Objective Patient-centered information management may overcome barriers that impede high quality, safe care in the emergency department (ED). The utility of parents' report of medication data via a multimedia, touch screen interface, the asthma kiosk, was investigated. Our specific aims were: 1) to estimate the validity of parents' electronically-entered medication history for asthma, and, 2) to compare the parents' kiosk entries regarding medications to the documentation of ED physicians and nurses.

Methods We enrolled a cohort of parents to use the asthma kiosk and tested the validity of this communication channel for medication data specific to pediatric asthma. Parents' data provided via the kiosk during the ED encounter and the documentation of ED nurses and physicians were compared to a telephone-based interview with the parent after discharge that reviewed all asthma-specific medications physically present in the home. Treating clinicians in the ED were blinded to the parents' kiosk entries.

Results Sixty-six parents were enrolled and 49/66 (74.2%) completed the gold standard interview. When analyzed at the level of individual medications, the validity of parental report was 81% for medication name, 79% for route of delivery, 66% for the form of the medication, and 60% for dosage. Parents' report improved upon the validity of documentation by physicians across all medication details save for medication name. Parents' report was more valid than nursing documentation at triage for all medication details.

Conclusion Parents can provide an independent source of medication data that improves upon current documentation for key variables that impact quality and safety in emergency asthma care.