Use of Equity Report Cards to Mitigate Disparities in Emergency Medical Services (EMS) Care for Injured Children
NCT ID: NCT06531421
Last Updated: 2024-12-19
Study Results
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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NOT_YET_RECRUITING
NA
4000 participants
INTERVENTIONAL
2025-01-31
2025-12-31
Brief Summary
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Detailed Description
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The outcomes for this study include both process measures (including documentation of pain scores, administration of any analgesia and administration of opiate analgesia) and also patient-centered clinical outcomes (reduction of pain as reported by the patient). These key study outcomes align with performance measures developed by the National EMS Quality Alliance (NEMSQA).
Patient race and ethnicity will be abstracted from the EMS medical record. The investigators will also collect data regarding potential confounding variables including patient age, sex, geographic location of encounter and other dispatch details.
The investigators will conduct an interrupted time series analysis (ITSA) to evaluate the magnitude and statistical significance of the average difference (intercept) and difference between trajectories (slopes) for our 24 month control (T0) and each of the two intervention 5 month time periods (T1 and T2). This will allow the investigators to measure the impact of each additional intervention (EMS agency-level followed by the addition of Battalion-level 'Equity Report Cards').
Conditions
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Keywords
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Study Design
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NA
SINGLE_GROUP
HEALTH_SERVICES_RESEARCH
NONE
Study Groups
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Intervention
Distribution of Equity Report Cards
Equity Report Cards
At month 2 the investigators will distribute EMS Agency-level 'Equity Report Cards' to both agency leadership and all frontline EMS providers. This 'Equity Report Card' will contain monthly pooled, agency-level information summarizing clinical data for injured children stratified by race/ethnicity. At month 7 the investigators will also distribute Battalion-level 'Equity Report Cards' to agency leadership and all frontline EMS providers.
Interventions
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Equity Report Cards
At month 2 the investigators will distribute EMS Agency-level 'Equity Report Cards' to both agency leadership and all frontline EMS providers. This 'Equity Report Card' will contain monthly pooled, agency-level information summarizing clinical data for injured children stratified by race/ethnicity. At month 7 the investigators will also distribute Battalion-level 'Equity Report Cards' to agency leadership and all frontline EMS providers.
Eligibility Criteria
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Inclusion Criteria
* Assessed by District of Columbia Fire and Emergency Medical Services (DC FEMS)
* Injury related chief complaint, primary or secondary impression
Exclusion Criteria
17 Years
ALL
No
Sponsors
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American Academy of Pediatrics
OTHER
Doris Duke Charitable Foundation
OTHER
Children's National Research Institute
OTHER
Responsible Party
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Principal Investigators
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Caleb E Ward, MD, MPH
Role: PRINCIPAL_INVESTIGATOR
Children's National Research Institute
Locations
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Children's National Medical Center
Washington D.C., District of Columbia, United States
Countries
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Central Contacts
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Facility Contacts
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Caleb E Ward, MD, MPH
Role: primary
Other Identifiers
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00001103
Identifier Type: -
Identifier Source: org_study_id