TY - JOUR T1 - Repeatability of the Manchester Triage System for children JF - Emergency Medicine Journal JO - Emerg Med J SP - 512 LP - 516 DO - 10.1136/emj.2009.077750 VL - 27 IS - 7 AU - M van Veen AU - V F M Teunen-van der Walle AU - E W Steyerberg AU - A H J van Meurs AU - M Ruige AU - T D Strout AU - J van der Lei AU - H A Moll Y1 - 2010/07/01 UR - http://emj.bmj.com/content/27/7/512.abstract N2 - Objective The authors aimed to assess the repeatability of the Manchester Triage System (MTS) in children.Methods All emergency department nurses (n=43) from a general teaching hospital and a university children's hospital in The Netherlands triaged 20 written case scenarios using the Manchester Triage system. Second, at two emergency departments (EDs), real-life simultaneous triage of patients (<16 years) was performed by ED nurses and two research nurses. The written case scenarios and the patients included in the real-life simultaneous triage study were representative of children attending the ED, in age, problem and urgency level. The authors assessed inter-rater agreement using quadratic weighted kappa values.Results The weighted kappa between the nurses, triaging the case scenarios, was 0.83 (95% CI 0.74 to 0.91). In total, 88% (N=198) of the eligible ED patients were triaged simultaneously, with a weighted κ of 0.65 (95% CI 0.56 to 0.72).Conclusions The MTS showed good to very good repeatability in paediatric emergency care. ER -