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

Study Overview
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Brief Summary
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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.

Detailed Description
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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

Official Title
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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

Conditions
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Emergencies

Intervention / Treatment
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* Device: Self-measurement kiosk


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: all patients presenting ambulatory at the Emergency Department Exclusion Criteria: patients presenting by ambulance / Emergency Medical Services

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Diagnostic
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Patients are randomised in blocks per day regarding use of the kiosk
Masking: None (Open Label)


Arms and Interventions

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

What is the study measuring?
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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 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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triage, kiosk, early warning score