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

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT01515488
First Posted: January 24, 2012
Last Update Posted: October 15, 2012
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Collaborator:
Agency for Healthcare Research and Quality (AHRQ)
Information provided by (Responsible Party):
Maricopa Integrated Health System
  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
Intervention Model: Parallel Assignment
Masking: None (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. ]
    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. ]
    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. ]
    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

Information from the National Library of Medicine

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Ages Eligible for Study:   up to 18 Years   (Child, Adult)
Sexes Eligible for Study:   All
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
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): 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:
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Maricopa Integrated Health System
ClinicalTrials.gov Identifier: NCT01515488     History of Changes
Other Study ID Numbers: 2009-110
R03HS020235-01A1 ( U.S. AHRQ Grant/Contract )
First Submitted: January 13, 2012
First Posted: January 24, 2012
Results First Submitted: August 14, 2012
Results First Posted: October 15, 2012
Last Update Posted: October 15, 2012
Last Verified: September 2012

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

Additional relevant MeSH terms:
Emergencies
Disease Attributes
Pathologic Processes