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FOllow-up of LOW-acuity Patients After REdirection From a Swiss Emergency Department Using an Electronic TRIage Application
Sponsor: Hôpital Fribourgeois
Summary
Emergency department (ED) overcrowding is a growing issue, affecting patient safety, healthcare quality, and hospital efficiency. One strategy to manage low-acuity patients is triage-based redirection, where patients with non-urgent conditions are offered the option to receive care at external medical facilities instead of the ED. This monocentric, prospective observational study will be conducted at Fribourg Cantonal Hospital, Switzerland, and evaluates the impact of a new electronic triage and redirection system (Logibec Réorientation). The study compares two triage processes: Current practice - Redirection based on the Swiss Emergency Triage Scale (SETS), limited to low-acuity patients (SETS 4). New practice - Redirection using the Logibec software, allowing redirection of both low-acuity (SETS 4) and semi-urgent (SETS 3) patients based on predefined criteria. The primary objective is to assess whether the new triage-based redirection reduces the number of ED consultations per patient within 48 hours of their initial visit. Secondary outcomes include: Number of consultations in the ED or other medical facilities within 7 days Rate of hospital admissions within 7 days Patient satisfaction with redirection Evolution of health literacy over 6 months Number of ED visits over 6 months Participants are adult patients (≥18 years old) classified as SETS 3-4 and identified as eligible for redirection by the Logibec software. Data will be collected through phone interviews and questionnaires over a 6-month follow-up period. This study aims to improve triage efficiency, patient flow management, and healthcare accessibility, while ensuring patient safety in the redirection process.
Official title: FOllow-Up of LOW-Acuity Patients After REdirection From the Emergency Department at Fribourg Cantonal Hospital in Switzerland Using an Electronic TRIage Application: a Monocentric, Prospective Observational Study
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
OBSERVATIONAL
Enrollment
450
Start Date
2025-06-15
Completion Date
2026-06-30
Last Updated
2025-05-14
Healthy Volunteers
Yes
Interventions
intervention is the use of aTriage-Based Patient Redirection Using an Electronic Decision Support Toolin the emergency department (ED)
Name: Logibec Réorientation software-assisted triage and redirection Type: Decision support system for emergency triage Implementation: * Applied during patient triage in the emergency department * Assists in identifying low-acuity (SETS 4) and semi-urgent (SETS 3) patients eligible for redirection * Uses standardized inclusion/exclusion criteria to guide redirection decisions Comparator: Standard nurse-led triage and redirection based only on the Swiss Emergency Triage Scale (SETS) Key Distinction: * The investigated group receives Logibec-assisted triage and redirection. * The comparator group follows traditional nurse-led triage without electronic support, limiting redirection to SETS 4 patients only.
Locations (1)
HFR-Fribourg
Fribourg, Canton of Fribourg, Switzerland