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

Primary Purpose

Emergencies

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Nurse-initiated triage
Self-triage kiosk
Sponsored by
Valleywise Health
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional health services research trial for Emergencies focused on measuring Triage, Automated, Admitting, Pediatric ED

Eligibility Criteria

undefined - 18 Years (Child, Adult)All SexesDoes not accept healthy volunteers

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

Sites / Locations

  • Maricopa Integrated Health System

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Self-triage kiosk

Nurse-initiated triage

Arm Description

Audio-assisted self-triage kiosk for obtaining medical history and presenting problem(s)

Nurse-initiated triage for obtaining medical history and presenting problem(s)

Outcomes

Primary Outcome Measures

Triage Time
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
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
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.

Full Information

First Posted
January 13, 2012
Last Updated
September 13, 2012
Sponsor
Valleywise Health
Collaborators
Agency for Healthcare Research and Quality (AHRQ)
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1. Study Identification

Unique Protocol Identification Number
NCT01515488
Brief Title
Kiosk-Model Self-Triage System in the Pediatric Emergency Department
Official Title
Assessing Utility of a "Kiosk Model" Self-Triage System in the Pediatric Emergency Department of A Tertiary Care Teaching Hospital
Study Type
Interventional

2. Study Status

Record Verification Date
September 2012
Overall Recruitment Status
Completed
Study Start Date
January 2012 (undefined)
Primary Completion Date
April 2012 (Actual)
Study Completion Date
April 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Valleywise Health
Collaborators
Agency for Healthcare Research and Quality (AHRQ)

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief 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.
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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Emergencies
Keywords
Triage, Automated, Admitting, Pediatric ED

7. Study Design

Primary Purpose
Health Services Research
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
400 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Self-triage kiosk
Arm Type
Experimental
Arm Description
Audio-assisted self-triage kiosk for obtaining medical history and presenting problem(s)
Arm Title
Nurse-initiated triage
Arm Type
Experimental
Arm Description
Nurse-initiated triage for obtaining medical history and presenting problem(s)
Intervention Type
Other
Intervention Name(s)
Nurse-initiated triage
Other Intervention Name(s)
standard triage
Intervention Description
Nurse-assisted triage for obtaining medical history and presenting problem(s)
Intervention Type
Other
Intervention Name(s)
Self-triage kiosk
Other Intervention Name(s)
automated self-triage
Intervention Description
Audio-assisted self-triage kiosk for obtaining medical history and presenting problem(s)
Primary Outcome Measure Information:
Title
Triage Time
Description
The time it takes for the patient to be triaged, compared across the kiosk and nurse-initiated triage conditions.
Time Frame
From beginning of triage to completion of triage.
Secondary Outcome Measure Information:
Title
Accuracy of Medical History
Description
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.
Time Frame
Upon completion of triage.
Title
Patient Satisfaction
Description
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.
Time Frame
Upon completion of triage.

10. Eligibility

Sex
All
Maximum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility 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
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Madhumita Sinha, MD, MHSM
Organizational Affiliation
Valleywise Health
Official's Role
Principal Investigator
Facility Information:
Facility Name
Maricopa Integrated Health System
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85008
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
16721506
Citation
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. doi: 10.1007/s10461-006-9081-y.
Results Reference
background
PubMed Identifier
24378865
Citation
Sinha M, Khor KN, Amresh A, Drachman D, Frechette A. The use of a kiosk-model bilingual self-triage system in the pediatric emergency department. Pediatr Emerg Care. 2014 Jan;30(1):63-8. doi: 10.1097/PEC.0000000000000037.
Results Reference
derived

Learn more about this trial

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

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