Caracterização dos atendimentos de um pronto-socorro público segundo o Sistema de Triagem de Manchester
Objective: to characterize the care of patients classified by the Manchester Triage System (MTS) in a large public hospital. Methodology: it is a descriptive study with a quantitative approach that analyzed 52,657 patients with a risk classification made on admission to the Emergency Room in the yea...
| Authors: | , , , , , |
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| Format: | article |
| Status: | Published version |
| Publication Date: | 2019 |
| Country: | Brasil |
| Institution: | Universidade Federal de Minas Gerais (UFMG) |
| Repository: | Repositório Institucional da UFMG |
| Language: | Portuguese |
| OAI Identifier: | oai:repositorio.ufmg.br:1843/53675 |
| Online Access: | http://hdl.handle.net/1843/53675 https://orcid.org/0000-0002-4313-8638 https://orcid.org/0000-0002-8313-2791 https://orcid.org/0000-0002-9263-3934 https://orcid.org/0000-0001-6027-372X https://orcid.org/0000-0003-0064-9961 https://orcid.org/0000-0003-2208-958X |
| Access Level: | Open access |
| Keyword: | Serviço hospitalar de emergência Serviços médicos de emergência Triagem Admissão do paciente Enfermagem em emergência Qualidade da assistência à saúde |
| Summary: | Objective: to characterize the care of patients classified by the Manchester Triage System (MTS) in a large public hospital. Methodology: it is a descriptive study with a quantitative approach that analyzed 52,657 patients with a risk classification made on admission to the Emergency Room in the year 2015. The data were collected in electronic records and subjected to descriptive analysis by the program Statistical Package for Social Sciences 19.0 version. Results and discussion: predominant male population (54.2%), average age of 33 years (IQ: 19-51). The most frequent age groups were young adults between 19 and 29 years old (20.7%) and elderly (16.4%). The most frequent clinical priority levels were urgent/yellow (45.6%) and less urgent/green (33.4%) and the most visited flowcharts were extremity problems (31.4%) and "adult malaise" (10.1%). The time between recording and classification had an average of 6.2 minutes (IQ: 2.8-13). As for the time between the risk classification and the primary care, the average in minutes was 20.1 (IQ: 9.3-33.7) for emergency/red, 18.5 (IQ: 10.9-33.2) for very urgent/orange, 58.2 (IQ: 30.2-111.2) for urgent/yellow, 92.7 (46.9-177.3) for less urgent/green and 103.4 (IQ: 41.5-209.6) for non-urgent/blue. Prevailed as the outcome hospital discharge after consultation/medication (61.3%). Conclusion: the reassessment of the flows and processes related to risk classification and initial care is intended to improve the accuracy of the records and the time of primary care, which may contribute to a more qualified and resolutive assistance. |
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