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Reducing Clinician Bias for Better Pain Treatment (PAINED Trial)

N/A

Recruiting

Led By Monika Goyal

Research Sponsored by Children's National Research Institute

Eligibility Criteria Checklist

Specific guidelines that determine who can or cannot participate in a clinical trial

Must have

* All Children's National Hospital Emergency Department clinicians

Be older than 18 years old

Timeline

Screening 3 weeks

Treatment Varies

Follow Up equity report cards provided monthly to clinicians over a 24-month period

Awards & highlights

No Placebo-Only Group

Summary

This trial aims to address racial and ethnic disparities in healthcare quality by testing interventions to reduce clinician bias and improve the treatment of pain in children with appendicitis or long bone fractures in the emergency department

Who is the study for?

This trial is for clinicians at Children's National Hospital Emergency Department. It aims to address racial and ethnic inequities in pain management among children with appendicitis or broken bones by targeting clinician implicit bias.

What is being tested?

The study tests two interventions: department-level audit and feedback, plus electronic health record-embedded clinical decision support, to see if they can reduce healthcare inequalities in emergency pain treatment.

What are the potential side effects?

Since the interventions involve changes to practice rather than medications, traditional side effects are not applicable. However, there may be indirect effects on workflow or decision-making processes.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below

Timeline

Screening ~ 3 weeks3 visits

Treatment ~ Varies

Follow Up ~ equity report cards provided monthly to clinicians over a 24-month period

Screening ~ 3 weeks

Treatment ~ Varies

Follow Up ~equity report cards provided monthly to clinicians over a 24-month period

This trial's timeline: 3 weeks for screening, Varies for treatment, and equity report cards provided monthly to clinicians over a 24-month period for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.

Primary study objectives

Analgesia use

Pain reduction

Awards & Highlights

No Placebo-Only Group

All patients enrolled in this study will receive some form of active treatment.

Trial Design

1Treatment groups

Experimental Treatment

Group I: Department-level audit and feedback and electronic health record-embedded clinical decision supportExperimental Treatment1 Intervention

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.

0 / 1Eligibility criteria met