PAINED: Project Addressing INequities in the Emergency Department

Purpose

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.

Conditions

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

Eligibility

Eligible Ages
Over 18 Years
Eligible Genders
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • All Children's National Hospital Emergency Department clinicians

Exclusion Criteria

  • None

Study Design

Phase
N/A
Study Type
Interventional
Allocation
N/A
Intervention Model
Single Group Assignment
Intervention Model Description
The study design is a pragmatic clinical trial.
Primary Purpose
Health Services Research
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
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.
  • 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.

Recruiting Locations

Children's National and nearby locations

Children's National Hospital
Washington, District of Columbia 20016-1838
Contact:
Monika Goyal
202-476-2869
mgoyal@cnmc.org

More Details

NCT ID
NCT05488080
Status
Recruiting
Sponsor
Children's National Research Institute

Study Contact

Monika Goyal, MD
2024762869
mgoyal@cnmc.org