Trial Outcomes & Findings for Kiosk-Model Self-Triage System in the Pediatric Emergency Department (NCT NCT01515488)

Results Overview

The time it takes for the patient to be triaged, compared across the kiosk and nurse-initiated triage conditions.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

400 participants

Primary outcome timeframe

From beginning of triage to completion of triage.

Results posted on

2012-10-15

Participant Flow

Patients were recruited from the Pediatric Emergency Department at Maricopa Integrated Health System between February 2012 and April 2012.

Participant milestones

Participant milestones
Measure	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)	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)
Overall Study STARTED	200	200
Overall Study COMPLETED	200	200
Overall Study NOT COMPLETED	0	0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

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

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure	Nurse-initiated Triage n=200 Participants 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)	Self-triage Kiosk n=200 Participants 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)	Total n=400 Participants Total of all reporting groups
Age, Categorical <=18 years	200 Participants n=5 Participants	200 Participants n=7 Participants	400 Participants n=5 Participants
Age, Categorical Between 18 and 65 years	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants
Age, Categorical >=65 years	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants
Age Continuous	6 years STANDARD_DEVIATION 6 • n=5 Participants	6 years STANDARD_DEVIATION 5 • n=7 Participants	6 years STANDARD_DEVIATION 5 • n=5 Participants
Sex: Female, Male Female	89 Participants n=5 Participants	91 Participants n=7 Participants	180 Participants n=5 Participants
Sex: Female, Male Male	111 Participants n=5 Participants	109 Participants n=7 Participants	220 Participants n=5 Participants
Region of Enrollment United States	200 participants n=5 Participants	200 participants n=7 Participants	400 participants n=5 Participants

PRIMARY outcome

Timeframe: 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.

Outcome measures

Outcome measures
Measure	Nurse-initiated Triage n=200 Participants 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)	Self-triage Kiosk n=200 Participants 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)
Triage Time	126.7 Seconds Standard Deviation 62.6	94.4 Seconds Standard Deviation 38.6

SECONDARY outcome

Timeframe: 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.

Outcome measures

Outcome measures
Measure	Nurse-initiated Triage n=200 Participants 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)	Self-triage Kiosk n=200 Participants 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)
Accuracy of Medical History	1.03 Inaccuracies Standard Deviation 0.97	0.59 Inaccuracies Standard Deviation 0.81

SECONDARY outcome

Timeframe: 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.

Outcome measures

Outcome measures
Measure	Nurse-initiated Triage n=200 Participants 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)	Self-triage Kiosk n=200 Participants 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)
Patient Satisfaction	5.6 units on a scale Standard Deviation 0.8	5.7 units on a scale Standard Deviation 0.7

Adverse Events

Nurse-initiated Triage

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Self-triage Kiosk

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Madhumita Sinha, MD, MHSM

Maricopa Integrated Health System

Phone: 602-344-5404

Email: [email protected]

Results disclosure agreements

Principal investigator is a sponsor employee
Publication restrictions are in place