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 κ of 0.65 (95% CI 0.56 to 0.72). Conclusions: The MTS showed good to very good repeatability in paediatric emergency care.

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Persistent URL dx.doi.org/10.1136/emj.2009.077750, hdl.handle.net/1765/20118
Citation
van Veen, M., Teunen-van Der Walle, V.F.M., Steyerberg, E.W., van Meurs, A.H.J., Ruige, M., Strout, T.D., … Moll, H.A.. (2010). Repeatability of the Manchester triage system for children. Emergency Medicine Journal: an international peer-reviewed journal for health professionals and researchers in emergency medicine, 27(7), 512–516. doi:10.1136/emj.2009.077750