PAINED: Project Addressing INequities in the Emergency Department
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Department-level audit and feedback and electronic health record-embedded clinical decision support.
- Who it may be relevant to
- Registry conditions: Pain, Appendicitis, Bias, Racial, Fractures, Bone. Basic parameters: from 0 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
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.
Interventions
- Behavioral Department-level audit and feedback and electronic health record-embedded clinical decision support
This intervention will provide clinicians with Equity Report Cards and clinician decision support on mitigating disparities in quality of care.
Primary outcome measures
- Pain reduction [Time frame: Equity Report Cards provided monthly to clinicians over a 24-month period]
- Analgesia use [Time frame: Equity Report Cards provided monthly to clinicians over a 24-month period]
Eligibility criteria
Inclusion criteria
- All Children's National Hospital Emergency Department clinicians
- Patients 0-21 years with symptoms suggestive of appendicitis or long bone fracture
Exclusion criteria
- Emergency Severity Index (ESI 1)
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Health services research
Study locations
United States · 1 center
- Children's National Hospital — Washington D.C.
Identifiers
NCT: NCT05488080 · FP00005944 / 1R61DK135406 - 01