Emergency departments (EDs) are often the first point of contact for patients requiring urgent medical attention. With increasing patient volumes and limited resources, EDs face challenges in maintaining efficiency and ensuring timely care. A recent systematic review published in the Journal of Medical Internet Research by our research group explores the role of digital check-in and triage kiosks in addressing these challenges.
Key Findings from the Systematic Review
The review analysed five studies conducted between 2019 and
2022 across Canada, the United States, and the United Kingdom, encompassing a
total of 47,778 patients and 310,249 ED visits. These studies varied in design,
including cross-sectional analyses, pilot studies, retrospective analyses, and
randomised controlled trials,
1. Efficiency Improvements
Digital kiosks have been associated with reduced patient wait times and
improved patient flow within EDs. By streamlining the check-in and triage
processes, these kiosks can expedite patient assessment and allocation to
appropriate care pathways.
2. Patient Safety and Accuracy
The studies reviewed indicated that digital kiosks can accurately capture
patient information and symptoms, aiding in effective triage decisions. However,
the accuracy is contingent upon the design of the kiosk interface and the
algorithms used for symptom assessment.
3. Patient Satisfaction
Patient responses to digital kiosks were generally positive, with many
appreciating the privacy and autonomy provided during the check-in process. Nonetheless,
some patients expressed a preference for human interaction, highlighting the
need for a balanced approach.
Considerations for Implementation
While digital kiosks offer promising benefits, their
successful integration into ED workflows requires careful planning:
- Accessibility:
Ensuring that kiosks are user-friendly for patients of all ages,
languages, and technological proficiencies is crucial.
- Integration
with Existing Systems: Kiosks should seamlessly integrate with
electronic health records and other hospital information systems to
maintain continuity of care.
- Staff
Training: ED staff should be trained to assist patients with kiosk use
and to interpret the data collected effectively.
- Continuous
Evaluation: Ongoing assessment of kiosk performance and patient
outcomes is necessary to identify areas for improvement.
Conclusion
Digital check-in and triage kiosks present a valuable tool
for enhancing efficiency and patient care in emergency departments. While they
are not a panacea, when thoughtfully implemented, they can alleviate some of
the pressures faced by EDs and contribute to improved patient experiences.
For a more detailed exploration of this topic, refer to our full article in the Journal of Medical Internet Research: Safety and Efficacy of
Digital Check-in and Triage Kiosks in Emergency Departments: Systematic Review.
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