Addressing inequities in pain management for children in the emergency department
PAINED: Project Addressing INequities in the Emergency Department
This study is testing new ways to help emergency department staff provide better pain relief for children with appendicitis or broken bones, especially focusing on reducing biases related to race and ethnicity.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 22032 (estimated) |
| Ages | 0 Years and up |
| Sex | All |
| Sponsor | Children's National Research Institute Academic / other |
| Locations | 1 site (Washington D.C., District of Columbia) |
| Trial ID | NCT05488080 on ClinicalTrials.gov |
What this trial studies
This project aims to tackle racial and ethnic inequities in healthcare by implementing evidence-based interventions in the emergency department. It focuses on developing and testing two specific interventions: department-level audit and feedback, and clinical decision support embedded in electronic health records. The goal is to reduce clinician implicit bias and improve pain management for children presenting with appendicitis or long bone fractures. By addressing these disparities, the study seeks to enhance the quality of care provided to all patients, regardless of their background.
Who should consider this trial
Good fit: Ideal candidates for this study are children seeking emergency care for appendicitis or long bone fractures.
Not a fit: Patients who do not seek emergency care for the specified conditions may not benefit from this study.
Why it matters
Potential benefit: If successful, this project could lead to more equitable pain management practices for children in emergency settings.
How similar studies have performed: Other studies have shown success in addressing healthcare inequities through similar interventions, indicating potential for positive outcomes in this approach.
Eligibility criteria
Show full inclusion / exclusion 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)
Where this trial is running
Washington D.C., District of Columbia
- Children's National Hospital — Washington D.C., District of Columbia, United States (Recruiting)
Study contacts
- Principal investigator: Monika Goyal — Children's National Research Institute
- Study coordinator: Monika Goyal, MD
- Email: mgoyal@cnmc.org
- Phone: 2024762869
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.