Repeatability of the Manchester Triage System for children

Mirjam Veen, VFM Teunen-van der Walle, Ewout Steyerberg, AHJ van Meurs, M Ruige, TD Strout, Johan Lei, Henriette Moll

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Objective The authors aimed to assess the repeatability of the Manchester Triage System (MTS) in children. Methods All emergency department nurses (n=43) from a general teaching hospital and a university children's hospital in The Netherlands triaged 20 written case scenarios using the Manchester Triage system. Second, at two emergency departments (EDs), real-life simultaneous triage of patients (<16 years) was performed by ED nurses and two research nurses. The written case scenarios and the patients included in the real-life simultaneous triage study were representative of children attending the ED, in age, problem and urgency level. The authors assessed inter-rater agreement using quadratic weighted kappa values. Results The weighted kappa between the nurses, triaging the case scenarios, was 0.83 (95% CI 0.74 to 0.91). In total, 88% (N=198) of the eligible ED patients were triaged simultaneously, with a weighted kappa of 0.65 (95% CI 0.56 to 0.72). Conclusions The MTS showed good to very good repeatability in paediatric emergency care.
Original languageUndefined/Unknown
Pages (from-to)512-516
Number of pages5
JournalEmergency Medicine Journal
Issue number7
Publication statusPublished - 2010

Research programs

  • EMC MM-04-54-08-A
  • EMC NIHES-02-65-01
  • EMC NIHES-03-77-02

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