Manchester Triage System-Based Digital Decision Support System and Nurse Triage Accuracy (MTS-DSS)
Effect of a Manchester Triage System-Based Digital Decision Support System on Nurse Triage Accuracy and Triage Concordance
This study aims to evaluate the effect of a Manchester Triage System-based digital decision support system on emergency nurses' triage accuracy and agreement. Triage is the process of assessing patients when they arrive at the emergency department and determining how urgently they need care. In this study, emergency nurses will first perform routine triage without using the digital system. They will then receive training on the Manchester Triage System and the use of the digital decision support system. In the following phase, nurses will perform triage using their usual clinical assessment and the digital system. The study will compare nurses' triage decisions before and after the intervention and examine the agreement between nurses' decisions and the digital system. The study will be conducted in the adult emergency department of Dr. Burhan Nalbantoğlu State Hospital in Nicosia, Northern Cyprus. The findings may help determine whether a digital decision support system can improve the consistency and accuracy of emergency triage decisions.
Přehled studie
Postavení
Podmínky
Intervence / Léčba
Detailní popis
This study will evaluate the effect of a Manchester Triage System (MTS)-based digital decision support system (MTS-DSS) on emergency nurses' triage accuracy and triage concordance. The study will use a single-group pretest-posttest quasi-experimental design and will be conducted in the adult emergency department of Dr. Burhan Nalbantoğlu State Hospital, Nicosia, Northern Cyprus.
Emergency nurses participating in the study will first perform routine triage according to their usual clinical practice during the pretest phase. Patient-related triage information, including presenting complaint and relevant clinical findings, will be recorded by the researcher. The nurses will subsequently receive structured training on the Manchester Triage System and the use of the digital decision support system.
Following the training period, nurses will perform triage during the posttest phase. The nurse will initially make a triage decision based on clinical assessment and will then enter the relevant patient information into the MTS-DSS. The system will provide a triage category based on the MTS algorithms. The nurse may retain or change the initial triage decision after viewing the system output.
The primary evaluations will compare triage accuracy before and after the intervention and assess the concordance between nurses' triage decisions and the MTS-DSS output. Nurse-related characteristics and relevant patient characteristics will also be recorded to describe the study population and examine factors associated with triage decisions.
The digital decision support system is web-based and will be accessed through password-protected accounts. The system will not be integrated with the hospital information system. Patient information will be recorded using study-specific codes rather than directly identifying information. Participation of nurses will be voluntary.
Typ studie
Zápis (Odhadovaný)
Fáze
- Nelze použít
Kontakty a umístění
Studijní kontakt
- Jméno: Zalihe Sarı Amca, Specialist Nurse
- Telefonní číslo: +90 +905338619561
- E-mail: zalihesari@gmail.com
Kritéria účasti
Kritéria způsobilosti
Věk způsobilý ke studiu
Přijímá zdravé dobrovolníky
Pohlaví způsobilá ke studiu
Popis
Inclusion Criteria for Nurses Being a nurse actively working in the triage area of the emergency department. Voluntarily agreeing to participate in the study. Agreeing to participate in the training program. Inclusion Criteria for Patients Patients aged 18 years and older. Exclusion Criteria for Nurses Being on leave or sick leave during the data collection period. Not participating in the training program. Providing incomplete data. Exclusion Criteria for Patients Patients under 18 years of age.
Studijní plán
Jak je studie koncipována?
Detaily designu
- Primární účel: Léčba
- Přidělení: N/A
- Intervenční model: Přiřazení jedné skupiny
- Maskování: Žádné (otevřený štítek)
Zbraně a zásahy
Skupina účastníků / Arm |
Intervence / Léčba |
|---|---|
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Experimentální: MTS-DSS Intervention Group
Emergency nurses will receive structured education on the Manchester Triage System (MTS) and training on the use of the MTS-based digital decision support system. During the posttest phase, nurses will first perform triage based on their clinical assessment and then enter the relevant patient information into the digital decision support system. The system will provide an MTS triage category based on the relevant MTS algorithms. Nurses will be able to retain or change their initial triage decision after reviewing the system output. Triage accuracy and concordance will be assessed before and after the intervention. |
The intervention consists of structured Manchester Triage System (MTS) education followed by the use of a web-based MTS-based digital decision support system. Emergency nurses will receive training on the principles, triage categories, algorithms, and discriminators of the MTS, as well as on the use of the digital system. During the posttest phase, nurses will first perform triage based on their clinical assessment and then enter the relevant patient information into the digital decision support system. The system will generate an MTS triage category based on the applicable MTS algorithm. The intervention is designed to support nurses' triage decision-making and improve triage accuracy and concordance. |
Co je měření studie?
Primární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
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Triage Accuracy of Emergency Nurses
Časové okno: Participants will be evaluated in 3 stages: Stage 1, 4-week pre-intervention assessment; Stage 2, 17-day MTS training and clinical adaptation; Stage 3, 4-week post-intervention assessment.
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The accuracy of emergency nurses' triage decisions will be assessed by comparing the nurses' assigned triage categories with the reference triage category determined according to the Manchester Triage System (MTS). Triage accuracy will be evaluated during the pretest and posttest phases to determine whether the MTS-based digital decision support system improves nurses' triage accuracy. |
Participants will be evaluated in 3 stages: Stage 1, 4-week pre-intervention assessment; Stage 2, 17-day MTS training and clinical adaptation; Stage 3, 4-week post-intervention assessment.
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Spolupracovníci a vyšetřovatelé
Sponzor
Vyšetřovatelé
- Vrchní vyšetřovatel: Funda Karaman, Assoc Prof, Kıbrıs Aydın University
Publikace a užitečné odkazy
Termíny studijních záznamů
Hlavní termíny studia
Začátek studia (Odhadovaný)
Primární dokončení (Odhadovaný)
Dokončení studie (Odhadovaný)
Termíny zápisu do studia
První předloženo
První předloženo, které splnilo kritéria kontroly kvality
První zveřejněno (Aktuální)
Aktualizace studijních záznamů
Poslední zveřejněná aktualizace (Aktuální)
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Naposledy ověřeno
Více informací
Termíny související s touto studií
Klíčová slova
Další identifikační čísla studie
- MTS-DSS-2026-01
Plán pro data jednotlivých účastníků (IPD)
Plánujete sdílet data jednotlivých účastníků (IPD)?
Popis plánu IPD
Individual participant-level data will not be shared with other researchers because the data are collected for the specific purposes of this study and will be stored securely in coded form. Data sharing is not planned beyond the research team.
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