Manchester priority system for nurses to identify clinical outcomes in hospital emergency care / Sistema prioridade de Manchester para identificação pelo enfermeiro dos desfechos clínicos nos atendimentos de emergência hospitalar

Authors

DOI:

https://doi.org/10.9789/2175-5361.rpcfo.v17.13749

Keywords:

Emergencies, Emergency nursing, Hospital emergency service, Adult, Risk assessment

Abstract

Objective: to understand the profile and prevalence of clinical outcomes of patients treated at hospital emergency services, based on the Manchester priority. Method: Cross-sectional study, carried out in a private hospital in Goiânia-Goiás, based on the analysis of 900 medical records of patients treated between 2019 and 2021. Medical records with complete information on age, sex, date and shift of care, length of stay, signs and symptoms, risk classification and clinical outcomes were included. Data were collected electronically and analyzed descriptively. Results: The age group 56 to 75 years (31.2%), male (59.8%), daytime (67.9%), low-urgent/green priority (38.9%) and hospital discharge (77.9%) were prevalent. The shortest average length of stay was for those classified as emergency priority (1h23) and the longest for urgent cases (7h28). Conclusion: The results indicate the need for improvements in patient flow management and greater accuracy in the application of risk classification.

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Author Biographies

Tatiane Félix Barbosa de Queiroz, Federal University of the State of Rio de Janeiro

Enfermeira, Mestre em Saúde e Tecnologia no Espaço Hospitalar, Coordenadora da Atenção Primária à Saúde, Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brasil.

Priscilla Alfradique de Souza, Federal University of the State of Rio de Janeiro

Doutora em Enfermagem. Docente da Escola de Enfermagem Alfredo Pinto da Universidade Federal do estado do Rio de Janeiro.

Natália Chantal Magalhães da Silva, Federal University of the State of Rio de Janeiro

Enfermeira, Doutora em Ciências, Docente na graduação, pós-graduação nos moldes de residência e enfermagem, mestrado acadêmico e mestrado profissional, Universidade Federal do Estado do Rio de Janeiro

Rosane Barreto Cardoso, Federal University of Rio de Janeiro

Enfermeira, Doutora em Enfermagem, Docente na graduação e pós-graduação, Universidade Federal do Rio de Janeiro.

Rodrigo Jensen, University of São Paulo

Enfermeiro, Doutor em Ciências da Saúde, Docente na graduação e pós-graduação, Universidade de São Paulo.

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Published

2025-05-13 — Updated on 2025-07-31

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How to Cite

1.
Queiroz TFB de, Souza PA de, Silva NCM da, Cardoso RB, Jensen R. Manchester priority system for nurses to identify clinical outcomes in hospital emergency care / Sistema prioridade de Manchester para identificação pelo enfermeiro dos desfechos clínicos nos atendimentos de emergência hospitalar. Rev. Pesqui. (Univ. Fed. Estado Rio J., Online) [Internet]. 2025Jul.31 [cited 2026Apr.6];17:e-137149. Available from: https://seer.unirio.br/cuidadofundamental/article/view/13749

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