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Background <p>Emergency departments in Germany treat increasing numbers of patients each year. Many have multiple health problems. Hospitals need a&#xa0;fast and reliable way to decide who needs help first. The Manchester Triage System (MTS) is widely used. But few studies show how well it works in daily use. This study checked how MTS was applied over 2&#xa0;years and where the process could be improved.</p> Methods <p>Trained staff reviewed around 2% of all triage records from 2023–2024. They looked for missing or wrong entries. The team shared the results each month and set goals to fix common mistakes.</p> Results <p>The study included 120,523 patient visits. Correct triage decisions rose from 37% in early 2023 to 79% by the end of 2024. At the same time, wrong or incomplete assessments became much less common (<i>p</i> &lt; 0.0001). The categories used to rate urgency also shifted. Frequent errors were missing vital signs, wrong pain scores, and unclear symptom times.</p> Conclusion <p>Regular checks and clear feedback help staff make better triage decisions. Adding software tools and training can support this process and improve emergency care.</p>

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Mehr Präzision bei der Ersteinschätzung: Ergebnisse eines zweijährigen Audits des Manchester Triage Systems

  • 期刊论文

  • 发表日期：

    2025年11月25日

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  • Birgit Deutschländer,
  • Ingo Voigt

摘要

Background

Emergency departments in Germany treat increasing numbers of patients each year. Many have multiple health problems. Hospitals need a fast and reliable way to decide who needs help first. The Manchester Triage System (MTS) is widely used. But few studies show how well it works in daily use. This study checked how MTS was applied over 2 years and where the process could be improved.

Methods

Trained staff reviewed around 2% of all triage records from 2023–2024. They looked for missing or wrong entries. The team shared the results each month and set goals to fix common mistakes.

Results

The study included 120,523 patient visits. Correct triage decisions rose from 37% in early 2023 to 79% by the end of 2024. At the same time, wrong or incomplete assessments became much less common (p < 0.0001). The categories used to rate urgency also shifted. Frequent errors were missing vital signs, wrong pain scores, and unclear symptom times.

Conclusion

Regular checks and clear feedback help staff make better triage decisions. Adding software tools and training can support this process and improve emergency care.