ClinicalTrials.gg
Not yet recruitingNCT06971419FO-LOW-RETRIUpdated May 14, 2025

FOllow-up of LOW-acuity Patients After REdirection From a Swiss Emergency Department Using an Electronic TRIage Application

An observational study in Triage, Low Acuity Patients and Health Literacy Level, sponsored by Hôpital Fribourgeois. Not yet recruiting at 1 site in Switzerland. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-05-14.

Sponsored by Hôpital Fribourgeois · Observational

From the registry’s dates

  • Primary completion was expected by May 2026, 6 months ago, but the record still lists the study as not yet recruiting.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
450
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 18 studies in Patient Satisfaction with a site in Switzerland — 7 open to participants now, 7 under way, none of them phase 3. Patient Satisfaction · Switzerland.

Started
2025
with 3 others
Observational
9 of 18
4 open now
Registered
12th of 18
by date
Lead sponsor
1 of 18
Hôpital Fribourgeois

Among the 18 studies in Patient Satisfaction with a site in Switzerland, this one is one of 4 that started in 2025, is one of 9 observational ones, and was the 12th registered.

Patient Satisfaction

877 studies on the registry are indexed under Patient Satisfaction; 202 are open to participants now.

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Open to participants now

7 of the 18 studies in Patient Satisfaction with a site in Switzerland are open now. Recruiting first, the newest first:

1 more — sign in →

All 7 open studies →

A study can be open while its sites in Switzerland have not opened yet or have stopped. Only those recruiting at a site in Switzerland →

Who these studies take

Of the 99 Patient Satisfaction studies recruiting now, 61 (62%) set no upper age limit and 30 (30%) stop at 75 or younger; 14 take children under 18; 26 take healthy volunteers.

This study: 18 Years and older · all sexes · healthy volunteers too.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 18 studies in Patient Satisfaction with a site in Switzerland, or all of them as a file.
02

Study 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.

03

Conditions studied

  • Triage
  • Low Acuity Patients
  • Health Literacy Level
  • Non-urgent Emergencies

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Keywords

  • Patient Satisfaction
  • emergency department triage
  • patient redirection
  • healthcare system efficiency
  • Referral and Consultation
  • electronic decision support tool
  • patient flow
  • Emergency overcrowding
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Participants will be selected from adult patients (≥18 years old) seeking care at the Emergency Department (ED) of Fribourg Cantonal Hospital, Switzerland.

This population consists of patients who:

  • present diverse medical complaints typically classified as with low-acuity (SETS 4) or semi-urgent (SETS 3) conditions as determined by the Swiss Emergency Triage Scale (SETS).
  • Are evaluated for potential redirection by ED triage nurse using the Logibec electronic triage system and may benefit from this triage-based redirection rather than hospital-based emergency care
  • Require non-urgent medical care that can be managed outside the hospital setting
  • French- or German-speaking individuals (for informed consent and follow-up participation)

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age ≥18 years old
  • Triage level SETS 3 or SETS 4 (classified as semi-urgent or low-acuity)
  • Identified as eligible for redirection by the Logibec electronic triage system
  • Able to speak and read French or German (for and follow-up)
  • Provides informed consent: Oral consent at Day 2 and Signed informed consent sent by post after inclusion

Exclusion criteria

Exclusion Criteria:

  • Inability to provide (e.g., cognitive impairment, language barrier without translation support)
  • Inability to comply with study procedures, such as: Severe hearing impairment without hearing aids; Acute psychiatric conditions preventing participation; Not available for follow-up phone calls within the next 6 months
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
450 participants (estimated)
Patient registry
No

Groups and cohorts

  • Comparator Group (Current Practice - SETS-Based Triage and Redirection)

    * Patients are triaged using the Swiss Emergency Triage Scale (SETS) * Only low-acuity patients (SETS 4) are considered for redirection * Patients who agree to redirection are referred to external medical facilities (e.g., primary care clinics)

  • Investigated Group (New Practice - Logibec-Assisted Triage and Redirection)

    * Patients tiraged as SETS 4 and SETS 3 are further evaluated by Logibec Réorientation software which applies applies specific inclusion/exclusion criteria to determine eligibility for redirection * Eligible patients are offered redirection, with appointments scheduled through the Reorientation software by the triage nurse

    Other: intervention is the use of aTriage-Based Patient Redirection Using an Electronic Decision Support Toolin the emergency department (ED)

Interventions

  • Otherintervention 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.

06

What researchers measure

Primary outcomes

  1. Number of Emergency Department Consultations per Patient Within 48 Hours After Initial Visit

    This measure refers to the total number of emergency department (ED) visits per patient within 48 hours following their initial presentation to the ED. The first consultation at the ED is counted as the initial visit. 1. Any subsequent unplanned return visits to the ED within 48 hours of the initial visit are included in the count. 2. Data collection is conducted through electronic health records (EHR) review and patient follow-up phone calls. This outcome aims to assess whether electronic triage-assisted redirection is effective, by providing service through alternative health care providers ,without patients needing further ED care

    Time frame: From initial emergency department visit to 48 hours post-visit

Secondary outcomes

  1. the number of consultations per patient in the ED or other medical services within 7 days after the first ED visit

    Time frame: From initial emergency department visit to 7 days post-visit

  2. the proportion of patients who need hospitalization related to initial complaint within 7 days

    Time frame: From initial emergency department visit to 7 days post-visit

  3. the proportion of patients satisfied with the redirection process

    Patient satisfaction as assessed by satisfaction questionnaire

    Time frame: At day 2 and day 7 post-visit

  4. the mean number of ED consultations after 1 month, 3 months and 6 months per patient

    Time frame: From initial emergency department visit to 6 month post-visit

  5. the evaluation of the health literacy and its evolution within 6 months of visit

    Health literacy as evaluated by EU-HLS-Q16 questionnaire

    Time frame: At day 7 post-visit and 6 months post-visit

07

Study locations

1 site
08

References and documents

Publications

  • Gobet F, Feral-Pierssens AL, Castelain T, Galofaro L, Najberg H, Ribordy V, Guechi Y. Follow-Up of Low-Acuity Patients After Redirection From a Swiss Emergency Department Using an Electronic Triage Application: Protocol for a Single-Center Prospective Cohort Study. JMIR Res Protoc. 2026 Mar 27;15:e82195. doi: 10.2196/82195. PubMed 41894537 ↗

Individual participant data

Plan to share: No — Individual participant data (IPD) will not be shared. Due to patient confidentiality regulations, all data will be securely stored in a protected research database (REDCap), with access restricted to authorized study investigators. Only de-identified, aggregated results will be published in peer-reviewed journals and presented at scientific conferences. Identifiable patient information will not be shared outside the study team. Researchers may request summary-level data through formal collaboration agreements. This ensures compliance with data protection regulations while promoting scientific transparency.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Jun 2025; primary completion for May 2026, 10 months later.

Of 105 non-industry observational studies under Patient Satisfaction, half reached primary completion within 20 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 45. This study's planned 10 months is below that.

Counting every sponsor, half of 111 studies reached it within 20 months; a quarter within 7 and three quarters within 44.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 19, 2025
First posted
May 14, 2025
StartEst.
Jun 15, 2025
Primary completionEst.
May 1, 2026
CompletionEst.
Jun 30, 2026
Last update
May 14, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 14, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06971419
Lead sponsor
Hôpital Fribourgeois
Collaborators
University of Fribourg
Responsible party
Sponsor
First posted
May 14, 2025
Start date
Jun 15, 2025 (estimated)
Primary completion
May 1, 2026 (estimated)
Completion
Jun 30, 2026 (estimated)
Last update
May 14, 2025

Study contacts

Youcef Guechi, MD
Contact
youcef.guechi@h-fr.ch
+41263063112
Ludovic Galofaro, MD
Contact
ludovic.galofaro@unifr.ch
+41263063112
Vincent Ribordy, Prof.
study director · HFR-Fribourg Emergency Department, University of Fribourg

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in May 2025. You cannot join it, but the record below documents what was studied.

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