Kiosk-Model Self-Triage System in the Pediatric Emergency Department

Emergencies Clinical Trial

Official title:

Assessing Utility of a "Kiosk Model" Self-Triage System in the Pediatric Emergency Department of A Tertiary Care Teaching Hospital

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01515488
• Other study ID #: 2009-110
• Secondary ID: R03HS020235-01A1
• Status: Completed
• Phase: N/A
• First received: January 13, 2012
• Last updated: September 13, 2012
• Start date: January 2012
• Est. completion date: April 2012

Study information

• Verified date: September 2012
• Source: Maricopa Integrated Health System
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

An audio-assisted self-triage kiosk in the Pediatric Emergency Department (ED) is expected to significantly reduce triage times, without any sacrifice of the quality of information that would be obtained by nurse-initiated triage.

Description:

With the rapid evolution of consumer based information technology patients have the opportunity to become collaborative partners in their care. In addition, by bridging information gaps and improving workflow efficiency, continuity of care is optimized and the potential risk for error is reduced. Triage time for kiosk self-triage and nurse-initiated triage will be compared in terms of 1) triage time; 2) accuracy of medical history obtained; and 3) patient satisfaction.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 400
• Est. completion date: April 2012
• Est. primary completion date: April 2012
• Accepts healthy volunteers: No
• Gender: Both
• Age group: N/A to 18 Years

Eligibility

Inclusion Criteria:

• Between 0 and 18 years of age

• Registered in the Pediatric ED

• Accompanied by parent/guardian 18 years or older

• Version 3 Emergency Severity Index (ESI) of 3 to 5

• Parent or guardian able to communicate in English or Spanish

Exclusion Criteria:

• Deemed medically unstable

• ESI score of 1 or 2

• Incarcerated or in juvenile detention

• Parent/guardian unable to communicate in English or Spanish

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research

Related Conditions & MeSH terms

• Emergencies

Intervention

Other:
• Nurse-initiated triage
Nurse-assisted triage for obtaining medical history and presenting problem(s)
• Self-triage kiosk
Audio-assisted self-triage kiosk for obtaining medical history and presenting problem(s)

Locations

Country	Name	City	State
United States	Maricopa Integrated Health System	Phoenix	Arizona

Sponsors (2)

Lead Sponsor	Collaborator
Maricopa Integrated Health System	Agency for Healthcare Research and Quality (AHRQ)

Country where clinical trial is conducted

United States, 

References & Publications (1)

Morrison-Beedy D, Carey MP, Tu X. Accuracy of audio computer-assisted self-interviewing (ACASI) and self-administered questionnaires for the assessment of sexual behavior. AIDS Behav. 2006 Sep;10(5):541-52. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Triage Time	The time it takes for the patient to be triaged, compared across the kiosk and nurse-initiated triage conditions.	From beginning of triage to completion of triage.	No
Secondary	Accuracy of Medical History	To check for accuracy of medical history information, two RAs approached enrolled parents during the course of their ED visit in the individual patient examination rooms. The RAs conducted a brief face-to-face interview with parents and verified information from the nursing triage summary sheet (for non-kiosk users) and the printout of history sheet from the kiosk users, noting any discrepancies on a Discrepancy Rating Scale. All historical discrepancies were categorized into three groups: major discrepancy, minor discrepancy and no discrepancy.	Upon completion of triage.	No
Secondary	Patient Satisfaction	Custom survey with 4 items capturing satisfaction with Understanding, Ease of Answering Questions, Respect for Privacy, and Overall Feelings. For each item, the lowest possible score was 1 and the highest possible score was 6. For Understanding, the lowest actual score was 2 and the highest actual score was 6. For Ease of Answering Questions, the lowest actual score was 2 and the highest actual score was 6. For Respect for Privacy the lowest actual score was 3 and the highest actual score was 6. For Overall Feelings, the lowest actual score was 3 and the highest actual score was 6. For the (unweighted) average of all 4 items, the lowest possible score was 1 and the highest possible score was 6. The lowest actual score was 3.5 and the highest actual score was 6.0.	Upon completion of triage.	No