id	author	title	date	pages	extension	mime	words	sentence	flesch	summary	cache	txt
ecj-11904	Zaboli, Arian; Sibilio, Serena; Mian, Michael; Brigo, Francesco; Turcato, Gianni	Is it possible to safely increase the number of patients classified as non-urgent in triage? A prospective observational study	2024	6	.pdf	application/pdf	5365	225	56	This study highlights the need to rethink strategies to declassify patients through MTS, especially given the continuous increase of non-urgent patients presenting in the ED. Despite this situation repeatedly reported by many authors, ED flow reports from several countries suggest that both the Emergency Severity Index (ESI) and Manchester Triage System (MTS), the two most commonly used triage systems, assign a non- urgent priority code to less than 5% of patients.5,6 Therefore, in the face of a significant increase in non-urgent patients, triage systems, which were created to distinguish urgency within acute conditions, appear to be unable to conceive of and thus address non-acute pathology or non-urgent presentations.5,6 The result is the inability to clearly categorize that range of patients who should not be eval- uated in the ED with a clear stratification as non-urgent.4-6 This may be particularly linked to the fact that triage systems are designed for classifying the severity of patients and not for deter- mining whether the ED is the appropriate setting for them.4,7 Moreover, triage systems like MTS include general indicators such as “recent mild problem” and “recent mild pain” that do not allow assigning a code 5 to patients who have an issue that occurred within 7 days of arriving in the ED.7 Triage systems were developed and introduced in the 1990s, a period when access to the ED by the population was more restrict- ed and known to be more appropriate.7 These systems were cali- brated to swiftly identify the most critical patients requiring imme- Emergency Care Journal 2024; volume 20:11904 [Emergency Care Journal 2024; 20:11904]	cache/ecj-11904.pdf	txt/ecj-11904.txt