Electronic and manual registration of Manchester System: reliability, accuracy, and time evaluation

Abstract

Objective:to evaluate the degree of reliability, accuracy and timing to perform the Manchester Triage System in electronic and manual records.Method:exploratory-descriptive research. Case series corresponded to a total of 20 validated simulated clinical cases applied to a sample of 10 nurses. For data collection each participant received 4 clinical cases in 2 different phases of the study, using manual and electronic registration. The variables related to the triage were: incomplete data filling, discriminator, flowchart, priority level, vital signs and triage timing.Results:moderate reliability for choosing flowcharts and substantial reliability for determining discriminators in both records; substantial and moderate, for priority, respectively, in manual and electronic registration. For vital signs, it was weak in manual recording and substantial in electronic. Accuracy showed a statistically significant difference related to vital signs. The average timing on triage was shorter with the use of electronic registration.Conclusion:the use of electronic registration has advantages regarding reliability, accuracy and timing to perform the triage, pointing to the importance of adopting technologies in the management and care work process in health services.

System for reception and risk classification in obstetrics: a technical quality assessment

“…For the evaluators, this characteristic was over 90%, which reflects users' confidence in the system. We stress that the reliability of computerized systems has shown higher rates when compared to manual systems (9,14) .…”

“…In the information age, alternatives to health registering have been proposed in order to find strategies to store and qualify data registration, to build safer and more quality health care ( 9 ) .…”

Evaluation of the Manchester Triage System quality indicator: service time

“…Using tools such as the multiparameter monitor to quickly identify the patient's status and computerize the RC protocol can facilitate data collection, reduce RC time, and improve the accuracy of recording all service times. A recent study found that recording in electronic medical records had higher reliability and accuracy for the variable "vital signs", and the time spent with RC was significantly less when compared to the use of manual records (16) .…”

Automatic classification of risk and priority in Emergency Care through the Manchester Triage System

“…The presented works reaffirm the importance of the MTS in the risk classification while pointing to some flaws during the process. The works from Cicolo and Peres (2019) and Funchal and Adanatti (2016) were used as a standard for the metrics comparison in this work. Cicolo and Peres (2019) evaluated the accuracy and time taken for the MTS risk classification in manual and electronic devices.…”