Microsoft Forms

MTS: Flowchart and discriminator issue reporting - Emergency Triage

The survey will take approximately 5 minutes to complete. When completing this form, please be aware that you should not include any information that could identify a patient or other individual and that you should submit this from your professional perspective and provide contact details on that basis.
First name*
Surname*
Email address*
Job role*
Organisation*
Are you?*

A member of the International Reference Group (IRG)A member of an MTS Advisory GroupAn MTS instructorAn MTS provider
Is this a patient safety issue?*

YesNoMaybe
Has harm been caused?*

YesNo
Which discriminator do you wish to report an issue with (please type exactly as it appears in the discriminator dictionary). If you are proposing a new discriminator please do that in the next Question and type n/a here.*
If applicable, enter the name of the new discriminator you are proposing
Which Flowcharts are impacted by the issue you are reporting

Abdominal pain in adultsAbdominal pain in childrenAbscesses and local infectionsAbused or neglected childAllergyApparently drunkAssaultAsthmaBack painBehaving strangelyBites and stingsBurns and scaldsChemical exposureChest painCollapsed adultCrying babyDental problemsDiabetesDiarrhoea and vomitingEar problemsEye problemsFacial problemsFallsForeign bodyGI BleedHead injuryHeadacheIrritable childLimb problemsLimping childMajor traumaMental illnessNeck painOverdose and poisoningPalpitationsPregnancyPV bleedingRashesSelf-harmSexually acquired infectionShortness of breath in adultShortness of breath in childrenSore throatTesticular painTorso injuryUnwell adultUnwell babyUnwell childUnwell newbornUrinary problemsWorried parentWoundsMajor incident - Primary/Secondary
Describe the issue that you have identified in detail below*
Should be Empty:

MTS: Flowchart and discriminator issue reporting - Emergency Triage