Peer-Reviewed Publication
BMC Health Serv Res2025;25(1):395.March 18, 2025Journal Article

How are fast tracks organized in adult and pediatric emergency departments in Switzerland? A cross-sectional survey.

Franziska G Berger-von Orelli1, Rebecca A-B Hertzog2, Thomas C Sauter3, Michelle Seiler4, Fabian Spigariol5, Maren Tomaske6, Gianluca Gualco7, Alex Donas8, Rodo O von Vigier9, Dagmar I Keller10, Kristina Keitel11,12,13
1Division of Pediatric Emergency Medicine, Department of Pediatrics, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland. franziska.berger-vonorelli@students.unibe.ch.
2Division of Pediatric Emergency Medicine, Department of Pediatrics, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
3Department of Emergency Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
4Pediatric Emergency Department, University Children's Hospital Zurich and Children's Research Center, University of Zurich, Zurich, Switzerland.
5Division of Pediatric Emergency Medicine, Department of Pediatrics, Réseau Hospitalier Neuchâtelois, Neuchâtel, Switzerland.
6Department of Pediatrics, City Hospital Zurich, Zurich, Switzerland.
7Pediatric Emergency Department, Institute of Pediatrics of Southern Switzerland, EOC, Bellinzona, Switzerland.
8Pediatric Emergency Department, Children's Hospital of Central Switzerland, Luzern, Switzerland.
9Pediatric Clinic, Wildermeth Children's Hospital, Biel-Bienne, Switzerland.
10Department of Emergency Medicine, Zurich University Hospital, Zurich, Switzerland.
11Childrens National Hospital, Washington, DC, USA.
12Machine Learning and Optimization Laboratory, EPFL, Lausanne, Switzerland.
13Department of Clinical Research, University of Bern, Bern, Switzerland.

Abstract

BACKGROUND: In response to the challenges faced by emergency departments (ED), including overcrowding and high patient volumes, Fast Track (FT) systems are designed to optimize patient flow, yet their implementation and impact in Switzerland remain understudied. Our study provides a comprehensive description of Fast Track (FT) processes across both pediatric and adult settings in Switzerland and c…

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