Observational studyBMC emergency medicine2022
Safety assessment of a redirection program using an electronic application for low-acuity patients visiting an emergency department.
Observational study in BMC emergency medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- Emergency department crowding in the modern era: a systematic review (2018-2025).Clinical and experimental emergency medicine · 2026Pooled it
- Validating the Emergency Department Avoidability Classification (EDAC): A cluster randomized single-blinded agreement study.PloS one · 2024Trial
- The impact of chronic conditions on emergency department length of stay.Internal and emergency medicine · 2026Observational
- Treatment variability among low-acuity EMS patients in a university hospital ED: a retrospective registry study from Southwest Finland.BMC emergency medicine · 2026Article
- Article
- 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 research protocols · 2026Observational
- Article
- Operational Impact of Redirection From the Pediatric Emergency Department: A Matched Cross-Sectional Study.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025Article
- Streaming and redirection of lower acuity adult patients attending the ED: patient and staff experience.Emergency medicine journal : EMJ · 2025Article
- The effect of emergency department occupancy on the revisitation rate within seven days among patients discharged by triage.BMC emergency medicine · 2025Observational
- Nursing informatics and patient safety outcomes in critical care settings: a systematic review.BMC nursing · 2025Article
- Factors associated with hospital revisitation within 7 days among patients discharged at triage: a case-control study.European journal of emergency medicine : official journal of the European Society for Emergency Medicine · 2025Observational
- Social Determinants of Health and Barriers in Accessing Eye Care for Refugees in the Greater Toronto Area.Clinical ophthalmology (Auckland, N.Z.) · 2025Article
- Redirection of low-acuity emergency department patients to nearby medical clinics using an electronic medical support system: effects on emergency department performance indicators.BMC emergency medicine · 2024Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEmergency departments (EDs) are operating at or above capacity, which has negative consequences on patients in terms of quality of care and morbi-mortality. Redirection strategies for low-acuity ED patients to primary care practices are usually based on subjective eligibility criteria that sometimes necessitate formal medical assessment. Literature investigating the effect of those interventions is equivocal. The aim of the present study was to assess the safety of a redirection process using an electronic clinical support system used by the triage nurse without physician assessment.
methodsA single cohort observational study was performed in the ED of a level 1 academic trauma center. All low-acuity patients redirected to nearby clinics through a clinical decision support system (February-August 2017) were included. This system uses different sets of medical prerequisites to identify patients eligible to redirection. Data on safety and patient experience were collected through phone questionnaires on day 2 and 10 after ED visit. The primary endpoint was the rate of redirected patients returning to any ED for an unexpected visit within 48 h. Secondary endpoints were the incidence of 7-day return visit and satisfaction rates.
resultsA total of 980 redirected low-acuity patients were included over the period: 18 patients (2.8%) returned unexpectedly to an ED within 48 h and 31 patients (4.8%) within 7 days. No hospital admission or death were reported within 7 days following the first ED visit. Among redirected patients, 81% were satisfied with care provided by the clinic staff.
conclusionThe implementation of a specific electronic-guided decision support redirection protocol appeared to provide safe deferral to nearby clinics for redirected low-acuity patients. EDs are pivotal elements of the healthcare system pathway and redirection process could represent an interesting tool to improve the care to low-acuity patients.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.