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| ID | Type | Description | Link |
|---|---|---|---|
| R03HS020235-01A1 | U.S. AHRQ Grant/Contract | View source |
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| Name | Class |
|---|---|
| Agency for Healthcare Research and Quality (AHRQ) | FED |
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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Self-triage kiosk | Experimental | Audio-assisted self-triage kiosk for obtaining medical history and presenting problem(s) |
|
| Nurse-initiated triage | Experimental | Nurse-initiated triage for obtaining medical history and presenting problem(s) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nurse-initiated triage | Other | Nurse-assisted triage for obtaining medical history and presenting problem(s) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Triage Time | The time it takes for the patient to be triaged, compared across the kiosk and nurse-initiated triage conditions. | From beginning of triage to completion of triage. |
| Measure | Description | Time Frame |
|---|---|---|
| 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. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Madhumita Sinha, MD, MHSM | Valleywise Health | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Maricopa Integrated Health System | Phoenix | Arizona | 85008 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 16721506 | Background | 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. | |
| 24378865 | Derived | 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. |
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Patients were recruited from the Pediatric Emergency Department at Maricopa Integrated Health System between February 2012 and April 2012.
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| ID | Title | Description |
|---|---|---|
| FG000 | Nurse-initiated Triage | Nurse-initiated triage for obtaining medical history and presenting problem(s) Nurse-initiated triage : Nurse-assisted triage for obtaining medical history and presenting problem(s) |
| FG001 | Self-triage Kiosk | Audio-assisted self-triage kiosk for obtaining medical history and presenting problem(s) Self-triage kiosk : Audio-assisted self-triage kiosk for obtaining medical history and presenting problem(s) |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Nurse-initiated Triage | Nurse-initiated triage for obtaining medical history and presenting problem(s) Nurse-initiated triage : Nurse-assisted triage for obtaining medical history and presenting problem(s) |
| BG001 | Self-triage Kiosk |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Triage Time | The time it takes for the patient to be triaged, compared across the kiosk and nurse-initiated triage conditions. | Posted | Mean | Standard Deviation | Seconds | From beginning of triage to completion of triage. |
|
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No adverse events were possible; therefore no serious or other adverse events were reported.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Nurse-initiated Triage | Nurse-initiated triage for obtaining medical history and presenting problem(s) Nurse-initiated triage : Nurse-assisted triage for obtaining medical history and presenting problem(s) |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Madhumita Sinha, MD, MHSM | Maricopa Integrated Health System | 602-344-5404 | madhumita_sinha@dmgaz.org |
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| ID | Term |
|---|---|
| D004630 | Emergencies |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Self-triage kiosk | Other | Audio-assisted self-triage kiosk for obtaining medical history and presenting problem(s) |
|
|
| Upon completion of triage. |
| 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. | Upon completion of triage. |
Audio-assisted self-triage kiosk for obtaining medical history and presenting problem(s)
Self-triage kiosk : Audio-assisted self-triage kiosk for obtaining medical history and presenting problem(s)
| BG002 | Total | Total of all reporting groups |
| Participants |
|
| Age Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| Secondary | 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. | Posted | Mean | Standard Deviation | Inaccuracies | Upon completion of triage. |
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| Secondary | 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. | Posted | Mean | Standard Deviation | units on a scale | Upon completion of triage. |
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| 0 |
| 0 |
| 0 |
| 0 |
| EG001 | Self-triage Kiosk | Audio-assisted self-triage kiosk for obtaining medical history and presenting problem(s) Self-triage kiosk : Audio-assisted self-triage kiosk for obtaining medical history and presenting problem(s) | 0 | 0 | 0 | 0 |
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