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Manchester triage

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https://www.readbyqxmd.com/read/28793384/factors-that-influence-care-priority-for-chest-pain-patients-using-the-manchester-triage-system
#1
Carine Lais Nonnenmacher, Ananda Ughini Bertoldo Pires, Vitor Monteiro Moraes, Amália de Fátima Lucena
AIMS AND OBJECTIVES: Analyze crucial factors for determining care priority for patients with acute myocardial infarction based on the Manchester Triage System. BACKGROUND: Triage is the first potentially critical step in the care of myocardial infarction patients. However, there are still very few studies on the factors interfering in the lack of care priority for these patients, impacting their treatment and prognosis. DESIGN: Retrospective cohort study with 217 patients in the emergency department of a Brazilian hospital...
August 9, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28751363/five-level-emergency-triage-systems-variation-in-assessment-of-validity
#2
REVIEW
Akira Kuriyama, Seigo Urushidani, Takeo Nakayama
INTRODUCTION: Triage systems are scales developed to rate the degree of urgency among patients who arrive at EDs. A number of different scales are in use; however, the way in which they have been validated is inconsistent. Also, it is difficult to define a surrogate that accurately predicts urgency. This systematic review described reference standards and measures used in previous validation studies of five-level triage systems. METHODS: We searched PubMed, EMBASE and CINAHL to identify studies that had assessed the validity of five-level triage systems and described the reference standards and measures applied in these studies...
July 27, 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/28729322/feasibility-of-a-uk-community-based-etherapy-mental-health-service-in-greater-manchester-repeated-measures-and-between-groups-study-of-living-life-to-the-full-interactive-sleepio-and-breaking-free-online-at-self-help-services
#3
Sarah Elison, Jonathan Ward, Chris Williams, Colin Espie, Glyn Davies, Stephanie Dugdale, Kathryn Ragan, Leanne Chisnall, Nicky Lidbetter, Keith Smith
OBJECTIVES: There is increasing evidence to support the effectiveness of eTherapies for mental health, although limited data have been reported from community-based services. Therefore, this service evaluation reports on feasibility and outcomes from an eTherapy mental health service. SETTING: 'Self Help Services', an Increasing Access to Psychological Therapies (IAPT) eTherapy service in Greater Manchester. PARTICIPANTS: 1068 service users referred to the service for secondary care for their mental health difficulties...
July 20, 2017: BMJ Open
https://www.readbyqxmd.com/read/28715794/an-introduction-to-the-emergency-department-adult-clinical-escalation-protocol-ed-ace
#4
Eoin Coughlan, Una Geary, Abel Wakai, Ronan O'Sullivan, John Browne, Eilish McAuliffe, Marie Ward, Fiona McDaid, Conor Deasy
PURPOSE OF THE STUDY: This study demonstrates how a participatory action research approach was used to address the challenge of the early and effective detection of the deteriorating patient in the ED setting. The approach enabled a systematic approach to patient monitoring and escalation of care to be developed to address the wide-ranging spectrum of undifferentiated presentations and the phases of ED care from triage to patient admission. This paper presents a longitudinal patient monitoring system, which aims to provide monitoring and escalation of care, where necessary, of adult patients from triage to admission to hospital in a manner that is feasible in the unique ED environment...
November 14, 2016: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/28680520/validation-of-different-pediatric-triage-systems-in-the-emergency-department
#5
Kanokwan Aeimchanbanjong, Uthen Pandee
BACKGROUND: Triage system in children seems to be more challenging compared to adults because of their different response to physiological and psychosocial stressors. This study aimed to determine the best triage system in the pediatric emergency department. METHODS: This was a prospective observational study. This study was divided into two phases. The first phase determined the inter-rater reliability of five triage systems: Manchester Triage System (MTS), Emergency Severity Index (ESI) version 4, Pediatric Canadian Triage and Acuity Scale (CTAS), Australasian Triage Scale (ATS), and Ramathibodi Triage System (RTS) by triage nurses and pediatric residents...
2017: World Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28628525/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
#6
Fernanda Ayache Nishi, Flávia de Oliveira Motta Maia, Itamar de Souza Santos, Dina de Almeida Lopes Monteiro da Cruz
BACKGROUND: Triage is the first assessment and sorting process used to prioritize patients arriving in the emergency department (ED). As a triage tool, the Manchester Triage System (MTS) must have a high sensitivity to minimize the occurrence of under-triage, but must not compromise specificity to avoid the occurrence of overtriage. Sensitivity and specificity of the MTS can be calculated using the frequency of appropriately assigned clinical priority levels for patients presenting to the ED...
June 2017: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/28425112/beyond-guidelines-discretionary-practice-in-face-to-face-triage-nursing
#7
Lars E F Johannessen
This article draws on ethnographic data from a Norwegian emergency primary care clinic (EPCC) to explore nurses' discretionary application of guidelines. Specifically, it analyses nurses' discretionary use of the Manchester Triage System (MTS) when performing face-to-face triage, that is, assessing the urgency of patients' complaints. The analysis shows how nurses assessed patients at odds with MTS prescriptions by collecting supplementary data, engaging in differential diagnostic and holistic reasoning, relying on emotion and intuition, and allowing colleagues and patients to influence their reasoning...
April 20, 2017: Sociology of Health & Illness
https://www.readbyqxmd.com/read/28398975/effectiveness-of-the-manchester-triage-system-on-time-to-treatment-in-the-emergency-department-a-systematic-review-protocol
#8
Emilia A Cicolo, Fernanda Ayache Nishi, Heloísa H Ciqueto Peres, Diná de Almeida Lopes Monteiro da Cruz
The review aims to find the best available evidence on the effectiveness of the Manchester Triage System on time to treatment in the emergency department.
April 2017: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/28273254/manchester-system-time-spent-on-risk-classification-and-priority-of-care-at-an-emergency-medical-service
#9
Franciele Anziliero, Bárbara Elis Dal Soler, Bárbara Amaral da Silva, Thaíla Tanccini, Mariur Gomes Beghetto
Objective: To assess the time before and time spent on risk classification, priority of care, and destination of patients within 24 hours after their admission to an emergency medical service. Methods: Retrospective cohort study that included adults classified by the Manchester Triage System at the largest emergency medical service in the south of the country in 2012. The data were made available in the form of an electronic sheet and analyzed according to their characteristics and distribution...
February 23, 2017: Revista Gaúcha de Enfermagem
https://www.readbyqxmd.com/read/28248796/how-to-predict-oral-rehydration-failure-in-children-with-gastroenteritis
#10
Dorien Geurts, Ewout W Steyerberg, Henriëtte Moll, Rianne Oostenbrink
OBJECTIVES: Oral rehydration is the standard in most current guidelines for young children with acute gastroenteritis (AGE). Failure of oral rehydration can complicate the disease course, leading to morbidity due to severe dehydration. We aimed to identify prognostic factors of oral rehydration failure in children with AGE. METHODS: Design A prospective, observational study.Setting Emergency department (ED), Erasmus Medical Centre, Rotterdam, The Netherlands, 2010- 2012...
February 28, 2017: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/28151987/validity-of-the-manchester-triage-system-in-emergency-care-a-prospective-observational-study
#11
Joany M Zachariasse, Nienke Seiger, Pleunie P M Rood, Claudio F Alves, Paulo Freitas, Frank J Smit, Gert R Roukema, Henriëtte A Moll
OBJECTIVES: To determine the validity of the Manchester Triage System (MTS) in emergency care for the general population of patients attending the emergency department, for children and elderly, and for commonly used MTS flowcharts and discriminators across three different emergency care settings. METHODS: This was a prospective observational study in three European emergency departments. All consecutive patients attending the emergency department during a 1-year study period (2010-2012) were included...
2017: PloS One
https://www.readbyqxmd.com/read/27993937/validity-of-the-manchester-triage-system-in-patients-with-sepsis-presenting-at-the-ed-a-first-assessment
#12
Ingo Gräff, Bernd Goldschmidt, Procula Glien, Ramona C Dolscheid-Pommerich, Rolf Fimmers, Daniel Grigutsch
BACKGROUND: The Manchester Triage System (MTS) does not have a specific presentational flow chart for sepsis. The goal of this investigation was to determine adequacy of acuity assignment for patients with sepsis presenting at the ED and triaged using the MTS. MATERIALS AND METHODS: This retrospective analysis included patients >16 presenting to an ED in Bonn, Germany, on the first 12 days of each month between June 2012 and March 2014. Patients were classified into one of three septic groups, or no sepsis...
December 19, 2016: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/27925145/the-oldest-old-in-the-emergency-department-impact-of-renal-function
#13
T Brünnler, M Drey, G Dirrigl, C Weingart, F Rockmann, C Sieber, U Hoffmann
OBJECTIVES: The ageing population implicates an increasing numbers of older adults attending Emergency Departments (ED). We assessed the effect of estimated glomerular filtration rate as a predictor of clinical outcomes in oldest-old patients ≥ 85 years attending the ED in an university teaching hospital. DESIGN: Within three years, 81831 patient contacts were made in our ED. 7799 (9.5%) were older than 85 years, in whom we analyzed the impact of renal function on various outcome parameters...
2016: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/27873299/using-the-manchester-triage-system-for-refusing-nonurgent-patients-in-the-emergency-department-a-30-day-outcome-study
#14
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
#15
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
#16
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...
April 2017: 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
#17
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
#18
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
#19
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
#20
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...
August 29, 2016: Revista Latino-americana de Enfermagem
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