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Healthcare | review | BACKGROUND: The Manchester Triage System (MTS) is one of the most widely used emergency department (ED) triage tools worldwide, aiming to standardize patient prioritization through structured flowcharts and discriminators. Despite its broad adoption, concerns remain regarding its reliability, adaptability, and performance across diverse clinical and operational contexts. OBJECTIVE: This narrative review aimed to identify and narratively synthesize evidence on the validity, reliability, and contextual performance of the MTS, with particular attention to inter-rater variabi
Manchester Triage System: Effectiveness, Limitations, and Global Implementation—A Structured Narrative Review
Healthcare | review | BACKGROUND: The Manchester Triage System (MTS) is one of the most widely used emergency department (ED) triage tools worldwide, aiming to standardize patient prioritization through structured flowcharts and discriminators. Despite its broad adoption, concerns remain regarding its reliability, adaptability, and performance across diverse clinical and operational contexts. OBJECTIVE: This narrative review aimed to identify and narratively synthesize evidence on the validity, reliability, and contextual performance of the MTS, with particular attention to inter-rater variabi