PAINED: Project Addressing INequities in the Emergency Department
Children's National Research Institute
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.
Eligibility
- Age range
- 0+ years
- Sex
- All
- 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)
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.
Location
- Children's National HospitalWashington D.C., District of Columbia