Appendicitis, Bias, Racial, Fractures, Bone, Pain
Conditions
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.
Interventions
BEHAVIORALDepartment-level audit and feedback and electronic health record-embedded clinical decision support
This intervention will provide clinicians with Equity Report Cards and clinician decision support on mitigating disparities in quality of care.
Sponsors
Children's National Research Institute
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
The study design is a pragmatic clinical trial.
Eligibility
Sex/Gender
ALL
Age
0 Years to No maximum
Healthy volunteers
No
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)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain reduction | 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 | Equity Report Cards provided monthly to clinicians over a 24-month period | Rate of analgesia use |
Countries
United States
Contacts
Primary ContactMonika Goyal, MD
Backup ContactMeleah Boyle
Outcome results
None listed