Table 2.
Outcomes under investigation.
| Domain and outcomes | Description | |
| Safety | ||
|
|
Agreement | Agreement rate (percentage or kappa statistic) between kiosk-generated and nurse-assigned triage scores. |
| Sensitivity | The proportion or percentage of true urgent cases correctly identified by the kiosk, in comparison to the nurse-assigned scores. | |
| Under triage | Percentage of cases where the kiosk assigned a lower urgency level than the nurse. | |
| Adverse events | Complications or harm resulting from delayed care, triage, or incorrect triage. These could be measured using patient surveys or by reviewing patient records for complications, delays in care, or outcomes such as readmissions. | |
| Efficacy | ||
|
|
Workflow management | Assessing how the kiosks impacted patient flow, administrative tasks, and extent of over-triage (incorrectly identifying low-risk cases as high-risk). This could be quantified by time motion studies or by staff surveys. |
| Staff workload | Measuring changes in staff involvement by time tracking or by workload assessment surveys. | |
| Over-triage | Percentage of cases where the kiosk assigned a higher urgency level to the patient than the nurse. | |
| Time to physician | The time from EDa arrival (including check-in and triage) to the patient being seen by a clinician. This could be measured by direct observation or by reviewing time logs or stamps. | |
| Time-to-triage | The time taken from ED arrival to the completion of triage. This could be measured by direct observation or by reviewing time logs or stamps. | |
| Time-to-first identification | The time taken from ED arrival to kiosk completion or the interval from arrival to triage. This could be measured by direct observation or by reviewing time logs or stamps. | |
| Usability | The percentage of patients that used the kiosk. | |
aED: emergency department.