Skip to main content
OpenTrials
Recruiting

NCT Number: NCT05488080

PAINED: Project Addressing INequities in the Emergency Department

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.

Recruiting

Interested in participating?

Request Info

Key information

Conditions

Pain Appendicitis Behavior Bias, Racial Cecal Diseases Digestive System Diseases Fractures, Bone Gastroenteritis Gastrointestinal Diseases Infections Intestinal Diseases Intraabdominal Infections Neurologic Manifestations Pathological Conditions, Signs and Symptoms Prejudice Racism Signs and Symptoms Social Behavior Social Discrimination Wounds and Injuries

Age range

0 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Children's National Hospital

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

Location status: Recruiting

Location contact

Monika Goyal

CONTACT

[email protected]

2024762869

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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)

Treatment and study plan

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

Behavioral

This intervention will provide clinicians with Equity Report Cards and clinician decision support on mitigating disparities in quality of care.

Primary outcomes

  1. Pain reduction

    Time frame: 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.

  2. Analgesia use

    Time frame: Equity Report Cards provided monthly to clinicians over a 24-month period

    Rate of analgesia use

Study contacts

Contact information is provided by the study sponsor or research team.

Meleah Boyle

CONTACT

[email protected]

2024765388

Monika Goyal, MD

CONTACT

[email protected]

2024762869

Sponsors and collaborators

Lead sponsor

Children's National Research Institute

Other

Registry information

Acronym: PAINED

Important dates

Study start
2023
Primary completion
2026
Study completion
2026
First posted
Aug 4, 2022
Registry last updated
Jul 17, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Related clinical trials

Published trials that share one or more normalized conditions with this study.