Manchester Triage System-Based Digital Decision Support System and Nurse Triage Accuracy

NCT07835204 | Not Yet Recruiting

• 1 other identifier: MTS-DSS-2026-01
• Study Type: interventional
• Target: 16
• Locations: 0 countries
• Sites: N/A

Brief Summary

This study aims to evaluate the effect of a Manchester Triage System-based digital decision support system on emergency nurses' triage accuracy and agreement. Triage is the process of assessing patients when they arrive at the emergency department and determining how urgently they need care. In this study, emergency nurses will first perform routine triage without using the digital system. They will then receive training on the Manchester Triage System and the use of the digital decision support system. In the following phase, nurses will perform triage using their usual clinical assessment and the digital system. The study will compare nurses' triage decisions before and after the intervention and examine the agreement between nurses' decisions and the digital system. The study will be conducted in the adult emergency department of Dr. Burhan Nalbantoğlu State Hospital in Nicosia, Northern Cyprus. The findings may help determine whether a digital decision support system can improve the consistency and accuracy of emergency triage decisions.

Conditions

Emergency Nurse Triage

Keywords

Manchester Triage System; Emergency Triage; Triage Accuracy; Triage Concordance; Emergency Nurses; Digital Decision Support System; Clinical Decision Support

Outcome Measures

Primary Outcomes (1)

• Triage Accuracy of Emergency Nurses

  The accuracy of emergency nurses' triage decisions will be assessed by comparing the nurses' assigned triage categories with the reference triage category determined according to the Manchester Triage System (MTS). Triage accuracy will be evaluated during the pretest and posttest phases to determine whether the MTS-based digital decision support system improves nurses' triage accuracy.

  Participants will be evaluated in 3 stages: Stage 1, 4-week pre-intervention assessment; Stage 2, 17-day MTS training and clinical adaptation; Stage 3, 4-week post-intervention assessment.

Study Arms (1)

MTS-DSS Intervention Group

EXPERIMENTAL

Emergency nurses will receive structured education on the Manchester Triage System (MTS) and training on the use of the MTS-based digital decision support system. During the posttest phase, nurses will first perform triage based on their clinical assessment and then enter the relevant patient information into the digital decision support system. The system will provide an MTS triage category based on the relevant MTS algorithms. Nurses will be able to retain or change their initial triage decision after reviewing the system output. Triage accuracy and concordance will be assessed before and after the intervention.

Behavioral: Manchester Triage System-Based Digital Decision Support System

Interventions

Manchester Triage System-Based Digital Decision Support System BEHAVIORAL

The intervention consists of structured Manchester Triage System (MTS) education followed by the use of a web-based MTS-based digital decision support system. Emergency nurses will receive training on the principles, triage categories, algorithms, and discriminators of the MTS, as well as on the use of the digital system. During the posttest phase, nurses will first perform triage based on their clinical assessment and then enter the relevant patient information into the digital decision support system. The system will generate an MTS triage category based on the applicable MTS algorithm. The intervention is designed to support nurses' triage decision-making and improve triage accuracy and concordance.

MTS-DSS Intervention Group

Eligibility Criteria

• Age: 22 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

Sponsors & Collaborators

• Kibrıs Aydin Üniversitesi: lead

Related Links

• Official information, methodology, and updates on the Manchester Triage System (MTS)

Study Officials

• Funda Karaman, Assoc Prof

  Kıbrıs Aydın University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Zalihe Sarı Amca, Specialist Nurse

CONTACT

+905338619561; zalihesari@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Specialist Nurse

Model Details: Single-group pretest-posttest quasi-experimental design. Emergency nurses will be assessed before and after the MTS education and implementation of the MTS-based digital decision support system. No control group or randomization will be used.

Study Record Dates

• First Submitted: September 9, 2026
• First Posted: September 22, 2026
• Study Start (Estimated): November 1, 2026
• Primary Completion (Estimated): April 28, 2027
• Study Completion (Estimated): April 30, 2027
• Last Updated: September 22, 2026

Record last verified: 2026-09

Data Sharing

• IPD Sharing: Will not share