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OpenTrials
Completed

NCT Number: NCT01515488

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

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.

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Key information

Age range

Up to 18 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Maricopa Integrated Health System

Phoenix, Arizona, 85008, United States

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Nurse-initiated triage

Other

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

Other names: standard triage

Self-triage kiosk

Other

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

Other names: automated self-triage

Primary outcomes

  1. 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 outcomes

  1. 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.

  2. 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.

Sponsors and collaborators

Lead sponsor

Valleywise Health

Other

Collaborators

  • Agency for Healthcare Research and Quality (AHRQ)

Registry information

Official study title

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

Important dates

Study start
2012
Primary completion
2012
Study completion
2012
First posted
Jan 24, 2012
Registry last updated
Oct 15, 2012

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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