PAINED: Project Addressing INequities in the Emergency Department
PAINED
1 other identifier
interventional
22,032
1 country
1
Brief 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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable pain
Started Feb 2023
Longer than P75 for not_applicable pain
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 15, 2022
CompletedFirst Posted
Study publicly available on registry
August 4, 2022
CompletedStudy Start
First participant enrolled
February 27, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 23, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
August 23, 2026
July 17, 2025
July 1, 2025
3.5 years
July 15, 2022
July 14, 2025
Conditions
Outcome Measures
Primary Outcomes (2)
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
Analgesia use
Rate of analgesia use
Equity Report Cards provided monthly to clinicians over a 24-month period
Study Arms (1)
Department-level audit and feedback and electronic health record-embedded clinical decision support
EXPERIMENTALClinicians 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.
Interventions
This intervention will provide clinicians with Equity Report Cards and clinician decision support on mitigating disparities in quality of care.
Eligibility Criteria
You may qualify if:
- All Children's National Hospital Emergency Department clinicians
- Patients 0-21 years with symptoms suggestive of appendicitis or long bone fracture
You may not qualify if:
- Emergency Severity Index (ESI 1)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Children's National Hospital
Washington D.C., District of Columbia, 20016-1838, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Monika Goyal
Children's National Research Institute
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor of Pediatrics and Emergency Medicine
Study Record Dates
First Submitted
July 15, 2022
First Posted
August 4, 2022
Study Start
February 27, 2023
Primary Completion (Estimated)
August 23, 2026
Study Completion (Estimated)
August 23, 2026
Last Updated
July 17, 2025
Record last verified: 2025-07
Data Sharing
- IPD Sharing
- Will not share