Waiting Time for Assistance Using the Machester Triage System in an Emergency Hospital

Chianca, Tânia Couto Machado; Costa, Relbson de Matos; Vidigal, Michelle Viana; Silva, Ludmila Christiane Rosa da; Diniz, Graziele Alexandrina; Araújo, Joyce Henriques Vasconcelos; Souza, Cristiane Chaves de

doi:10.5935/1415-2762.20160058

Cited by 6 publications

(21 citation statements)

References 11 publications

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“…Regarding the analyzed time intervals, to our knowledge, only two Brazilian studies (10,18) and one European (19) study carried out such an evaluation. The present study found average time between recording and RC of 7.7 minutes.…”

Section: Discussionmentioning

confidence: 99%

“…In a Brazilian study, the average time of 12 minutes was found. However, the maximum time recommended by the MTS is 10 minutes (10,18) . Two other studies observed a median time of 6 minutes for the interval between recording and RC (19)(20) .…”

Section: Discussionmentioning

confidence: 99%

“…Regarding the RC duration, an average time of 2.4 min was found. National studies reported an average time of 2 minutes (18)(19) . It is known that the MTS recommends that RC should not exceed 3 minutes (10) .…”

Section: Discussionmentioning

confidence: 99%

“…In relation to the classification "Yellow", the average time remained within the proposed in the literature. These values can be justified on the basis of the great demand for care in highly complex health units, in which there is logistical difficulty to meet the high demand of patients admitted to the services (18) . Another condition that may interfere is the fact that the medical records of the most serious clients occur only after the stabilization of their health status.…”

Section: Discussionmentioning

confidence: 99%

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Analysis of triage and care for women victims of road accidents

et al. 2019

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Objective: to analyze the care flow for women victims of Road Traffic Accidents (RTA). Method: a descriptive study with 782 women victims of RAT, classified by the Manchester Triage System (MTS) between 2015 and 2016. The sociodemographic profile and the time between the stages of care were analyzed, as well as care place and outcomes. Results: of the women in the study, 65.47% were young adults, 80.44% lived without a partner and 62.28% lived in the city of Belo Horizonte. Regarding the time between recording and risk classification, the mean was 7.7 minutes (SD: 9.9). The prevalent flowchart was “Great Trauma” (62.92%). 53.07% had “Red/Orange” priority level and the most prevalent outcome was “Discharge after consultation/medication”. Conclusion: the study shows that the hospital partially fulfills the times recommended by the MTS. Analyzing the flow of women victims of RAT contributed to optimize the quality and efficiency of care.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Analysis of triage and care for women victims of road accidents

et al. 2019

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“…Still in the case of patients classified in the red category, research shows that, in some emergency services, critically ill patients are generally seen even before opening the hospital registration form, and that triage routine is performed retroactively, after the patient’s clinical stabilization ( 1 , 4 - 5 ) .…”

Section: Introductionmentioning

confidence: 99%

Performance of the rapid triage conducted by nurses at the emergency entrance

Moura

Nogueira

2020

Rev. Latino-Am. Enfermagem

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Objective: to compare the performance of the rapid triage conducted by nurses at the emergency entrance and of the Manchester Triage System (MTS) in identifying the priority level of care for patients with spontaneous demand and predicting variables related to hospitalization. Method: a cross-sectional study carried out in an Emergency Department (ED) of a university hospital in São Paulo. The priority levels established in the rapid triage performed by nurses were high priority (patients of spontaneous demand directed to the emergency room) or low priority (those referred to the institution’s usual flow). Diagnostic accuracy measures were calculated to assess the performance of the indexes. Results: of the 173 patients (52.0% female, with mean age of 60.4 ± 21.2 years old) evaluated, it was observed that rapid triage was more inclusive for high priority and had better sensitivity and worse specificity than the MTS. The probability of non-severe patients being admitted to the emergency observation unit was lower due to the rapid triage. For the prediction of the other variables, the systems presented unsatisfactory results. Conclusion: the nurses overestimated the classification of patients as high priority, and rapid triage performed better than MTS in predicting admission to the emergency observation unit.

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Rapid triage performed by nurses: Signs and symptoms associated with identifying critically ill patients in the emergency department

Moura

Oliveira

Medeiros

et al. 2021

Int J of Nursing Practice

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Aim Aim of this study is to identify signs and symptoms associated with identifying critically ill patients by rapid triage assessment performed by nurses in an emergency department. Background In some emergency services, the immediate assessment of critically ill patients occurs before opening the hospital formal registration and it is based on the nurse's experience. Studies on the topic are essential to improve this process. Design This is a cross‐sectional, quantitative study. Methods This study was conducted in a Brazilian emergency department in 2017. Adult patients who presented potentially life‐threatening symptoms underwent rapid triage to determine the medical urgency. Those identified as being critically ill were classified as high priority and streamed to the emergency room. Results A total of 154 (84.6%) patients were classified as high priority from the total of 182 evaluations. Altered state of consciousness (35.2%) and altered skin perfusion (25.3%) were frequently identified. Signs and symptoms associated with identifying critically ill patients by rapid triage were alterations in ventilation (OR 6.09; p = 0.028), neurological dysfunction (OR 44.96; p < 0.001) and pain (OR 5.80; p = 0.004). Conclusion Nurses should value neurological and ventilation alterations and pain in patients during rapid triage, since these signs and symptoms are associated with high care priority.

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Waiting Time for Assistance Using the Machester Triage System in an Emergency Hospital

Cited by 6 publications

References 11 publications

Analysis of triage and care for women victims of road accidents

Analysis of triage and care for women victims of road accidents

Performance of the rapid triage conducted by nurses at the emergency entrance

Rapid triage performed by nurses: Signs and symptoms associated with identifying critically ill patients in the emergency department

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