Effects of Implementation of a Self-measurement Kiosk in the Emergency Department Waiting Room

Effects of Implementation of Automated Pre-triage Based on a Self-measurement Kiosk With Questionnaire for Patients in the Emergency Department Waiting Room on Triage Time-stamps and Satisfaction of Use

In this study the participant will be invited to be seated in the self-measurement kiosk after registration in the Emergency department. In this kiosk, the participant will be measuring their own vitals and answering a short questionnaire regarding the reason for presentation. All these results are displayed on a screen for the triage nurse. Based on the results, high-risk patients will be highlighted on the screen, so they may be seen faster.

Study Overview

• Status: Completed
• Conditions: Emergencies
• Intervention / Treatment: Device: Self-measurement kiosk

Detailed Description

The questionnaire entails questions which would otherwise be asked by the triage nurse, regarding reason for presentation, fever, pain and and possible allergies. This is done through a touch-screen.

The vital signs and potential alarm symptoms from the (multilingual) questionnaire are being displayed with the pain score on a screen in the triage room and at the nurses desk. An adapted Early Warning Score (aEWS - without respiratory rate) is calculated from the vital signs. Abnormal results are being highlighted and carried up on the screen to the top position. This enables the triage nurse to pick up the sicker participants in the waiting room faster. The measurements are valid, so they do not have to be repeated by the triage nurse.

Users will be contacted afterwards regarding satisfaction of use

• Study Type: Interventional
• Enrollment (Actual): 757
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Belgium
  • Gent, Belgium, 9000
    • Spoedgevallendienst

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• all patients presenting ambulatory at the Emergency Department

Exclusion Criteria:

• patients presenting by ambulance / Emergency Medical Services

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Diagnostic
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: on-day; Use of the self-measurement kiosk: measurement of vital signs + completion of short questionnaire	Device: Self-measurement kiosk; Use of the self-measurement kiosk, with results forwarded to the triage nurse screens; Other Names: BeWell kiosk
No Intervention: Off-day; No use of the self-measurement kiosk

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Triage time-stamp 1	Shorter time to end of triage process: Time from registration to time of end of triage process (completion of electronic record)	through study completion, average of 1 year
Triage time-stamp 2	Shorter time to beginning of triage process: Time from registration to time of start of triage process (initiation of electronic record)	through study completion, average of 1 year

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Time to see physician	Shorter time to see physician: Time from registration to start of medical assessment (first of record of physician care)	through study completion, average 1 year

Collaborators and Investigators

• Sponsor: Spoedopname
• Investigators: Principal Investigator: Cathelijne Lyphout, MSc, Uz Gent

Study record dates

Study Major Dates

• Study Start (Actual): May 1, 2019
• Primary Completion (Actual): December 31, 2019
• Study Completion (Actual): December 31, 2019

Study Registration Dates

• First Submitted: November 12, 2019
• First Submitted That Met QC Criteria: June 9, 2020
• First Posted (Actual): June 11, 2020

Study Record Updates

• Last Update Posted (Actual): June 11, 2020
• Last Update Submitted That Met QC Criteria: June 9, 2020
• Last Verified: June 1, 2020

More Information

Terms related to this study

• Keywords: triage; early warning score; kiosk
• Additional Relevant MeSH Terms: Pathologic Processes; Disease Attributes; Emergencies
• Other Study ID Numbers: 2019/0315

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: No plan to share - General Data Protection Regulation related

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No