This study aims to evaluate a pre-post intervention adding an early management decision at the end of the triage process to improve patient throughput. The intervention consists of adding digital checkboxes to the electronic triage system, providing nurses with formalized options for anticipated management based on patient acuity. The study compares a pre-intervention phase (May 1st to July 31st, 2026) with a post-intervention phase (May 1st to July 31st, 2027) to naturalize seasonal confounders. The primary outcome is the total Emergency Department Length of Stay (ED LOS).
Study Type
OBSERVATIONAL
Enrollment
15,500
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.
Fribourg Cantonal Hospital
Villars-sur-Glâne, Canton of Fribourg, Switzerland
RECRUITINGTotal Emergency Department Length of Stay (ED LOS).
The time interval from the completion of the patient's administrative registration to their physical departure from the ED
Time frame: Through completion of the ED visit, up to a maximum of 72 hours.
Left without being seen (LWBS)
Proportion of patients who registered at the ED admission desk and left before receiving a medical screening exam or an evaluation by a physician
Time frame: Through completion of the ED visit, up to a maximum of 72 hours.
30-day mortality
Assessed through institutional medical records to evaluate safety
Time frame: Up to 30 days post-ED visit
Intesive Care Unit (ICU) transfers
Proportion of patients transferred to the Intensive Care Unit (ICU) immediately and within 7 days after the ED visit
Time frame: Up to 7 days post-ED visit
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