Interobserver concordance in simulated vignettes using the Manchester Triage System in emergency departments…

StudyEnfermeria clinica· Jul 2026

Interobserver concordance in simulated vignettes using the Manchester Triage System in emergency departments in Asturias.

Víctor Cabrera, Pablo Avanzas, Graciela Álvarez-Cuervo … Rafael Castro-Delgado

Emergency Department FlowStudyQ2IF 0.9

Emergency nurses showed substantial interobserver agreement using the Manchester Triage System.

Interobserver concordance in simulated vignettes using the Manchester Triage System in emergency departments in Asturias.

Víctor Cabrera … Rafael Castro-Delgado

Enfermeria clinica · Jul 2026

Purpose

To assess the inter-observer concordance of the Manchester Triage System (Manchester Triage System) through clinical vignettes among emergency nurses in Asturias, Spain.

Methods

Prospective multicenter study in seven emergency departments using questionnaires containing 40 simulated triage cases based on real cases.

Results

nurses' triage ratings agreed strongly with each other

83.7%

Sensitivity

94.8%

Specificity

More results

A total of 100 nurses participated in the study (median age: 39.1 years).

The median number of correctly triaged vignettes was 30 (SD = 3.93).

A positive correlation was found between accuracy and Manchester Triage System experience was r = 0.250; P = .012.

More results

Among the 4000 vignettes evaluated, 403 (10.1%) were undertriage, while overtriage occurred in 253 vignettes (6.3%).

“

Conclusion · 1 of 2

The study demonstrated substantial inter-observer agreement among emergency nurses in seven hospitals using the Manchester Triage System, with an overall accuracy of 80%.

Conclusion · 2 of 2

Triage accuracy has a slight correlation with increased years of experience.

Interobserver concordance in simulated vignettes using the Manchester Triage System in emergency departments in Asturias.

Interobserver concordance in simulated vignettes using the Manchester Triage System in emergency departments in Asturias.

Related papers