The consequences of not using the Manchester protocol correctly in Urgent and Emergency services
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/35476 |
Resumo: | Introduction: The Manchester Risk Classification System (MCHR) was developed in the United Kingdom by physicians and nurses with the purpose of prioritizing emergency care according to higher-risk clinical criteria in order to minimize harm to the patient's health. Objectives: To identify the main difficulties and clinical outcomes during the use of SMCR. Methodology: Integrative literature review by searching the PUBMED and SciELO databases, using the descriptors "Manchester triage" and "emergency" and their variations in English. Articles published between 2017 to 2022, which answered the research question and free full texts were included. In the end, a sample of 16 articles was obtained. Results And Discussion: Three thematic categories were listed. The first one corresponded to the clinical profile of patients screened by the RRMS, which indicated the prevalence of male patients in the white and red categories, and the most prevalent comorbidities in the red category were associated with diabetes mellitus and hypertension. Another category highlighted the main difficulties associated, which were the lack of standardization, nursing staff with no previous training, and lower performance of the triage as the patient's level of complexity increased. The last category pointed out that the RMCMS is a good predictor of mortality. CONCLUSION: There are several factors that hinder the screening process, and it is necessary that institutions promote training of healthcare professionals to improve screening standardization protocols, in order to generate a lower error rate and reduce morbidity and mortality. |
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The consequences of not using the Manchester protocol correctly in Urgent and Emergency servicesLas consecuencias de no utilizar correctamente el protocolo Manchester en los servicios de Urgencias y EmergenciasAs consequências da não utilização correta do protocolo de Manchester nos serviços de Urgência e EmergênciaEmergencyUrgencyTriage.EmergenciaUrgenciaTriaje.EmergênciaUrgênciaTriagem.Introduction: The Manchester Risk Classification System (MCHR) was developed in the United Kingdom by physicians and nurses with the purpose of prioritizing emergency care according to higher-risk clinical criteria in order to minimize harm to the patient's health. Objectives: To identify the main difficulties and clinical outcomes during the use of SMCR. Methodology: Integrative literature review by searching the PUBMED and SciELO databases, using the descriptors "Manchester triage" and "emergency" and their variations in English. Articles published between 2017 to 2022, which answered the research question and free full texts were included. In the end, a sample of 16 articles was obtained. Results And Discussion: Three thematic categories were listed. The first one corresponded to the clinical profile of patients screened by the RRMS, which indicated the prevalence of male patients in the white and red categories, and the most prevalent comorbidities in the red category were associated with diabetes mellitus and hypertension. Another category highlighted the main difficulties associated, which were the lack of standardization, nursing staff with no previous training, and lower performance of the triage as the patient's level of complexity increased. The last category pointed out that the RMCMS is a good predictor of mortality. CONCLUSION: There are several factors that hinder the screening process, and it is necessary that institutions promote training of healthcare professionals to improve screening standardization protocols, in order to generate a lower error rate and reduce morbidity and mortality.Introducción: El Sistema de Clasificación de Riesgo de Manchester (SMCR) fue desarrollado en el Reino Unido por médicos y enfermeras con el objetivo de priorizar la atención de emergencia de acuerdo con los criterios clínicos de mayor riesgo para minimizar los problemas de salud de los pacientes. Objetivos: Identificar las principales dificultades y resultados clínicos durante el uso de SMCR. METODOLOGÍA: Revisión integrativa de la literatura a través de una búsqueda en las bases de datos PUBMED y SciELO, Utilizando los descriptores “Manchester screening” y “emergency” y sus variantes en inglés. Se incluyeron artículos publicados entre 2017 y 2022 que respondieron a la pregunta de investigación y textos completos libres. Al final se obtuvo una muestra de 16 artículos. Resultados Y Discusión: Se listaron tres categorías temáticas. El primero correspondió al perfil clínico de los pacientes tamizados por el SMCR, que indicó el predominio de pacientes del sexo masculino en las categorías blanca y roja y las comorbilidades más prevalentes en la categoría roja estaban asociadas a diabetes mellitus e hipertensión arterial. Otra categoría mostró las principales dificultades asociadas, que fueron la falta de estandarización, personal de enfermería sin capacitación previa y menor desempeño del tamizaje cuanto mayor era el nivel de complejidad del paciente. La última categoría señaló que el SMCR es un buen predictor de mortalidad. Conclusión: Existen varios factores que dificultan el proceso de tamizaje, siendo necesario que las instituciones promuevan la capacitación de los profesionales de la salud para mejorar los protocolos de estandarización del tamizaje, con el fin de generar una menor tasa de error y reducir la morbimortalidad.Introdução: O Sistema Manchester de Classificação de Risco (SMCR) foi desenvolvido no Reino Unido por médicos e enfermeiros com a finalidade de priorizar o atendimento na emergência de acordo com critérios clínicos de maior risco com intuito de minimizar agravos à saúde do paciente. Objetivos: Identificar as principais dificuldades e desfechos clínicos durante o uso SMCR. Metodologia: Revisão integrativa da literatura através da pesquisa nas bases de dados PUBMED e SciELO, utilizando os descritores “triagem de Manchester” e “emergência” e suas variações em inglês. Foram incluídos os artigos publicados entre 2017 à 2022, que respondessem à pergunta de pesquisa e textos completos gratuitos. Ao final, obteve-se uma amostra de 16 artigos. Resultados E Discussão: Foram elencadas três categorias temáticas. A primeira correspondeu ao perfil clínico dos pacientes triados pelo SMCR, que apontou a prevalência de pacientes do sexo masculino nas categorias branca e vermelha e as comorbidades mais prevalentes na categoria vermelha estavam associadas ao diabetes mellitus e a hipertensão. Outra categoria evidenciou as principais dificuldades associadas, sendo estas a ausência de padronização, equipe de enfermagem sem treinamento prévio e menor desempenho da triagem quanto maior o nível de complexidade do paciente. A última categoria apontou que o SMCR é um bom preditor de mortalidade. Conclusão: Há diversos fatores que dificultam o processo de triagem, sendo necessário que as instituições promovam a capacitação dos profissionais da área da saúde para melhorar os protocolos de padronização de triagem, a fim de gerar uma menor taxa de erros e redução da morbimortalidade.Research, Society and Development2022-10-08info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/3547610.33448/rsd-v11i13.35476Research, Society and Development; Vol. 11 No. 13; e324111335476Research, Society and Development; Vol. 11 Núm. 13; e324111335476Research, Society and Development; v. 11 n. 13; e3241113354762525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/35476/29748Copyright (c) 2022 Jhullyana Rocha Silva; Larissa Mayara de Sousa Alencar; Lucas Costa Sá; Marcos Vinícios Ferreira dos Santoshttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessJhullyanaAlencar, Larissa Mayara de SousaSá, Lucas CostaSantos, Marcos Vinícios Ferreira dos2022-10-17T13:43:46Zoai:ojs.pkp.sfu.ca:article/35476Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:50:23.145430Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
The consequences of not using the Manchester protocol correctly in Urgent and Emergency services Las consecuencias de no utilizar correctamente el protocolo Manchester en los servicios de Urgencias y Emergencias As consequências da não utilização correta do protocolo de Manchester nos serviços de Urgência e Emergência |
title |
The consequences of not using the Manchester protocol correctly in Urgent and Emergency services |
spellingShingle |
The consequences of not using the Manchester protocol correctly in Urgent and Emergency services Jhullyana Emergency Urgency Triage. Emergencia Urgencia Triaje. Emergência Urgência Triagem. |
title_short |
The consequences of not using the Manchester protocol correctly in Urgent and Emergency services |
title_full |
The consequences of not using the Manchester protocol correctly in Urgent and Emergency services |
title_fullStr |
The consequences of not using the Manchester protocol correctly in Urgent and Emergency services |
title_full_unstemmed |
The consequences of not using the Manchester protocol correctly in Urgent and Emergency services |
title_sort |
The consequences of not using the Manchester protocol correctly in Urgent and Emergency services |
author |
Jhullyana |
author_facet |
Jhullyana Alencar, Larissa Mayara de Sousa Sá, Lucas Costa Santos, Marcos Vinícios Ferreira dos |
author_role |
author |
author2 |
Alencar, Larissa Mayara de Sousa Sá, Lucas Costa Santos, Marcos Vinícios Ferreira dos |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Jhullyana Alencar, Larissa Mayara de Sousa Sá, Lucas Costa Santos, Marcos Vinícios Ferreira dos |
dc.subject.por.fl_str_mv |
Emergency Urgency Triage. Emergencia Urgencia Triaje. Emergência Urgência Triagem. |
topic |
Emergency Urgency Triage. Emergencia Urgencia Triaje. Emergência Urgência Triagem. |
description |
Introduction: The Manchester Risk Classification System (MCHR) was developed in the United Kingdom by physicians and nurses with the purpose of prioritizing emergency care according to higher-risk clinical criteria in order to minimize harm to the patient's health. Objectives: To identify the main difficulties and clinical outcomes during the use of SMCR. Methodology: Integrative literature review by searching the PUBMED and SciELO databases, using the descriptors "Manchester triage" and "emergency" and their variations in English. Articles published between 2017 to 2022, which answered the research question and free full texts were included. In the end, a sample of 16 articles was obtained. Results And Discussion: Three thematic categories were listed. The first one corresponded to the clinical profile of patients screened by the RRMS, which indicated the prevalence of male patients in the white and red categories, and the most prevalent comorbidities in the red category were associated with diabetes mellitus and hypertension. Another category highlighted the main difficulties associated, which were the lack of standardization, nursing staff with no previous training, and lower performance of the triage as the patient's level of complexity increased. The last category pointed out that the RMCMS is a good predictor of mortality. CONCLUSION: There are several factors that hinder the screening process, and it is necessary that institutions promote training of healthcare professionals to improve screening standardization protocols, in order to generate a lower error rate and reduce morbidity and mortality. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-10-08 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/35476 10.33448/rsd-v11i13.35476 |
url |
https://rsdjournal.org/index.php/rsd/article/view/35476 |
identifier_str_mv |
10.33448/rsd-v11i13.35476 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/35476/29748 |
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https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
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https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 11 No. 13; e324111335476 Research, Society and Development; Vol. 11 Núm. 13; e324111335476 Research, Society and Development; v. 11 n. 13; e324111335476 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052725044707328 |