of Stay (LOS) in one institution, using a database of all episodes of emergency medical admissions prospectively collected over 12 years. AIM: To examine the ability to predict hospital LOS following an emergency medical hospital admission. METHODS: All emergency admissions (66,933 episodes; 36,271 patients) to St...
May 2015: European Journal of Internal Medicine
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"