Emergency Nurse TriageMTS-DSSNCT07835204
Manchester Triage System-Based Digital Decision Support System and Nurse Triage Accuracy
A study testing Manchester Triage System-Based Digital Decision Support System in people with Emergency Nurse Triage, run by Kibrıs Aydin Üniversitesi.
Trial 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. Read more about this study
- Who is it for?
- Ages 22 to 60 years
- Conditions the study is for
- Emergency Nurse Triage
- What is being tested?
- Manchester Triage System-Based Digital Decision Support System
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 16 participants
- Where
- No sites listed yet
- Study dates
- 1 Nov 2026to 30 Apr 2027
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 22 to 60 years
- All sexes
- No healthy volunteers
- Adult
Inclusion Criteria for Nurses Being a nurse actively working in the triage area of the emergency department. Voluntarily agreeing to participate in the study. Agreeing to participate in the training program. Inclusion Criteria for Patients Patients aged 18 years and older. Exclusion Criteria for Nurses Being on leave or sick leave during the data collection period. Not participating in the training program. Providing incomplete data. Exclusion Criteria for Patients Patients under 18 years of age.
Trial locations and contacts
No sites are listed yet. Contact the study team or a site near you to ask about taking part.
About this study
Official title: Effect of a Manchester Triage System-Based Digital Decision Support System on Nurse Triage Accuracy and Triage Concordance
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.
Read the detailed description
This study will evaluate the effect of a Manchester Triage System (MTS)-based digital decision support system (MTS-DSS) on emergency nurses' triage accuracy and triage concordance. The study will use a single-group pretest-posttest quasi-experimental design and will be conducted in the adult emergency department of Dr. Burhan Nalbantoğlu State Hospital, Nicosia, Northern Cyprus.
Emergency nurses participating in the study will first perform routine triage according to their usual clinical practice during the pretest phase. Patient-related triage information, including presenting complaint and relevant clinical findings, will be recorded by the researcher. The nurses will subsequently receive structured training on the Manchester Triage System and the use of the digital decision support system.
Following the training period, nurses will perform triage during the posttest phase. The nurse will initially make a triage decision based on clinical assessment and will then enter the relevant patient information into the MTS-DSS. The system will provide a triage category based on the MTS algorithms. The nurse may retain or change the initial triage decision after viewing the system output.
The primary evaluations will compare triage accuracy before and after the intervention and assess the concordance between nurses' triage decisions and the MTS-DSS output. Nurse-related characteristics and relevant patient characteristics will also be recorded to describe the study population and examine factors associated with triage decisions.
The digital decision support system is web-based and will be accessed through password-protected accounts. The system will not be integrated with the hospital information system. Patient information will be recorded using study-specific codes rather than directly identifying information. Participation of nurses will be voluntary.
- Conditions
- Emergency Nurse Triage
- Being tested
- Manchester Triage System-Based Digital Decision Support System
- Keywords
- Manchester Triage System, Emergency Triage, Triage Accuracy, Triage Concordance, Emergency Nurses, Digital Decision Support System, Clinical Decision Support
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Manchester Triage System-Based Digital Decision Support SystemBehavioural
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.
| Study group | Role | What they receive |
|---|---|---|
| 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. Receives: Behavioral: Manchester Triage System-Based Digital Decision Support System |
What is being measured
The primary outcome is the main question the study is designed to answer.
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.
Measured: 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.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Sep 2026
- Study start1 Nov 2026 (estimated)
- Primary completion28 Apr 2027 (estimated)
- Study completion30 Apr 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Emergency Nurse TriageStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Model description
- 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.
- Masking
- None (open label)
- Enrolment
- 16 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Kibrıs Aydin Üniversitesi
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Zalihe Sarı Amca, Cyprus Aydin University
- Investigators
- Funda Karaman, Assoc Prof, Principal investigator, Kıbrıs Aydın University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07835204
- Sponsor's protocol ID
- MTS-DSS-2026-01
- Acronym
- MTS-DSS
- Status last verified
- Sep 2026
- First submitted
- 9 Sep 2026
- Last updated
- 22 Sep 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: Individual participant-level data will not be shared with other researchers because the data are collected for the specific purposes of this study and will be stored securely in coded form. Data sharing is not planned beyond the research team.
Study at a glance
From the registry record, last updated by the sponsor on 22 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effect of a Manchester Triage System-Based Digital Decision Support System on Nurse Triage Accuracy and Triage Concordance
- ClinicalTrials.gov ID
- NCT07835204
- Acronym / sponsor ID
- MTS-DSS / MTS-DSS-2026-01
- Conditions
- Emergency Nurse Triage
- Keywords
- Manchester Triage System, Emergency Triage, Triage Accuracy, Triage Concordance, Emergency Nurses, Digital Decision Support System, Clinical Decision Support
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 16 participants (estimated)
- Lead sponsor
- Kibrıs Aydin ÜniversitesiUniversity, hospital or other
- Study start
- 1 Nov 2026 (estimated)
- Primary completion
- 28 Apr 2027 (estimated)
- Study completion
- 30 Apr 2027 (estimated)
- First posted
- 22 Sep 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Detailed description
This study will evaluate the effect of a Manchester Triage System (MTS)-based digital decision support system (MTS-DSS) on emergency nurses' triage accuracy and triage concordance. The study will use a single-group pretest-posttest quasi-experimental design and will be conducted in the adult emergency department of Dr. Burhan Nalbantoğlu State Hospital, Nicosia, Northern Cyprus.
Emergency nurses participating in the study will first perform routine triage according to their usual clinical practice during the pretest phase. Patient-related triage information, including presenting complaint and relevant clinical findings, will be recorded by the researcher. The nurses will subsequently receive structured training on the Manchester Triage System and the use of the digital decision support system.
Following the training period, nurses will perform triage during the posttest phase. The nurse will initially make a triage decision based on clinical assessment and will then enter the relevant patient information into the MTS-DSS. The system will provide a triage category based on the MTS algorithms. The nurse may retain or change the initial triage decision after viewing the system output.
The primary evaluations will compare triage accuracy before and after the intervention and assess the concordance between nurses' triage decisions and the MTS-DSS output. Nurse-related characteristics and relevant patient characteristics will also be recorded to describe the study population and examine factors associated with triage decisions.
The digital decision support system is web-based and will be accessed through password-protected accounts. The system will not be integrated with the hospital information system. Patient information will be recorded using study-specific codes rather than directly identifying information. Participation of nurses will be voluntary.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
- Model description
- 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.
| Arm | Type | Receives |
|---|---|---|
| MTS-DSS Intervention Group | Experimental | Behavioral: Manchester Triage System-Based Digital Decision Support SystemEmergency 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. |
Who may qualify
- Ages
- 22 to 60 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Manchester Triage System-Based Digital Decision Support SystemThe 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. | Behavioural | MTS-DSS Intervention Group |
Primary outcome
Triage Accuracy of Emergency Nurses
Time frame: 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.
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.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 22 Sep 2026.
- Official information, methodology, and updates on the Manchester Triage System (MTS)Link provided by the sponsor.
- Individual participant dataSharing planned: No. Individual participant-level data will not be shared with other researchers because the data are collected for the specific purposes of this study and will be stored securely in coded form. Data sharing is not planned beyond the research team.
Related trials for Emergency Nurse Triage
RecruitingObservational study
Digital Anticipatory Protocols at Triage to Improve ED Flow.
Length of Stay, Emergency Department Crowding
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Funda Karaman, Assoc Prof principal investigator
Kıbrıs Aydın University
Questions about this trial
What is this clinical trial studying?
A study testing Manchester Triage System-Based Digital Decision Support System in people with Emergency Nurse Triage, run by Kibrıs Aydin Üniversitesi.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: opening soon, as of the sponsor's last update on 22 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Zalihe Sarı Amca, Specialist Nurse (+905338619561 ext. +90, zalihesari@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Triage Accuracy of Emergency Nurses (time frame: 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.). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Sep 2026.