In an emergency, choosing the right hospital is not always straightforward. Hospitals may differ in the care they provide, and emergency centre opening hours and availability can vary. Ambulance professionals must make transportation decisions under significant time pressure, often while considering multiple factors at once.
Acute Care Triage helps make this process more structured and consistent. It supports ambulance professionals in selecting the most appropriate hospital for each patient, so that the right care is provided as quickly as possible. Currently it includes two triage modalities:
ACT combines clinical observations recorded by the ambulance professional with validated prediction models. Based on the patient’s condition and the circumstances of the emergency, ACT analyses the relevant patient and prehospital information to calculate a transportation recommendation. The application provides logistical transport advice, supporting ambulance professionals in selecting the most appropriate hospital for the patient.
ACT is designed for use by ambulance professionals during prehospital care and is available on both mobile devices and web browsers.
The application supports transport decision-making by providing location-based advice tailored to the relevant ambulance region. Recommendations reflect local hospital networks, available services, care pathways, travel times, and operational agreements, helping professionals select the most appropriate destination for each patient.
ACT integrates with existing ambulance service accounts through single sign-on, providing secure access while fitting seamlessly into established workflows.
ACT is a mobile application designed for use by ambulance professionals during prehospital care. It can also be accessed through a supported web browser on a mobile device, providing flexibility for ambulance services and their intended users.
An active internet connection and GPS access are required to support location-based transport advice. Authorized intended users sign in with their organisation account.
Download the Acute Care Triage (ACT) app from the app stores below, or access ACT through a web browser.
Click one of the app store icons above to download the app.
ACT can also be accessed via a web browser: https://act.u-logiq.nl
ACT has been developed in collaboration with medical experts, ambulance professionals, and intended users. This collaboration ensures that clinical expertise and practical experience from prehospital care are incorporated into ACT’s design and ongoing development.
ACT is continuously improved based on real-world usage, feedback from ambulance professionals and intended users, and ongoing clinical expertise. This collaboration helps ensure that ACT reflects the practical needs of prehospital care and regional ambulance services.
ACT is more than an application used in the ambulance. It is part of a broader data and monitoring environment that supports the evaluation and improvement of acute care pathways.Data from triages performed with ACT are stored in a Data Management System. This data can be used as input for emergency care pre-announcements and monitoring dashboards.The dashboards provide a real-time overview of triage activity across all ACT modalities. Depending on the user’s permissions, information can be presented at different levels, such as the ambulance service, hospital, or wider region.This may include patient distribution, recommended and selected destinations, transport patterns, whether transport advice was followed, and reasons why it was not followed.
Hospital discharge diagnoses can be added to the triage data. This supports research into opportunities to improve triage and enables targeted feedback to ACT users. The data can also be made available for research by academic hospitals to contribute to the improvement of acute care.
ACT can be connected to the electronic journey form, supporting continuity of information throughout the patient journey and reducing duplicate data entry. The platform is designed to be easily expanded with new triage modalities.
These capabilities help ambulance services, hospitals, regional healthcare partners, and academic hospitals evaluate patient flows, improve regional care pathways, and strengthen acute care coordination. The dashboards present information about triage activity and patient distribution; they are not intended to monitor individual patients in real time.
ACT is part of the ACCESS program, a Health Holland and TKI Dinalog public-private partnership focused on optimizing prehospital acute care in the Netherlands.
The program brings together healthcare organizations, academic medical centers, research and knowledge institutes, ambulance services, and technology partners, including UMC Groningen, UMC Utrecht, Erasmus MC, Amsterdam UMC, CWI, AZNConnect, TimeLab, and Logiqcare.
The ACCESS program aims to:
Within this collaboration, ACT contributes to the continuous improvement of acute care pathways. The data collected through ACT can support monitoring, evaluation, research, and the development of future innovations.
The program also supports the implementation of ACT in participating and other regions, taking regional and geographic differences into account and connecting ACT with existing acute care systems, such as electronic patient care records and data exchange systems.
Acute Care Triage will continue to evolve with the needs of ambulance services and acute care networks. Future development may include additional triage modalities, such as Cardio Triage, as well as further improvements to regional configuration, data insights, and support for acute care coordination.
The goal is to develop ACT into a broader platform for supporting appropriate transportation decisions across multiple acute care conditions.
ACT is a CE-marked medical device under Regulation (EU) 2017/745 and is classified as a Class I medical device. It is designed to support logistical triage and transport decisions, rather than make transport decisions autonomously or automate the triage process.
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