PAINED: Project Addressing INequities in the Emergency Department

Pain Clinical Trial

— PAINED  

Official title:

PAINED: Project Addressing INequities in the Emergency Department

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT05488080
• Other study ID #: FP00005944 / 1R61DK135406 - 01
• Status: Not yet recruiting
• Phase: N/A
• Start date: August 1, 2024
• Est. completion date: July 31, 2027

Study information

• Verified date: December 2023
• Source: Children's National Research Institute
• Contact: Monika Goyal, MD
• Phone: 2024762869
• Email: mgoyal[@]cnmc.org
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 300
• Est. completion date: July 31, 2027
• Est. primary completion date: July 31, 2027
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• All Children's National Hospital Emergency Department clinicians

Exclusion Criteria:

• None

Related Conditions & MeSH terms

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

Intervention

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.

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Children's National Research Institute

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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.	Equity Report Cards provided monthly to clinicians over a 24-month period
Primary	Analgesia use	Rate of analgesia use	Equity Report Cards provided monthly to clinicians over a 24-month period