PAINED: Project Addressing INequities in the Emergency Department
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Pain
- Sponsor
- Children's National Research Institute
- Enrollment
- 22032
- Locations
- 1
- Primary Endpoint
- Pain reduction
- Status
- Recruiting
- Last Updated
- 9 months ago
Overview
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.
Investigators
Monika Goyal
Associate Professor of Pediatrics and Emergency Medicine
Children's National Research Institute
Eligibility Criteria
Inclusion Criteria
- •All Children's National Hospital Emergency Department clinicians
- •Patients 0-21 years with symptoms suggestive of appendicitis or long bone fracture
Exclusion Criteria
- •Emergency Severity Index (ESI 1)
Outcomes
Primary Outcomes
Pain reduction
Time Frame: Equity Report Cards provided monthly to clinicians over a 24-month period
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.
Analgesia use
Time Frame: Equity Report Cards provided monthly to clinicians over a 24-month period
Rate of analgesia use