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 Adjacent Primary Care May Reduce Less Urgent Pediatric Emergency Department Visits

2020 ◽  
Vol 11 ◽  
pp. 215013272092627
Author(s):  
Julia Ellbrant ◽  
Jonas Åkeson ◽  
Helena Sletten ◽  
Jenny Eckner ◽  
Pia Karlsland Åkeson
Keyword(s):  
Primary Care ◽  
Emergency Department ◽  
Patient Characteristics ◽  
Pediatric Emergency ◽  
Emergency Department Visits ◽  
University Hospital ◽  
Pediatric Emergency Department ◽  
Hospital Data ◽  
Cross Sectional ◽  
Ed Visits

Aims: Pediatric emergency department (ED) overcrowding is a challenge. This study was designed to evaluate if a hospital-integrated primary care unit (HPCU) reduces less urgent visits at a pediatric ED. Methods: This retrospective cross-sectional study was carried out at a university hospital in Sweden, where the HPCU, open outside office hours, had been integrated next to the ED. Children seeking ED care during 4-week high- and low-load study periods before (2012) and after (2015) implementation of the HPCU were included. Information on patient characteristics, ED management, and length of ED stay was obtained from hospital data registers. Results: In total, 3216 and 3074 ED patient visits were recorded in 2012 and 2015, respectively. During opening hours of the HPCU, the proportions of pediatric ED visits (28% lower; P < .001), visits in the lowest triage group (36% lower; P < .001), patients presenting with fever ( P = .001) or ear pain ( P < .001), and nonadmitted ED patients ( P = .033), were significantly lower in 2015 than in 2012, whereas the proportion of infants ≤3 months was higher in 2015 ( P < .001). Conclusions: By enabling adjacent management of less urgent pediatric patients at adequate lower levels of medical care, implementation of a HPCU outside office hours may contribute to fewer and more appropriate pediatric ED visits.

scholarly journals Children’s poisoning profile during the Covid-19 pandemic – Experience of Hassan II University Hospital in Fez, MOROCCO

2021 ◽  
Vol 319 ◽  
pp. 01077
Author(s):  
Amrani Hanchi Sahar ◽  
Hoummani Hasnae ◽  
Mourabiti Hajar ◽  
Chebaibi Mohammed ◽  
Chaouki Sana ◽  
...  
Keyword(s):  
Emergency Department ◽  
Pediatric Emergency ◽  
University Hospital ◽  
Accidental Poisoning ◽  
Pediatric Emergency Department ◽  
Neurological Signs ◽  
Snake Bites ◽  
Scorpion Stings ◽  
The University ◽  
Evolutionary Aspects

Introduction. —The Covid-19 pandemic and the containment situation, has generated enormous risks for children. Indeed, with the closure of schools, children, forced to stay at home, found themselves in permanent contact with dangerous products (drugs, disinfectants, plants) exposing them to accidental poisoning. Objective. —To describe the epidemiological, clinical and evolutionary aspects of the cases of pediatric intoxications in the UHC during the period of Covid-19, in order to assess the repercussions of this pandemic on the profile of these intoxications, in terms of number and incriminated products. Material and method. — This is a retrospective descriptive comparative study of intoxication cases admitted to the pediatric emergency department of the University Hospital of Fez spread over 2 years; from March 1, 2019 to February 2021; comparing intoxications admitted during the period of Covid-19 with the previous year. Results. — The emergency department recorded 132 cases of intoxication during the Covid-19 period (compared to 104 cases in 2019). Fez was always the most concerned city (66.21% against 69.02% in 2019). The cases emanated from the urban environment in (58.78%). The accidental circumstance was the most frequent, with an increase from 77.88% in 2019 to 82.02%. The rate of cases of envenomation that consulted was almost similar; children are more exposed to scorpion stings (73.52%) than snake bites. The analysis of incriminated products was marked by the increase of Caustics (20.38% in 2019 to 24.24% in 2020), and the decrease of pesticides (19.41% in 2019 to 13.63%). The symptomatology was dominated by neurological signs in 25.75% of cases, followed by respiratory disorders (18.18%). The evolution was favorable in 95.46%, and death occurred in 4.54% of cases compared to 3.84% in2019. The Covid-19 pandemic has changed the use of antidotes.

scholarly journals Decreasing the Time to Oral Antibiotics in a University Hospital Pediatric Emergency Department

2017 ◽  
Vol 22 (4) ◽  
pp. 272-275
Author(s):  
R. Zachary Thompson ◽  
Brian Gardner ◽  
Thomas Carter ◽  
Aric Schadler ◽  
Joye Allen ◽  
...  
Keyword(s):  
Emergency Department ◽  
Medical Center ◽  
Academic Medical Center ◽  
Medication Administration ◽  
Pediatric Emergency ◽  
University Hospital ◽  
Pediatric Emergency Department ◽  
Oral Antibiotics ◽  
Time Period ◽  
Hospital Pediatric

OBJECTIVES To compare time to administration of oral antibiotics in the pediatric emergency department (ED) when antibiotics are stored in the pediatric ED versus when they were dispensed by central pharmacy services within an academic medical center. METHODS This was a retrospective review of patients who received a one-time dose of oral antibiotics within the pediatric ED and were subsequently discharged home. Two 3-month time periods were compared to determine the metrics of providing oral antibiotics before and after these medications were stocked in the pediatric ED automated dispensing cabinet (ADC). The primary outcome was to compare the time to administration. Secondary outcomes were to assess wastage of stocked medications and time to ED discharge. RESULTS In the ADC time period (n = 74), the median time to administration was 17.5 minutes versus 57 minutes in the central pharmacy time period (n = 34) (p &lt; 0.001). The ED length of stay during the ADC time period was 188.5 minutes versus 228.5 minutes (p = 0.094). 35.4% of doses from the ADC expired resulting in a wholesale acquisition cost of $53.14 wasted. CONCLUSION Stocking commonly used oral antibiotics in the pediatric ED led to a significant decrease in the time to medication administration. This decreased time to administration has the potential to lead to improved patient and nursing satisfaction. Routine surveillance is needed after implementation to ensure compliance and to minimize wastage.

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 Utilização do serviço de urgência pediátrica: a experiência de um centro português

2017 ◽  
Vol 27 (1) ◽  
pp. 24919
Author(s):  
Margarida S. Rafael ◽  
Sofia Portela ◽  
Paulo Sousa ◽  
Adalberto Campos Fernandes
Keyword(s):  
Emergency Department ◽  
Emergency Services ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
Manchester Triage System ◽  
Chi Square Test ◽  
Almost All

DOI: 10.15448/1980-6108.2017.1.24919Aims: The excess demand for pediatric emergency services has caused much concern among health professionals and hospital administrators. The aim of this study was to assess the utilization of a pediatric emergency department and to determine whether its use was injudicious. Methods: Retrospective cross-sectional analysis of all emergency cases treated throughout 2012 in a general hospital located in the metropolitan area of Lisbon, Portugal. The data were obtained from the hospital’s computer information system. Each patient was submitted at admission to the Manchester triage system adapted for Portugal, and the episodes were categorized into immediate, very urgent, urgent, standard, non-urgent, and not classified. All those episodes classified as standard and non-urgent were denoted as unjustified urgent episodes. The data were collected anonymously and analyzed by the IBM SPSS Statistics software using the chi-square test and one-way ANOVA at a 5% significance level (p<0.05).Results: We analyzed 37,099 pediatric emergency department episodes, of which 19,478 patients were male (53%), the median age was 4 years (interquartile range of 1-9 years), and 78.4% were up to 10 years old. Of all the episodes, 21,177 (57.1%) were classified as standard and 15,470 (41.6%) as urgent or very urgent. Of these patients, 27,294 (73.6%) used the emergency department during the week and 28,679 (77.3%) between 10 a.m. and 12 a.m. It was found that in 90.8% of very urgent, 97.1% of urgent, and 99.4% of standard episodes, patients were discharged without the need for hospitalization. Conclusions: More than half of the children who used the pediatric emergency department had standard or non-urgent needs, and almost all of them were discharged with follow-up recommendations by the attending physician. Most of the episodes occurred during opening hours of primary healthcare centers.

The Use of a Kiosk-Model Bilingual Self-Triage System in the Pediatric Emergency Department

2014 ◽  
Vol 30 (1) ◽  
pp. 63-68 ◽  
Author(s):  
Madhumita Sinha ◽  
Kai-Ning Khor ◽  
Ashish Amresh ◽  
David Drachman ◽  
Alan Frechette
Keyword(s):  
Emergency Department ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Triage System

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.

scholarly journals Economic Recession and Attendances in the Pediatric Emergency Department

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Despoina Gkentzi ◽  
Vasiliki Katsoula ◽  
Sotirios Fouzas ◽  
Manolis Mentis ◽  
Ageliki Karatza ◽  
...  
Keyword(s):  
Emergency Department ◽  
Economic Crisis ◽  
Negative Impact ◽  
Geographical Area ◽  
Economic Recession ◽  
Pediatric Emergency ◽  
Emergency Department Visits ◽  
University Hospital ◽  
Pediatric Emergency Department ◽  
Admission Rates

The economic recession has been shown to have a negative impact on health services worldwide. The purpose of this study was to examine whether the recent financial crisis in Greece that started in 2009 has affected the attendances in the pediatric emergency department of a University Hospital covering for a large geographical area in Greece. The study was based on a retrospective analysis of the cases presented to the paediatric emergency department and compared the attendances in 2008 (i.e., before the beginning of the economic crisis) with those in 2013 and 2017. Data on demographics and characteristics of emergency department visits, such as timing, reason, and outcome were recorded for each child. There were a total of 35.572 children seeking examination in those three years and data were collected for 5662 (17.36%) of them. Overall, the attendance rate has increased up to 20% without an increase to the hospital admission rates which remained stable throughout the study periods. Between 2008 and 2017, the percentage of febrile children attending the ED increased by 33.8% and of those with respiratory disorders by 63.1%. Our results indicate that the need for pediatric hospital services has changed following the economic crisis which could reflect gaps in the primary care setting and could well also result from financial constraints.

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