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CJEM. 2019 May 6:1-4. doi: 10.1017/cem.2019.349. [Epub ahead of print]

The use of a self-check-in kiosk for early patient identification and queuing in the emergency department.

Author information

1
*Department of Emergency Medicine,Sunnybrook Health Sciences Centre,Toronto, ON.
2
†Sunnybrook Research Institute,Toronto, ON.

Abstract

OBJECTIVE:

Delays in triage processes in the emergency department (ED) can compromise patient safety. The aim of this study was to provide proof-of-concept that a self-check-in kiosk could decrease the time needed to identify ambulatory patients arriving in the ED. We compared the use of a novel automated self-check-in kiosk to identify patients on ED arrival to routine nurse-initiated patient identification.

METHODS:

We performed a prospective trail with random weekly allocation to intervention or control processes during a 10-week study period. During intervention weeks, patients used a self-check-in kiosk to self-identify on arrival. This electronically alerted triage nurses to patient arrival times and primary complaint before triage. During control weeks, kiosks were unavailable and patients were identified using routine nurse-initiated triage. The primary outcome was time-to-first-identification, defined as the interval between ED arrival and identification in the hospital system.

RESULTS:

Median (interquartile range) time-to-first-identification was 1.4 minutes (1.0-2.08) for intervention patients and 9 minutes (5-18) for control patients. Regression analysis revealed that the adjusted time-to-first-identification was 13.6 minutes (95% confidence interval 12.8-14.5) faster for the intervention group.

CONCLUSION:

A self-check-in kiosk significantly reduced the time-to-first-identification for ambulatory patients arriving in the ED.

KEYWORDS:

Self-check-in; triage; wait-time

PMID:
31057137
DOI:
10.1017/cem.2019.349

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