PAINED: Project Addressing INequities in the Emergency Department

Part of paid clinical trials in Washington D.C., District of Columbia.

Sponsor
Children's National Research Institute
Study ID
NCT05488080
Status
Recruiting
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Conditions

  • Appendicitis
  • Bias, Racial
  • Fractures, Bone
  • Pain

Eligibility Criteria

Sex
ALL
Age
0 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • Department-level audit and feedback and electronic health record-embedded clinical decision support — BEHAVIORAL
    This intervention will provide clinicians with Equity Report Cards and clinician decision support on mitigating disparities in quality of care.

Study Details

Racial and ethnic inequities in health care quality have been described across a broad range of clinical settings, patient populations, and outcomes. Our overarching goal is to eradicate health care inequities through evidence-based interventions. The objectives of this proposal are to develop and test the impact of two interventions on overcoming clinician implicit bias and mitigating inequities in the management of pain among children seeking care in the emergency department for the treatment of appendicitis or long bone fractures.

Key Dates

Start date
Feb 27, 2023
Status verified
Jul 2025
Primary completion
Aug 23, 2026
Completion
Aug 23, 2026

Study Design

Enrollment
22,032 participants (estimated)
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH

Arms

  • Experimental: Department-level audit and feedback and electronic health record-embedded clinical decision support
    Clinicians will receive monthly pooled, department-level 'Equity Report Cards' that will provide aggregate information on clinical data stratified by patient race/ethnicity. Subsequently, for all visits that may be related to appendicitis or long bone fracture, clinicians will then receive real-time, electronic health record-embedded clinical decision support regarding pain management.

Primary Outcome Measure

Pain reduction [ Time Frame: Equity Report Cards provided monthly to clinicians over a 24-month period ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
Children's National HospitalWashington D.C.District of Columbia20016-1838
Monika Goyal
[email protected]
2024762869

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