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
| Arm | Description | Assigned 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. |
|
Recruiting Locations
Children's National and nearby locations
Children's National Hospital
Washington, District of Columbia 20016-1838
Washington, District of Columbia 20016-1838
More Details
- NCT ID
- NCT05488080
- Status
- Recruiting
- Sponsor
- Children's National Research Institute