PAINED: Project Addressing INequities in the Emergency Department

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

22032 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-02-27

Study Completion Date

2026-08-23

Brief Summary

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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.

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Detailed Description

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Conditions

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Pain Appendicitis Bias, Racial Fractures, Bone

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

The study design is a pragmatic clinical trial.

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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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.

Group Type EXPERIMENTAL

Department-level audit and feedback and electronic health record-embedded clinical decision support

Intervention Type BEHAVIORAL

This intervention will provide clinicians with Equity Report Cards and clinician decision support on mitigating disparities in quality of care.

Interventions

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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.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* All Children's National Hospital Emergency Department clinicians
* Patients 0-21 years with symptoms suggestive of appendicitis or long bone fracture