Digital Triage Prompts to Speed ED Throughput
Official title: Implementing Digital Anticipatory Protocols at Triage to Improve Emergency Department Flow: A Before-After Study Protocol
Run by Hôpital Fribourgeois · NCT07726108 · Data updated 2026-11-12
This study tests whether adding digital checkboxes at triage helps nurses choose initial management steps to move patients through the ED faster.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 15500 (estimated) |
| Sponsor | Hôpital Fribourgeois Academic / other |
| Locations | 1 site (Villars-sur-Glâne, Canton of Fribourg) |
| Status | Recruiting |
| Started | May 1, 2026 |
| Main results expected | July 31, 2027 |
| Study ends | August 31, 2027 |
| Registry record updated | July 24, 2026 |
| Trial ID | NCT07726108 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 18 years and older who register at the ED admission desk during the study period and are not arriving by ambulance, not bypassing triage, and not directly referred to another service after triage.
✕Probably not a fit
Patients arriving by ambulance, bypassing triage, or directed away from ED after triage may not benefit from the intervention.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Researchers will compare ED operations before and after implementing digital anticipatory management options at triage. The intervention adds digital checkboxes to the triage system to formalize initial management decisions based on acuity. The primary outcome is overall ED length of stay, with data collected from May 1 to July 31 in 2026 and 2027 to account for seasonal effects. The study is observational and conducted at Fribourg Cantonal Hospital with collaboration from the University of Fribourg.
Why it matters
Potential benefit: If successful, the approach could shorten ED stays and reduce crowding by guiding early decision-making at triage.
How similar studies have gone: Prior studies in triage optimization have shown mixed but promising results for workflow improvements with standardized decision aids.
Who can join: the full rules
Show full inclusion / exclusion criteria
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.).
Where it's running
-
Fribourg Cantonal Hospital
Villars-sur-Glâne, Canton of Fribourg, Switzerland Recruiting
Study contacts
- Principal investigator: Youcef Guechi, MD — Hopital Cantonal Fribourgeois (HFR)
- Study coordinator: Thomas Castelain
- Email: thomas.castelain@h-fr.ch
- Phone: +41263061392
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.