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

Valleywise Health

Status: Completed

Conditions: Emergencies

Treatments: Other: Self-triage kiosk; Other: Nurse-initiated triage

Study type: Interventional

Funder types: Other; Other U.S. Federal agency

Identifiers

NCT01515488

R03HS020235-01A1 (U.S. AHRQ Grant/Contract)

2009-110

Details and patient eligibility

About

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.

Full 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.

Enrollment: 400 patients

Sex: All

Ages: Under 18 years old

Volunteers: No 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

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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400 participants in 2 patient groups

Self-triage kiosk

Experimental group

Description:

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

Treatment:

Other: Self-triage kiosk

Nurse-initiated triage

Experimental group

Description:

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

Treatment:

Other: Nurse-initiated triage