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

This study has been completed.
Sponsor:
Collaborator:
Agency for Healthcare Research and Quality (AHRQ)
Information provided by (Responsible Party):
Maricopa Integrated Health System
ClinicalTrials.gov Identifier:
NCT01515488
First received: January 13, 2012
Last updated: September 13, 2012
Last verified: September 2012
History of Changes
  Purpose

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.


Condition Intervention
Emergencies
 Other: Nurse-initiated triage
Other: Self-triage kiosk

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Health Services Research
Official Title: Assessing Utility of a "Kiosk Model" Self-Triage System in the Pediatric Emergency Department of A Tertiary Care Teaching Hospital

Further study details as provided by Maricopa Integrated Health System:

Primary Outcome Measures:
  • Triage Time [ Time Frame: From beginning of triage to completion of triage. ] [ Designated as safety issue: No ]
    The time it takes for the patient to be triaged, compared across the kiosk and nurse-initiated triage conditions.


Secondary Outcome Measures:
  • Accuracy of Medical History [ Time Frame: Upon completion of triage. ] [ Designated as safety issue: No ]
    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.

  • Patient Satisfaction [ Time Frame: Upon completion of triage. ] [ Designated as safety issue: No ]
    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.


Enrollment: 400
Study Start Date: January 2012
Study Completion Date: April 2012
Primary Completion Date: April 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Self-triage kiosk
Audio-assisted self-triage kiosk for obtaining medical history and presenting problem(s)
 Other: Self-triage kiosk
Audio-assisted self-triage kiosk for obtaining medical history and presenting problem(s)
Other Name: automated self-triage
Experimental: Nurse-initiated triage
Nurse-initiated triage for obtaining medical history and presenting problem(s)
 Other: Nurse-initiated triage
Nurse-assisted triage for obtaining medical history and presenting problem(s)
Other Name: standard triage

Detailed 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.

  Eligibility

Ages Eligible for Study:   up to 18 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

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
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01515488

Locations
United States, Arizona
Maricopa Integrated Health System
Phoenix, Arizona, United States, 85008
Sponsors and Collaborators
Maricopa Integrated Health System
Agency for Healthcare Research and Quality (AHRQ)
Investigators
Principal Investigator: Madhumita Sinha, MD, MHSM Maricopa Integrated Health System
  More Information

Publications:

Responsible Party: Maricopa Integrated Health System
ClinicalTrials.gov Identifier: NCT01515488     History of Changes
Other Study ID Numbers: 2009-110, R03HS020235-01A1
Study First Received: January 13, 2012
Results First Received: August 14, 2012
Last Updated: September 13, 2012
Health Authority: United States: Institutional Review Board

Keywords provided by Maricopa Integrated Health System:
Triage
Automated
Admitting
Pediatric ED

Additional relevant MeSH terms:
Emergencies
Disease Attributes
Pathologic Processes

ClinicalTrials.gov processed this record on May 22, 2013