Using the Manchester triage system for refusing nonurgent patients in the emergency department: A 30-day outcome study

2016 ◽  
Vol 14 (5) ◽  
pp. 365 ◽  
Author(s):  
Roger Daglius Dias, MD, MBA, PhD ◽  
Izabel Cristina Rios, MD, PhD ◽  
Carlos Luis Benites Canhada, MSc ◽  
Maria Dolores Galinanes Otero Fernandes, BSW ◽  
Leila Suemi Harima Letaif, MD, MBA ◽  
...  
Keyword(s):  
Emergency Department ◽  
Patient Satisfaction ◽  
Health Services ◽  
University Hospital ◽  
Public Healthcare ◽  
Triage System ◽  
Manchester Triage System ◽  
Telephone Interviews ◽  
Hierarchic System

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. Satisfaction levels were evaluated by telephone interviews. The outcomes were assessed within 30 days after the ED visit. Results: Based on the MTS-II, 56.4 percent of the diverted patients were classified as green, 34.3 percent as blue, and 9.3 percent as white. Only one patient required a hospital admission and no deaths were registered within 30 days after ED diversion. After diversion, the majority of patients searched for PHS (62.7 percent), 14.4 percent sought out other EDs, and 22.9 percent did not seek out any other health services. Regarding patient satisfaction, 61.9 percent evaluated the triage team as fair, good, or very good. Conclusions: Our study suggests that diverting nonurgent patients from the ED to PHS may be carried out in a hierarchic system like the Brazilian public healthcare system. The MTS-II can be a useful triage system to support physician in the diverting process. In addition, patient satisfaction with the refusing was reasonable. Future studies should be designed to evaluate patient safety outcomes in a larger sample and in different healthcare systems.

The Manchester Triage System in a Pediatric Emergency Department of an Austrian University Hospital

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Nikolas Beck ◽  
Miriam Michel ◽  
Elisabeth Binder ◽  
Klaus Kapelari ◽  
Michael Maurer ◽  
...  
Keyword(s):  
Emergency Department ◽  
Pediatric Emergency ◽  
University Hospital ◽  
Pediatric Emergency Department ◽  
Triage System ◽  
Manchester Triage System

scholarly journals Nurse Staffing Calculation in the Emergency Department - Performance-Oriented Calculation Based on the Manchester Triage System at the University Hospital Bonn

PLoS ONE ◽  
2016 ◽  
Vol 11 (5) ◽  
pp. e0154344 ◽  
Author(s):  
Ingo Gräff ◽  
Bernd Goldschmidt ◽  
Procula Glien ◽  
Sophia Klockner ◽  
Felix Erdfelder ◽  
...  
Keyword(s):  
Emergency Department ◽  
Nurse Staffing ◽  
University Hospital ◽  
Triage System ◽  
Manchester Triage System ◽  
The University

scholarly journals Performance of the Manchester triage system in older emergency department patients: a retrospective cohort study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Steffie H. A. Brouns ◽  
Lisette Mignot-Evers ◽  
Floor Derkx ◽  
Suze L. Lambooij ◽  
Jeanne P. Dieleman ◽  
...  
Keyword(s):  
Emergency Department ◽  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Triage System ◽  
Manchester Triage System ◽  
Emergency Department Patients

scholarly journals Separating the wheat from the chaff – COVID-19 in a German emergency department: A Case-control study

2020 ◽  
Author(s):  
David Fistera ◽  
Dirk Pabst ◽  
Annalena Härtl ◽  
Benedikt Michael Schaarschmidt ◽  
Lale Umutlu ◽  
...  
Keyword(s):  
Emergency Department ◽  
Health Care Systems ◽  
University Hospital ◽  
Nasopharyngeal Swab ◽  
Workflow Model ◽  
Manchester Triage System ◽  
Efficient Management ◽  
Care Systems ◽  
To Come ◽  
The University

Abstract Background: COVID-19 pandemia is a major challenge to worldwide health care systems. Whereas the majority of disease presents with mild symptoms that can be treated as outpatients, severely ill COVID-19 patients and patients presenting with similar symptoms cross their ways in the Emergency Department. Especially the variety of symptoms is challenging with primary triage. Are there parameters to distinguish between proven COVID-19 and without before? How can a safe and efficient management of these inpatients be achieved?Methods: We conducted a retrospective analysis of 314 consecutive inpatient patients who presented with possible symptoms of COVID-19 in a German emergency department between March and April 2020 and were tested with a SARS-Cov-2 nasopharyngeal swab. Clinical parameters, Manchester Triage System categories and lab results were compared between patients with positive and negative test results for SARS-Cov-2. Furthermore, we present the existing COVID-19 workflow model of the university hospital in Essen which proved to be efficient during pandemia.Results: 43 of the 314 patients (13.7%) were tested positive for COVID-19 by SARS-Cov-2 nasopharyngeal swab. We did not find any laboratory parameter to distinguish safely between patients with COVID-19 and those with similar symptoms. Dysgeusia was the only clinical symptom that was significantly more frequent among COVID-19 patients. Conclusion: Dysgeusia seems to be a typical symptom for COVID-19, which occurred in 14% of our COVID-19 patients. However, no valid parameters could be found to distinguish clinically between COVID-19 and other diseases with similar symptoms. Therefore, early testing, a strict isolation policy and proper personal protection are crucial to maintain workflow and safety of patients and ED staff for the months to come.Trial registration: URL: https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00021675

scholarly journals Improvement work in mental healthcare: an example from Region Jönköping County, Sweden

2020 ◽  
Vol 17 (4) ◽  
pp. 80-82
Author(s):  
Axel Ros ◽  
Anna Österström ◽  
Göran Henriks ◽  
Boel Andersson-Gäre
Keyword(s):  
Emergency Department ◽  
Patient Satisfaction ◽  
Hospital Stay ◽  
Healthcare System ◽  
Hospital Admissions ◽  
Mental Healthcare ◽  
Number Of Visits ◽  
Psychiatric Department ◽  
Quality In Healthcare

Region Jönköping County (RJC) in Sweden is a healthcare system that is characterised by sustainable work with quality in healthcare and long-term system-wide improvement. This article describes important factors behind the improvement work in RJC, and how the improvement methods and initiatives have been adopted also in mental healthcare. For example, patients otherwise eligible for admission to a psychiatric department were treated at home after introduction of home treatment teams. Patient satisfaction was high and the number of visits to the emergency department, hospital admissions and hospital stay decreased.

scholarly journals Chest pain in the emergency department: risk stratification with Manchester triage system and HEART score

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Luís Leite ◽  
Rui Baptista ◽  
Jorge Leitão ◽  
Joana Cochicho ◽  
Filipe Breda ◽  
...  
Keyword(s):  
Emergency Department ◽  
Chest Pain ◽  
Risk Stratification ◽  
Triage System ◽  
Manchester Triage System ◽  
Heart Score

Safety of the Manchester Triage System to Detect Critically Ill Children at the Emergency Department

2016 ◽  
Vol 177 ◽  
pp. 232-237.e1 ◽  
Author(s):  
Joany M. Zachariasse ◽  
Jan Willem Kuiper ◽  
Matthijs de Hoog ◽  
Henriëtte A. Moll ◽  
Mirjam van Veen
Keyword(s):  
Emergency Department ◽  
Critically Ill ◽  
Critically Ill Children ◽  
Triage System ◽  
Manchester Triage System

Effectiveness of the Manchester Triage System on time to treatment in the emergency department

2017 ◽  
Vol 15 (4) ◽  
pp. 889-898 ◽  
Author(s):  
Emilia A. Cicolo ◽  
Fernanda Ayache Nishi ◽  
Heloísa H. Ciqueto Peres ◽  
Diná de Almeida Lopes Monteiro da Cruz
Keyword(s):  
Emergency Department ◽  
Triage System ◽  
Time To Treatment ◽  
Manchester Triage System

scholarly journals Psychiatric liaison referrals: a thematic analysis during peak COVID-19

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S294-S294
Author(s):  
Kaj Svedberg ◽  
William Hancox ◽  
Hugh Grant-Peterkin
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
Careful Consideration ◽  
University Hospital ◽  
Medical Attention ◽  
Mental Health Crisis ◽  
Health Crisis ◽  
Low Mood ◽  
Crisis Care

AimsWith the advent of the COVID-19 Pandemic the NHS long term Plan commitments of January 2019 to improve crisis care nationwide became all the more pressing. The aim of this study was to thematically investigate what mental health crisis presentations might be diverted from the Emergency department to external crisis hubs in order to reduce the COVID-19 contamination risks.MethodAll referrals made to the Homerton University Hospital (HUH) mental health liaison service were looked at between 1/3/20-11/6/20 (n = 846), coinciding with the first peak of the COVID-19 Pandemic.Referral data was anonymised and sorted independently into naturally emerging thematic classes by two junior liaison doctors.Cases that did not clearly fit any of the 14 themes generated were further looked into to determine outcome of referral and discussed to try and match to an appropriate class.Result14 frequent themes for mental health crisis referrals were identified. The distribution of these ranged from most common (suicidality) to neurocognitive presentation and identified shifts in themes over the course of the pandemic peak such as increases of low mood, anxiety and intoxication requiring medical attention over the three month period.ConclusionAlthough themes for presentations may be identified in acute referrals to mental health liaison services it is problematic determining how these may be parsed safely to crisis hubs without risking overlooking cases that may require medical attention. The most common theme that was identified and remained throughout the first wave of the COVID-19 Pandemic was acute suicidal presentation. The remaining themes would require careful consideration around risk thresholds for what a service may wish to accept in devolving the emergency department liaison and balance these against future risks of repeat COVID-19 waves.

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