An interventional study of Department-level audit and feedback and electronic health record-embedded clinical decision support in Pain, Appendicitis and Bias, Racial, sponsored by Children's National Research Institute. Active, not recruiting at 1 site in United States. Open to participants aged 0 Years and older. Per ClinicalTrials.gov, last updated 2026-10-22.
Sponsored by Children's National Research Institute · Not applicable, Interventional, and Health services research
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.
10,054 studies on the registry are indexed under Pain; 1,649 are open to participants now.
This study's planned enrollment of 22,032 is above the median of 66 across 8,493 interventional studies indexed under Pain.
Browse Pain studies →Children's National Research Institute is the lead sponsor of 127 studies on the registry; 47 are open to participants now.
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Exclusion Criteria:
Clinicians will receive monthly pooled, department-level 'Equity Report Cards' that will provide aggregate information on clinical data stratified by patient race/ethnicity. Subsequently, for all visits that may be related to appendicitis or long bone fracture, clinicians will then receive real-time, electronic health record-embedded clinical decision support regarding pain management.
Behavioral: Department-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.
Pain reduction
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.
Time frame: Equity Report Cards provided monthly to clinicians over a 24-month period
Analgesia use
Rate of analgesia use
Time frame: Equity Report Cards provided monthly to clinicians over a 24-month period
Plan to share: No
No publications or documents are linked to this record.
From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗
This study is active, not recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.
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