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PAINED: Addressing Inequities in Emergency Department Pain Management

This study, called PAINED, is looking at ways to reduce unfair differences in how pain is managed for children in the emergency room. It's testing two interventions: "Department-level audit and feedback" which gives doctors monthly "Equity Report Cards," and "electronic health record-embedded clinical decision support" which provides guidance to doctors. The goal is to help doctors overcome unconscious biases and improve pain management for children aged 0-21 who come to the emergency department with symptoms of appendicitis (a painful inflammation of the appendix) or long bone fractures (broken bones). The study hopes to see a reduction in pain and changes in how pain medication is used. The current recruitment status is unclear, and the study plans to enroll 22,032 participants.

Study design
This is an interventional study, meaning it tests specific actions. It aims to enroll 22,032 participants.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
Pain reduction and analgesia (pain medication) use will be measured monthly over a 24-month period.

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NCT05488080

PAINED: Project Addressing INequities in the Emergency Department

Recruiting
NAAges 0+InterventionalHealth services
Children's National Research Institute
~22,032 participants
Updated 2025-07-17 on ClinicalTrials.gov
What's tested:Department-level audit and feedback and electronic health record-embedded clinical decision support

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Pain reduction
Measured over Equity Report Cards provided monthly to clinicians over a 24-month period
+1 more outcome measured

Conditions

Pain
Appendicitis
Bias, Racial
Fractures, Bone

Explore related trials

AppendicitisFracture

Where it's being run

1 sites across 1 states
District of Columbia1

Study leadership

  • Monika Goyal · PRINCIPAL_INVESTIGATOR · Children's National Research Institute

Who to contact

Monika Goyal, MD
[email protected]
2024762869
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Eligibility criteria

Inclusion

All Children's National Hospital Emergency Department clinicians
Patients 0-21 years with symptoms suggestive of appendicitis or long bone fracture

Exclusion

Emergency Severity Index (ESI 1)

What this trial measures

  • Pain reductionEquity 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 useEquity Report Cards provided monthly to clinicians over a 24-month period

    Rate of analgesia use