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NCT05488080NARecruiting

PAINED: Project Addressing INequities in the Emergency Department

Children's National Research Institute

Start Date

2/27/2023

Completion Date

8/23/2026

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.

Eligibility Criteria

Age Range: No minimum to No maximum

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)

Interventions

BEHAVIORAL

Department-level audit and feedback and electronic health record-embedded clinical decision support

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Conditions

PainAppendicitisBias, RacialFractures, Bone

Locations

Children's National Hospital

Washington D.C., District of Columbia 20016-1838

United States