Scientific Literature on the Reliability and Validity of the Manchester Triage System (MTS) Protocol: A Integrative Literature Review

Souza, Cristiane Chaves de; Araújo, Francielli Aparecida; Chianca, Tânia Couto Machado

doi:10.1590/s0080-623420150000100019

Cited by 34 publications

(34 citation statements)

References 18 publications

(61 reference statements)

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“…In the municipal region where the study was carried out, the data also showed an increase in the number of registered teams, with 75 currently in operation, providing population coverage of 68.01% 15,18 . Despite this progress, there are still complex challenges in PHC to be overcome, such as using the information that is collected and provided by the FHS teams themselves.…”

Section: Discussionmentioning

confidence: 92%

“…In addition to assessing the cognitive status, the following inclusion criteria were adopted: people of both genders, aged 60 or over, who were not classified within the emergency criteria (green and blue color) of the risk classification of the Manchester Screening Protocol, which consists of classifying the patient according to their clinical condition, rather than order of arrival 15 .…”

Section: Methodsmentioning

confidence: 99%

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Factors associated with the care of elderly persons with Primary Health Care sensitive conditions

Rêgo

Rissardo

Scolari

et al. 2017

Rev. bras. geriatr. gerontol.

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Objective: to analyze factors associated with the care of the elderly for Primary Health Care sensitive conditions in an Emergency Care Unit. Method: a cross-sectional study was carried out in a municipal district located in the northwest of the state of Paraná, Brazil, between May and November of 2015. A semi-structured instrument was used, consisting of three distinct blocks that addressed sociodemographic profile, characterization of care and the reasons that led the elderly to seek care in the unit. The data were submitted to descriptive analysis and logistic regression for the treatment of variables. Results: A total of 191 elderly persons, who were female (56%), had less than eight years of schooling (85.3%) and were retirees (78.5%) were interviewed. The results showed that people with chronic morbidities were 1.42 times more likely (CI: 1.08 -5.42) to seek the Emergency Care Unit prior to the Basic Health Unit and were 1.65 times more likely (IC: 1.01 -6.82) to be referred by the unit for care. The lack of a doctor in Basic Health Units was also a factor responsible for the 1.36 times greater chance (CI: 1.03 -5.38) of the elderly being referred to the Emergency Care Unit for primary care sensitive conditions. Conclusion: the lack of human resources in the first level of care of the health service, together with the need for treatment of morbidities, were factors associated with the elderly seeking treatment for primary care sensitive conditions, with diseases of the osteomuscular and connective tissue systems the main reasons for seeking such care (47.6%).

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Section: Discussionmentioning

confidence: 92%

Section: Methodsmentioning

confidence: 99%

Factors associated with the care of elderly persons with Primary Health Care sensitive conditions

Rêgo

Rissardo

Scolari

et al. 2017

Rev. bras. geriatr. gerontol.

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“…This process must be dialogical and guarantee an equitable service. By valuing equity, protocols are used as instruments of support for the exercise of ACCR (17,(20)(21) , however, the active participation of the user is indispensable for the valorization of their autonomy. It is an essential criterion for its proper functioning, since care for the human being is something complex and wrapped in subjectivities.…”

Section: Discussionmentioning

confidence: 99%

Embracement with risk classification: relationship of justice with the user

et al. 2019

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Objective: to describe the conception of justice of nurses and users regarding the Risk Classification in Emergency Unit; to analyze the conception of justice in the implementation of the Risk Classification in Emergency Unit from the user’s recognition; to discuss, from Axel Honneth’s Theory of Recognition, justice with the user in the Risk Classification in Emergency Unit. Method: qualitative research of descriptive, exploratory typology, which used action research as a method. Bardin’s Content Analysis was carried out. Results: a category was created: “Justice versus Injustice” and three subcategories: “Autonomy/Freedom versus Heteronomy/Subordination”; “Communication versus Hermeneutic Problems”; “Contributions versus Conflicts”. Final considerations: Embracement with Risk Classification presents difficulties in its interpretation and effectiveness; there are situations of disrespect that compete against the required ethics. Justice addressed by this study will be achieved by an emergency access system that meets user expectations, recognizing it as a subject of rights.

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“…3 In an attempt to address the challenges related to the organization of emergency services and to reduce the waiting time, the actions of the Ministry of Health (MS -Ministério da Saúde) have been focused on the reorganization of the work process, in order to meet the different degrees of specificity of patients with acute aggravations. 4 From this perspective, the country has now the Risk Classification Embracement (ACCR -Acolhimento com Classificação de Risco), whose proposal is to operate the work processes in health in order to provide care for all those who look for the public health services, and to equalize the care. 3,5 The equalization of the ACCR intends to optimize the waiting time according to the severity of the clinical condition of the users.…”

mentioning

confidence: 99%

Concordância De Um Protocolo Institucional De Avaliação Com Classificação De Risco

Malfussi

Bertoncello

Nascimento

et al. 2018

Texto contexto - enferm.

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RESUMO Objetivo: avaliar a concordância entre os enfermeiros na aplicação de um protocolo institucional de avaliação com classificação de risco em uma unidade de emergência hospitalar. Método: estudo quantitativo de abordagem transversal e retrospectivo, realizado na unidade de emergência adulto de um hospital geral do Estado de Santa Catarina, baseado em fichas de atendimento. A coleta de dados ocorreu entre outubro e dezembro de 2013. A amostra fora constituída de 380 fichas de atendimento, selecionadas por aleatorização simples. O grau de concordância se determinou pelo coeficiente Kappa. Resultados: a concordância geral entre os enfermeiros na aplicação do protocolo institucional foi substancial (Kappa=0,786) representando 331 (87,2%) fichas. Entre os níveis de classificação houve concordância quase perfeita para todos eles (Kappa=1 para o nível vermelho, Kappa=0,836 para o nível laranja, Kappa=0,884 para o nível amarelo, Kappa=0,865 para o nível verde e Kappa=1 para o nível azul). Conclusão: a concordância geral na aplicação do protocolo institucional se mostrou substancial, sendo evidenciada uma concordância quase perfeita em todos os níveis de classificação. Houve superestimação e subestimação da classificação de risco em relação ao protocolo. Sugere-se que os enfermeiros que realizam a classificação de risco recebam treinamento por parte da instituição quanto à aplicabilidade do protocolo, a fim de minimizar a superestimação e subestimação da classificação de risco. Este trabalho contribui ao avaliar a aplicação de um protocolo novo implantado, com subsídios para uma melhor concordância na sua implementação por enfermeiros.

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Scientific Literature on the Reliability and Validity of the Manchester Triage System (MTS) Protocol: A Integrative Literature Review

Cited by 34 publications

References 18 publications

Factors associated with the care of elderly persons with Primary Health Care sensitive conditions

Factors associated with the care of elderly persons with Primary Health Care sensitive conditions

Embracement with risk classification: relationship of justice with the user

Concordância De Um Protocolo Institucional De Avaliação Com Classificação De Risco

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