Urgent Need for Reform: Addressing the Inadequate Emergency Care for Headache Patients Under the Manchester Triage System

Authors

DOI:

https://doi.org/10.48208/HeadacheMed.2024.20

Keywords:

Manchester Triage System, Patient Safety, Intracranial Hemorrhages, Quality of Health Care

Abstract

In the dynamic emergency services environment, the Manchester Triage System (MTS), developed in 1997, is crucial in saving lives and optimizing care. Its global adoption underscores its effectiveness in improving workflows and patient safety by ensuring patients receive timely care based on the severity of their conditions. MTS categorizes patients into five priority levels: 'Immediate,' 'Very Urgent,' 'Urgent,' 'Standard,' and 'Non-urgent,' using 55 flowcharts to guide information collection and analysis. However, challenges remain, particularly in triaging headache patients, who are often miscategorized as 'Less Urgent,' potentially overlooking extreme conditions like intracranial hemorrhage or meningitis. Studies highlight the need for regular review and adjustment of triage criteria to ensure accurate prioritization. Enhancing awareness, training, and clinical guidelines for headache management can improve care quality. Continuous reassessment post-triage is essential to address changing conditions and ensure timely interventions, thereby addressing systemic deficiencies and enhancing emergency care.

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References

Azeredo TR, Guedes HM, Rebelo de Almeida RA, Chianca TC, Martins JC. Efficacy of the Manchester Triage System: a systematic review. Int Emerg Nurs. 2015;23(2):47-52. Doi 10.1016/j.ienj.2014.06.001 DOI: https://doi.org/10.1016/j.ienj.2014.06.001

Dias RD, Rios IC, Canhada CL, Fernandes MD, Letaif LS, Bonfa E, et al. Using the Manchester triage system for refusing nonurgent patients in the emergency department: A 30-day outcome study. J Emerg Manag. 2016;14(5):349-64. Doi 10.5055/jem.2016.0300 DOI: https://doi.org/10.5055/jem.2016.0300

Steiner D, Renetseder F, Kutz A, Haubitz S, Faessler L, Anderson JB, et al. Performance of the Manchester Triage System in Adult Medical Emergency Patients: A Prospective Cohort Study. J Emerg Med. 2016;50(4):678-89. Doi 10.1016/j.jemermed.2015.09.008 DOI: https://doi.org/10.1016/j.jemermed.2015.09.008

Balossini V, Zanin A, Alberti C, Freund Y, Decobert M, Tarantino A, et al. Triage of children with headache at the ED: a guideline implementation study. Am J Emerg Med. 2013;31(4):670-5. Doi 10.1016/j.ajem.2012.11.027 DOI: https://doi.org/10.1016/j.ajem.2012.11.027

Munoz-Ceron J, Marin-Careaga V, Pena L, Mutis J, Ortiz G. Headache at the emergency room: Etiologies, diagnostic usefulness of the ICHD 3 criteria, red and green flags. PLoS One. 2019;14(1):e0208728. Doi 10.1371/journal.pone.0208728 DOI: https://doi.org/10.1371/journal.pone.0208728

Garcia-Azorin D, Abelaira-Freire J, Rodriguez-Adrada E, Gonzalez-Garcia N, Guerrero AL, Porta-Etessam J, et al. Study about the Manchester Triage System subtriage in patients that visited the Emergency Department due to headache. Neurologia (Engl Ed). 2023;38(4):270-7. Doi 10.1016/j.nrleng.2020.06.018 DOI: https://doi.org/10.1016/j.nrleng.2020.06.018

Darnall BD, Carr DB, Schatman ME. Pain Psychology and the Biopsychosocial Model of Pain Treatment: Ethical Imperatives and Social Responsibility. Pain Med. 2017;18(8):1413-5. Doi 10.1093/pm/pnw166 DOI: https://doi.org/10.1093/pm/pnw166

Brennan F, Carr DB, Cousins M. Pain management: a fundamental human right. Anesth Analg. 2007;105(1):205-21. Doi 10.1213/01.ane.0000268145.52345.55 DOI: https://doi.org/10.1213/01.ane.0000268145.52345.55

Cousins MJ, Lynch ME. The Declaration Montreal: access to pain management is a fundamental human right. Pain. 2011;152(12):2673-4. Doi 10.1016/j.pain.2011.09.012 DOI: https://doi.org/10.1016/j.pain.2011.09.012

Parikh SK, Young WB. Migraine: Stigma in Society. Curr Pain Headache Rep. 2019;23(1):8. Doi 10.1007/s11916-019-0743-7 DOI: https://doi.org/10.1007/s11916-019-0743-7

Shapiro RE, Nicholson RA, Seng EK, Buse DC, Reed ML, Zagar AJ, et al. Migraine-Related Stigma and Its Relationship to Disability, Interictal Burden, and Quality of Life: Results of the OVERCOME (US) Study. Neurology. 2024;102(3):e208074. Doi 10.1212/WNL.0000000000208074 DOI: https://doi.org/10.1212/WNL.0000000000208074

Gross E, Ruiz de la Torre E, Martelletti P. The Migraine Stigma Kaleidoscope View. Neurol Ther. 2023;12(3):703-9. Doi 10.1007/s40120-023-00456-x DOI: https://doi.org/10.1007/s40120-023-00456-x

Garcia-Azorin D, Abelaira-Freire J, Rodriguez-Adrada E, Gonzalez-Garcia N, Guerrero AL, Porta-Etessam J, et al. Study about the Manchester Triage System subtriage in patients that visited the Emergency Department due to headache. Neurologia (Engl Ed). 2020. Doi 10.1016/j.nrl.2020.06.019

Brigo F, Zaboli A, Rinaldi F, Ausserhofer D, Nardone R, Pfeifer N, et al. The Manchester Triage System's performance in clinical risk prioritisation of patients presenting with headache in emergency department: A retrospective observational study. J Clin Nurs. 2022;31(17-18):2553-61. Doi 10.1111/jocn.16073 DOI: https://doi.org/10.1111/jocn.16073

Souza CC, Toledo AD, Tadeu LF, Chianca TC. Risk classification in an emergency room: agreement level between a Brazilian institutional and the Manchester Protocol. Rev Lat Am Enfermagem. 2011;19(1):26-33. Doi 10.1590/s0104-11692011000100005 DOI: https://doi.org/10.1590/S0104-11692011000100005

Cooke MW, Jinks S. Does the Manchester triage system detect the critically ill? J Accid Emerg Med. 1999;16(3):179-81. Doi 10.1136/emj.16.3.179 DOI: https://doi.org/10.1136/emj.16.3.179

Sousa M, Cunha MN, Rodrigues J. Patients' Perceptions Resulting from the Contact with Emergency Departments Using the Manchester Triage System Protocol. Universal Journal of Public Health. 2024;12(3):471-80. Doi 10.13189/ujph.2024.120305 DOI: https://doi.org/10.13189/ujph.2024.120305

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Published

2024-06-30

How to Cite

1.
Valença MM, Peres MFP. Urgent Need for Reform: Addressing the Inadequate Emergency Care for Headache Patients Under the Manchester Triage System. Headache Med [Internet]. 2024 Jun. 30 [cited 2024 Jul. 14];15(2):98-103. Available from: https://headachemedicine.com.br/index.php/hm/article/view/1170

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