EmergenciesNCT01515488
Kiosk-Model Self-Triage System in the Pediatric Emergency Department
A study testing Nurse-initiated triage and Self-triage kiosk in people with Emergencies, run by Valleywise Health at 1 site in United States.
Trial summary
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. Read more about this study
- Who is it for?
- Ages Up to 18 years
- Conditions the study is for
- Emergencies
- What is being tested?
- Nurse-initiated triage and Self-triage kiosk
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 400 participants
- Where
- 1 siteUnited States
- Study dates
- Jan 2012to Apr 2012
- Phase
- Interventional
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Up to 18 years
- All sexes
- No healthy volunteers
- Child, Adult
Who may be able to join
- 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
Who cannot join
- Deemed medically unstable
- ESI score of 1 or 2
- Incarcerated or in juvenile detention
- Parent/guardian unable to communicate in English or Spanish
Trial locations and contacts
1 site in 1 country.
United States1 site
Maricopa Integrated Health System
Phoenix, Arizona, 85008
About this study
Official title: Assessing Utility of a "Kiosk Model" Self-Triage System in the Pediatric Emergency Department of A Tertiary Care Teaching Hospital
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.
Read the 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.
- Conditions
- Emergencies
- Being tested
- Nurse-initiated triage, Self-triage kiosk
- Keywords
- Triage, Automated, Admitting, Pediatric ED
- Medical subject headings
- Emergencies
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Nurse-initiated triageOther
Also called standard triage
Nurse-assisted triage for obtaining medical history and presenting problem(s)
Self-triage kioskOther
Also called automated self-triage
Audio-assisted self-triage kiosk for obtaining medical history and presenting problem(s)
| Study group | Role | What they receive |
|---|---|---|
| Self-triage kiosk | Experimental | Audio-assisted self-triage kiosk for obtaining medical history and presenting problem(s) Receives: Other: Self-triage kiosk |
| Nurse-initiated triage | Experimental | Nurse-initiated triage for obtaining medical history and presenting problem(s) Receives: Other: Nurse-initiated triage |
What is being measured
The primary outcome is the main question the study is designed to answer.
Triage Time
The time it takes for the patient to be triaged, compared across the kiosk and nurse-initiated triage conditions.
Measured: From beginning of triage to completion of triage.
Secondary outcomes (2)
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.
Measured: 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.
Measured: Upon completion of triage.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Jan 2012 (estimated)
- Study startJan 2012
- Primary completionApr 2012
- Study completionApr 2012
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for EmergenciesStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 400 participants (actual)
Sponsor and investigators
- Lead sponsor
- Valleywise Health
- Sponsor type
- University, hospital or other
- Collaborators
- Agency for Healthcare Research and Quality (AHRQ)
- Responsible party
- Sponsor
- Investigators
- Madhumita Sinha, MD, MHSM, Principal investigator, Valleywise Health
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01515488
- Sponsor's protocol ID
- 2009-110
- Other IDs
- R03HS020235-01A1
- Status last verified
- Sep 2012
- First submitted
- 13 Jan 2012
- Last updated
- 15 Oct 2012
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
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.
PubMed 16721506Sinha 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.
PubMed 24378865
Study at a glance
From the registry record, last updated by the sponsor on 15 Oct 2012. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Assessing Utility of a "Kiosk Model" Self-Triage System in the Pediatric Emergency Department of A Tertiary Care Teaching Hospital
- ClinicalTrials.gov ID
- NCT01515488
- Acronym / sponsor ID
- 2009-110
- Conditions
- Emergencies
- Keywords
- Triage, Automated, Admitting, Pediatric ED
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 400 participants (actual)
- Lead sponsor
- Valleywise HealthUniversity, hospital or other
- Collaborators
- Agency for Healthcare Research and Quality (AHRQ)
- Study start
- Jan 2012
- Primary completion
- Apr 2012 (actual)
- Study completion
- Apr 2012 (actual)
- First posted
- 24 Jan 2012 (estimated)
- Results
- Posted 15 Oct 2012
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
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.
Study design
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Self-triage kiosk | Experimental | Other: Self-triage kioskAudio-assisted self-triage kiosk for obtaining medical history and presenting problem(s) |
| Nurse-initiated triage | Experimental | Other: Nurse-initiated triageNurse-initiated triage for obtaining medical history and presenting problem(s) |
Who may qualify
- Ages
- Up to 18 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult
Key inclusion criteria (5 listed)
- 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
Key exclusion criteria (4 listed)
- Deemed medically unstable
- ESI score of 1 or 2
- Incarcerated or in juvenile detention
- Parent/guardian unable to communicate in English or Spanish
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Nurse-initiated triageAlso: standard triageNurse-assisted triage for obtaining medical history and presenting problem(s) | Other | Nurse-initiated triage |
| Self-triage kioskAlso: automated self-triageAudio-assisted self-triage kiosk for obtaining medical history and presenting problem(s) | Other | Self-triage kiosk |
Primary outcome
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.
2 secondary outcomes
Accuracy of Medical History
Time frame: Upon completion of triage.
Patient Satisfaction
Time frame: Upon completion of triage.
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Oct 2012.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 16721506Morrison-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.
- Derived from this study: PubMed 24378865Sinha 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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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Madhumita Sinha, MD, MHSM principal investigator
Valleywise Health
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Nurse-initiated triage and Self-triage kiosk in people with Emergencies, run by Valleywise Health at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 15 Oct 2012. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Yes. Results are posted in the registry (first posted 15 Oct 2012). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Triage Time (time frame: From beginning of triage to completion of triage.). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01515488, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Oct 2012.