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Comparison of an Informally Structured Triage System, the Emergency Severity Index, and the Manchester Triage System to Distinguish Patient Priority in the Emergency Department

  1. Marja N. Storm-Versloot RN, MSc,
  2. Dirk T. Ubbink MD, PhD,
  3. Johan Kappelhof MSc,
  4. Jan S. K. Luitse MD

Article first published online: 15 AUG 2011

DOI: 10.1111/j.1553-2712.2011.01122.x

Issue

Academic Emergency Medicine

Academic Emergency Medicine

Volume 18, Issue 8, pages 822–829, August 2011

Additional Information

How to Cite

Storm-Versloot, M. N., Ubbink, D. T., Kappelhof, J. and Luitse, J. S. K. (2011), Comparison of an Informally Structured Triage System, the Emergency Severity Index, and the Manchester Triage System to Distinguish Patient Priority in the Emergency Department. Academic Emergency Medicine, 18: 822–829. doi: 10.1111/j.1553-2712.2011.01122.x

Author Information

  1. From the Departments of Surgery (MNS, DTU), Quality Assurance & Process Innovation (DTU), and Emergency Medicine (JK, JSKL), Academic Medical Center, Amsterdam, The Netherlands.

*Address for correspondence and reprints: Marja N. Storm-Versloot, RN, MSc; e-mail: m.n.storm@amc.uva.nl.

  1. The authors have no relevant financial information or potential conflicts of interest to disclose.

  2. Supervising Editor: Clifton W. Callaway, MD, PhD.

Publication History

  1. Issue published online: 15 AUG 2011
  2. Article first published online: 15 AUG 2011
  3. Received November 1, 2010; revisions received February 9 and February 23, 2011; accepted February 27, 2011.

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References

  • 1
    Fernandes CM, Wuerz R, Clark S, Djurdjev O. How reliable is emergency department triage? Ann Emerg Med. 1999; 34:141–7.
  • 2
    Sprivulis PC, Da Silva JA, Jacobs IG, Frazer AR, Jelinek GA. The association between hospital overcrowding and mortality among patients admitted via Western Australian emergency departments. Med J Aust. 2006; 184:208–12.
  • 3
    Wuerz RC, Fernandes CM, Alarcon J. Inconsistency of emergency department triage. Ann Emerg Med. 1998; 32:431–5.
  • 4
    Travers D, Waller A, Bowling JM, Flowers D, Tintinalli J. Five-level triage system more effective than three-level in tertiary emergency department. J Emerg Nurs. 2002; 28:395–400.
  • 5
    HAN University of applied sciences, the Dutch Emergency Nurses Association (NVSHV), Netherlands Centre of Excellence in Nursing (LEVV). [Guideline triage on the emergency department; 2008.] Available in Dutch at: http://www.levv.nl/fileadmin/sites/LEVV/PDF-PP/richtlijnen/080819_Rapport_Triage_WM.pdf. Accessed May 22, 2011.
  • 6
    Mackway-Jones K. Emergency Triage: Manchester Triage Group. London: BMJ Publishing Group, 1997.
  • 7
    van der Wulp I, van Baar ME, Schrijvers AJ. Reliability and validity of the Manchester Triage System in a general emergency department patient population in the Netherlands: results of a simulation study. Emerg Med J. 2008; 25:431–4.
  • 8
    Storm-Versloot MN, Ubbink DT, Chin a Choi V, Luitse JS. Observer agreement of the Manchester Triage System and the Emergency Severity Index: a simulation study. Emerg Med J. 2009; 26:556–60.
  • 9
    Speake D, Teece S, Mackway-Jones K. Detecting high-risk patients with chest pain. Emerg Nurse. 2003; 11:19–21.
  • 10
    Roukema J, Steyerberg EW, van Meurs A, Ruige M, van der Lei J, Moll HA. Validity of the Manchester Triage System in paediatric emergency care. Emerg Med J. 2006; 23:906–10.
  • 11
    van Veen M, Moll HA. Reliability and validity of triage systems in paediatric emergency care. Scand J Trauma Resusc Emerg Med. 2009; 17:38.
  • 12
    Gilboy N, Tanabe P, Travers DA, Rosenau AM, Eitel DR. Emergency Severity Index, Version 4: Implementation Handbook and DVDs. Available at: http://www.ahrq.gov/research/esi. Accessed May 22, 2011.
  • 13
    Wuerz RC, Milne LW, Eitel DR, Travers DA, Gilboy N. Reliability and validity of a new five-level triage instrument. Acad Emerg Med. 2000; 7:236–42.
    Direct Link:
  • 14
    Tanabe P, Gimbel R, Yarnold PR, Kyriacou DN, Adams JG. Reliability and validity of scores on The Emergency Severity Index version 3. Acad Emerg Med. 2004; 11:59–65.
  • 15
    Cooke MW, Jinks S. Does the Manchester triage system detect the critically ill? J Accid Emerg Med. 1999; 16:179–81.
  • 16
    Van der Linden C. [Triage of cardiac patients at an emergency department] [in Dutch]. Cordiaal. 2005; 1:12–6.
  • 17
    Brillman JC, Doezema D, Tandberg D, et al. Triage: limitations in predicting need for emergent care and hospital admission. Ann Emerg Med. 1996; 27:493–500.
  • 18
    Boeije T, Frederikse MP, van der Heijden FH, Mencl F. The Emergency Severity Index (version 3): a good predictor of admission, length of stay and mortality in a European emergency department [abstract]. Eur J Emerg Med. 2006; 13:62.
  • 19
    Tanabe P, Travers D, Gilboy N, et al. Refining Emergency Severity Index triage criteria. Acad Emerg Med. 2005; 12:497–501.
  • 20
    Wuerz RC, Travers D, Gilboy N, Eitel DR, Rosenau A, Yazhari R. Implementation and refinement of the emergency severity index. Acad Emerg Med. 2001; 8:170–6.
    Direct Link:
  • 21
    Gill JM, Reese CL 4th, Diamond JJ. Disagreement among health care professionals about the urgent care needs of emergency department patients. Ann Emerg Med. 1996; 28:474–9.
  • 22
    Asplin BR. Undertriage, overtriage, or no triage? In search of the unnecessary emergency department visit. Ann Emerg Med. 2001; 38:282–5.
  • 23
    van der Wulp I, Schrijvers AJ, van Stel HF. Predicting admission and mortality with the Emergency Severity Index and the Manchester Triage System: a retrospective observational study. Emerg Med J. 2009; 26:506–9.
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