Informing Low-acuity Emergency Department Patients of Non-emergent Resources (2)
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Contact your PCP, Use Intelligent Triage.
- Who it may be relevant to
- Registry conditions: Emergency Service, Hospital, Behavior Change Interventions. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Informing Low-acuity Emergency Department Patients of Non-emergent Healthcare Resources Following Discharge to Decrease Emergency Department Utilization (2)
Overview
The goal of this campaign is to reduce unnecessary visits to a Geisinger emergency department (ED). In this campaign, patients will be assigned to receive or not receive outreach following ED discharge with a low-acuity visit designation. Outreach will occur via a text message the day after discharge from the ED as well as information added to the patient's after visit summary (AVS). Depending on the assigned condition, it will include calls to see their primary care provider (PCP) or use an Intelligent Triage tool. The study will assess whether ED use within the following 120 days differs across patients in different outreach conditions (current standard practice vs contact your PCP vs use Intelligent Triage). It will also examine whether patients follow through on the message-specific calls to action differently across conditions.
Interventions
- Behavioral Contact your PCP
Text messages will be sent and discharge paperwork will be modified to encourage contacting a primary care provider. - Behavioral Use Intelligent Triage
Text messages will be sent and discharge paperwork will be modified to encourage using Intelligent Triage.
Primary outcome measures
- Return to Geisinger ED [Time frame: within 120 days following day of discharge]
Eligibility criteria
Inclusion criteria
- >= 18 years of age
- Geisinger ED visit rated as low acuity (L4 or L5)
- Discharged from Geisinger ED in past 24 hours
Exclusion criteria
- Cannot be contacted via the communication modality being used in the study (i.e., SMS), due to insufficient/missing contact information in the EHR or because the patient opted out
- Admitted to hospital
- Already included in intervention in past 365 days
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Health services research
Study locations
United States · 1 center
- Geisinger — Danville
Identifiers
NCT: NCT07185828 · 2024-0183-2