Risk classification in an emergency room: agreement level between a Brazilian institutional and the Manchester Protocol

Authors

  • Cristiane Chaves de Souza Hospital Municipal Odilon Behrens
  • Alexandre Duarte Toledo Universidade Federal de Minas Gerais; Escola de Enfermagem
  • Luiza Ferreira Ribeiro Tadeu Universidade Federal de Minas Gerais; Escola de Enfermagem
  • Tânia Couto Machado Chianca Universidade Federal de Minas Gerais; Escola de Enfermagem

DOI:

https://doi.org/10.1590/S0104-11692011000100005

Keywords:

Nursing, Emergency Medical Services, Triage

Abstract

The aim of this study was to assess the level of agreement between an institutional protocol and the Manchester protocol for the risk assessment of patients attended in an emergency room of a public hospital in Belo Horizonte - MG - Brazil. This is a descriptive and comparative study, in which 382 patients' reports were evaluated and the risk was classified, using the institutional protocol and the Manchester protocol. Rates were calculated through weighted and unweighted kappa, in order to determine the level of agreement between the protocols. The results showed that the correlation between the protocols is average when considering that classification errors occurred between neighboring colors (kappa=0.48), and good when considering that classification errors occurred between extreme colors (kappa=0.61). The Manchester protocol increased the patients' level of priority of patients and has been considered more inclusive.

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Published

2011-02-01

Issue

Vol. 19 No. 1 (2011)

Section

Original Articles

License

RLAE’s authorship concept is based on the substantial contribution by each of the individuals listed as authors, mainly in terms of conceiving and planning the research project, collecting or analyzing and interpreting data, writing and critical review. Indication of authors’ names under the article title is limited to six. If more, authors are listed on the online submission form under Acknowledgements. The possibility of including more than six authors will only be examined on multicenter studies, considering the explanations presented by the authors.
Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Risk classification in an emergency room: agreement level between a Brazilian institutional and the Manchester Protocol . (2011). Revista Latino-Americana De Enfermagem, 19(1), 26-33. https://doi.org/10.1590/S0104-11692011000100005