PAINED: Project Addressing INequities in the Emergency Department
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age0+
SponsorChildren's National Research Institute
About this trial
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.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
All Children's National Hospital Emergency Department clinicians
Patients 0-21 years with symptoms suggestive of appendicitis or long bone fracture
Disqualifiers
Emergency Severity Index (ESI 1)
Trial design
Design model
Single group
Treatments tested in this trial
Department-level audit and feedback and electronic health record-embedded clinical decision support
BehavioralThis intervention will provide clinicians with Equity Report Cards and clinician decision support on mitigating disparities in quality of care.
Treatment groups
22,032 Participants
are divided into 1 treatment groupGroup A: Department-level audit and feedback and electronic health record-embedded clinical decision supportExperimental treatment 1 intervention
Trial outcomes
Primary outcomes
1
Pain reduction
Percentage of patients with pain reduction, pain is measured on a 0 to 10 scale, 0 is the minimum and 10 is the maximum, a lower score is a better outcome.
Time frame
Equity Report Cards provided monthly to clinicians over a 24-month period2
Analgesia use
Rate of analgesia use
Time frame
Equity Report Cards provided monthly to clinicians over a 24-month periodSponsors and contacts
Click on the lead sponsor to view all of their trials.
Source ClinicalTrials.gov