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
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.
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 |
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research
Country | Name | City | State |
---|---|---|---|
United States | Maricopa Integrated Health System | Phoenix | Arizona |
Lead Sponsor | Collaborator |
---|---|
Maricopa Integrated Health System | Agency for Healthcare Research and Quality (AHRQ) |
United States,
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
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 |
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