Digital Anticipatory Protocols at Triage to Improve ED Flow.
Implementing Digital Anticipatory Protocols at Triage to Improve Emergency Department Flow: A Before-After Study Protocol
Studieöversikt
Status
Betingelser
Intervention / Behandling
Studietyp
Inskrivning (Beräknad)
Kontakter och platser
Studiekontakt
- Namn: Thomas Castelain
- Telefonnummer: +41263061392
- E-post: thomas.castelain@h-fr.ch
Studera Kontakt Backup
- Namn: Youcef Guechi
- Telefonnummer: +41263063142
- E-post: youcef.guechi@h-fr.ch
Studieorter
-
-
Canton of Fribourg
-
Villars-sur-Glâne, Canton of Fribourg, Schweiz, 1752
- Rekrytering
- Fribourg Cantonal Hospital
-
Kontakt:
- Thomas Castelain
- Telefonnummer: +41263061392
- E-post: thomas.castelain@h-fr.ch
-
Kontakt:
- Youcef Guechi
- E-post: youcef.guechi@h-fr.ch
-
Huvudutredare:
- Youcef Guechi, MD
-
-
Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
- Vuxen
- Äldre vuxen
Tar emot friska volontärer
Testmetod
Studera befolkning
Beskrivning
Inclusion Criteria:
- All patients over 18 years who registered at the admission desk during the study period.
Exclusion Criteria:
- Arrival by emergency medical services (ambulance or helicopter)
- Patient trajectory bypassing the standard nurse-led triage process
- Patient directly referred to another service of the hospital after triage (gynecology, ophthalmology, etc.).
Studieplan
Hur är studien utformad?
Designdetaljer
Kohorter och interventioner
Grupp / Kohort |
Intervention / Behandling |
|---|---|
|
Phase 1 - Pre-intervention
Patients presenting to the emergency department between May 1st and July 31st, 2026.
Patients undergo standard triage assessment performed using the revised Swiss Emergency Triage Scale (SETS).
Disposition decisions are monitored using a digital tag in the electronic health records.
|
|
|
Phase 2 - Post-intervention
Patients presenting to the emergency department between May 1st and July 31st, 2027.
Patients undergo triage with the addition of a new digital anticipatory protocol.
Disposition decisions continue to be monitored using the same digital tag.
|
The intervention consists of adding digital checkboxes to the electronic triage system.
This provides nurses with formalized options for anticipated management based on patient acuity, aiming to encourage and document anticipatory actions while stimulating clinical reasoning.
|
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Total Emergency Department Length of Stay (ED LOS).
Tidsram: Through completion of the ED visit, up to a maximum of 72 hours.
|
The time interval from the completion of the patient's administrative registration to their physical departure from the ED
|
Through completion of the ED visit, up to a maximum of 72 hours.
|
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Left without being seen (LWBS)
Tidsram: Through completion of the ED visit, up to a maximum of 72 hours.
|
Proportion of patients who registered at the ED admission desk and left before receiving a medical screening exam or an evaluation by a physician
|
Through completion of the ED visit, up to a maximum of 72 hours.
|
|
30-day mortality
Tidsram: Up to 30 days post-ED visit
|
Assessed through institutional medical records to evaluate safety
|
Up to 30 days post-ED visit
|
|
Intesive Care Unit (ICU) transfers
Tidsram: Up to 7 days post-ED visit
|
Proportion of patients transferred to the Intensive Care Unit (ICU) immediately and within 7 days after the ED visit
|
Up to 7 days post-ED visit
|
Andra resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Time From Triage Assessment to Disposition Decision
Tidsram: Through completion of the ED visit, up to a maximum of 72 hours.
|
The time interval, measured in minutes, elapsed from the beginning of the nursing triage assessment to the exact moment a definitive disposition decision (e.g., discharge, admission) is entered by the emergency physician. A disposition decision is operationally defined as the precise moment the attending emergency physician determines that active emergency care is complete. This includes the decision to transfer the patient to a hospital ward (for admissions) or the conclusion of clinical management (for discharges), even if the patient remains in the emergency department awaiting purely logistical arrangements, such as medical transport or family arrival. The measurement tool used to assess and timestamp this outcome is a standardized digital disposition decision tag integrated into the electronic health record. |
Through completion of the ED visit, up to a maximum of 72 hours.
|
|
Time From Treatment Room Placement to Disposition Decision
Tidsram: Through completion of the ED visit, up to a maximum of 72 hours.
|
The time interval, measured in minutes, elapsed from when the patient is placed in an ED treatment room to the exact moment a definitive disposition decision (e.g., discharge, admission) is entered by the emergency physician. A disposition decision is operationally defined as the precise moment the attending emergency physician determines that active emergency care is complete. This includes the decision to transfer the patient to a hospital ward (for admissions) or the conclusion of clinical management (for discharges), even if the patient remains in the emergency department awaiting purely logistical arrangements, such as medical transport or family arrival. The measurement tool used to assess and timestamp this outcome is a standardized digital disposition decision tag integrated into the electronic health record. |
Through completion of the ED visit, up to a maximum of 72 hours.
|
Samarbetspartners och utredare
Sponsor
Samarbetspartners
Utredare
- Huvudutredare: Youcef Guechi, MD, Hopital Cantonal Fribourgeois (HFR)
Studieavstämningsdatum
Studera stora datum
Studiestart (Faktisk)
Primärt slutförande (Beräknad)
Avslutad studie (Beräknad)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Faktisk)
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Andra studie-ID-nummer
- Req-2026-00230
Plan för individuella deltagardata (IPD)
Planerar du att dela individuella deltagardata (IPD)?
IPD-planbeskrivning
Läkemedels- och apparatinformation, studiedokument
Studerar en amerikansk FDA-reglerad läkemedelsprodukt
Studerar en amerikansk FDA-reglerad produktprodukt
Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .