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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

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 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

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.

Find a Location

Who is running the clinical trial?

Children's National Research InstituteLead Sponsor
218 Previous Clinical Trials
257,610 Total Patients Enrolled
1 Trials studying Appendicitis
21 Patients Enrolled for Appendicitis
Monika GoyalPrincipal InvestigatorChildren's National Research Institute
1 Previous Clinical Trials
270 Total Patients Enrolled
~161 spots leftby Aug 2026
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