PAINED: Project Addressing INequities in the Emergency Department
痛苦:解决急诊科不公平问题的项目
基本信息
- 批准号:10537743
- 负责人:
- 金额:$ 176.61万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2022
- 资助国家:美国
- 起止时间:2022-08-15 至 2024-07-31
- 项目状态:已结题
- 来源:
- 关键词:Absence of pain sensationAccident and Emergency departmentAcute PainAddressAgeAppendicitisAwarenessCare given by nursesCaringChildChild HealthClinicalDataDiscipline of NursingDocumentationElectronic Health RecordEmergency department visitEthnic OriginEvaluationEvidence based interventionFeedbackFoundationsFractureGoalsGuidelinesHealthHealth Services AccessibilityHealthcare SystemsHelping to End Addiction Long-termImplicit Association TestInformation TechnologyInterruptionInterventionMeasuresNursesOpioid AnalgesicsOutcomeOutcome MeasurePain MeasurementPain managementParentsPathway interactionsPatientsPerformancePhasePhysiciansProcessProcess MeasureProspective StudiesProviderQuality of CareRaceReportingResearchResearch DesignRoleSocioeconomic StatusTestingTimeTime Series AnalysisUnconscious StateWorkbasebehavior changecare deliverycare seekingclinical careclinical decision supportclinical encounterhealth care deliveryhealth care disparityhealth care qualityhealth differencehealth equityhealth inequalitiesimplicit biasimprovedinnovationlong bonepain reductionpain scorepatient orientedpatient populationpediatric emergencyracial and ethnicracial and ethnic disparitiesresponsesimulationstemsuccesssupport tools
项目摘要
Project Abstract
Racial and ethnic inequities in health care quality have been described across a broad range of clinical
settings, patient populations, and outcomes. Clinician implicit bias has been implicated in the causal pathway
for health care disparities. It is now imperative that we target the causes and develop interventions to mitigate
and eradicate such inequities. Our overarching goal is to eradicate health care inequities through evidence-
based interventions. In response to the RFA-NS-22-002: HEAL Initiative: Advancing Health Equity in Pain
Management (R61/R33), 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.
The scientific premise stems from our prior work which: 1) demonstrated racial and ethnic inequities in the
management of pain for children in the emergency department; 2) examined the role of implicit bias in vignette-
based health outcomes; and 3) used audit and feedback and clinical decision support tools to improve
performance metrics among clinicians. We will build on this foundational work by measuring the impact of
clinician implicit bias among providers and nurses on both process and outcome measures, including the
assessment and reduction of pain. We will use a stakeholder-informed approach to identify quality metrics that
are patient-centric. We will then test whether regular clinician audit and feedback, through the provision of
‘Equity Report Cards,’ as well as provision of real-time, electronic health record-embedded clinical decision
support can serve as useful interventions in mitigating racial/ethnic disparities in clinical outcomes. This
research is significant because both interventions can be inexpensively disseminated and scaled to emergency
departments nationally as well as to other clinical venues and adapted for various clinical conditions. Through
innovative study design and rigorous evaluation, this proposal will provide critical evidence and lay the
foundation for eradicating racial and ethnic inequities in the provision of care and improved child health
outcomes for all.
项目摘要
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Monika Kumari Goyal其他文献
109. Identifying Adolescents With Elevated Social Risk In The Pediatric Emergency Department
- DOI:
10.1016/j.jadohealth.2018.10.125 - 发表时间:
2019-02-01 - 期刊:
- 影响因子:
- 作者:
Alexandra Cheri Rucker;Brittany McNamara;Gia Badolato;Andrew B. Bathe;Christian Leanna Hendrix;Cheryl Mensah;Stephanie Rodriguez;Shilpa Patel;Monika Kumari Goyal - 通讯作者:
Monika Kumari Goyal
Monika Kumari Goyal的其他文献
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{{ truncateString('Monika Kumari Goyal', 18)}}的其他基金
Improving Adolescent Sexual Health Outcomes using Health Information Technology
利用健康信息技术改善青少年性健康结果
- 批准号:
10443458 - 财政年份:2022
- 资助金额:
$ 176.61万 - 项目类别:
Improving Adolescent Sexual Health Outcomes using Health Information Technology
利用健康信息技术改善青少年性健康结果
- 批准号:
10556365 - 财政年份:2022
- 资助金额:
$ 176.61万 - 项目类别:
Improving the Detection of STIs in the Pediatric Emergency Department: A Pragmatic Trial
改善儿科急诊科性传播感染的检测:一项务实的试验
- 批准号:
9977249 - 财政年份:2018
- 资助金额:
$ 176.61万 - 项目类别:
Improving the Detection of STIs in the Pediatric Emergency Department: A Pragmatic Trial
改善儿科急诊科性传播感染的检测:一项务实的试验
- 批准号:
10466870 - 财政年份:2018
- 资助金额:
$ 176.61万 - 项目类别:
Improving the Detection of STIs in the Pediatric Emergency Department: A Pragmatic Trial
改善儿科急诊科性传播感染的检测:一项务实的试验
- 批准号:
10242746 - 财政年份:2018
- 资助金额:
$ 176.61万 - 项目类别:
Detecting Racial and Ethnic Disparities in Pediatric Emergency Department Care Using the PECARN Data Registry.
使用 PECARN 数据注册表检测儿科急诊科护理中的种族和民族差异。
- 批准号:
9375043 - 财政年份:2017
- 资助金额:
$ 176.61万 - 项目类别:
Improvement of STI Detection in Adolescent Emergency Department Patients
青少年急诊科患者性传播感染检测的改进
- 批准号:
8681489 - 财政年份:2012
- 资助金额:
$ 176.61万 - 项目类别:
Improvement of STI Detection in Adolescent Emergency Department Patients
青少年急诊科患者性传播感染检测的改进
- 批准号:
8850256 - 财政年份:2012
- 资助金额:
$ 176.61万 - 项目类别:
Improvement of STI Detection in Adolescent Emergency Department Patients
青少年急诊科患者性传播感染检测的改进
- 批准号:
8374056 - 财政年份:2012
- 资助金额:
$ 176.61万 - 项目类别:
Improvement of STI Detection in Adolescent Emergency Department Patients
青少年急诊科患者性传播感染检测的改进
- 批准号:
8537784 - 财政年份:2012
- 资助金额:
$ 176.61万 - 项目类别:














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