Ignite Creation Date:
2024-10-26 @ 3:36 PM
Last Modification Date:
2024-10-26 @ 3:36 PM
Study NCT ID:
NCT06531421
Status:
NOT_YET_RECRUITING
Last Update Posted:
None
First Post:
2024-07-29
Brief Title:
Use of Equity Report Cards to Mitigate Disparities in Emergency Medical Services EMS Care for Injured Children
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Use of Equity Report Cards to Mitigate Disparities in Emergency Medical Services EMS Care for Injured Children
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-08
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
This trial will assess whether development and sharing of Equity Report Cards focussed on the recognition and treatment of pain for injured children by Emergency Medical Services EMS can help decrease disparities by race and ethnicity
Detailed Description:
This is a pragmatic trial using an interrupted time-series design The investigators will collect two years of retrospective data to establish a baseline At month 2 the investigators will distribute EMS Agency-level Equity Report Cards to both agency leadership and all frontline EMS providers This Equity Report Card will contain monthly pooled agency-level information summarizing clinical data for injured children stratified by raceethnicity At month 7 the investigators will also distribute Battalion-level Equity Report Cards to agency leadership and all frontline EMS providers The Equity Report Card will include baseline historical data and a 3-month rolling average for each of the study outcomes The Equity Report Card will also include an action plan with evidenced based recommendations specifically targeted to improve care
The outcomes for this study include both process measures including documentation of pain scores administration of any analgesia and administration of opiate analgesia and also patient-centered clinical outcomes reduction of pain as reported by the patient These key study outcomes align with performance measures developed by the National EMS Quality Alliance NEMSQA
Patient race and ethnicity will be abstracted from the EMS medical record The investigators will also collect data regarding potential confounding variables including patient age sex geographic location of encounter and other dispatch details
The investigators will conduct an interrupted time series analysis ITSA to evaluate the magnitude and statistical significance of the average difference intercept and difference between trajectories slopes for our 24 month control T0 and each of the two intervention 5 month time periods T1 and T2 This will allow the investigators to measure the impact of each additional intervention EMS agency-level followed by the addition of Battalion-level Equity Report Cards
The outcomes for this study include both process measures including documentation of pain scores administration of any analgesia and administration of opiate analgesia and also patient-centered clinical outcomes reduction of pain as reported by the patient These key study outcomes align with performance measures developed by the National EMS Quality Alliance NEMSQA
Patient race and ethnicity will be abstracted from the EMS medical record The investigators will also collect data regarding potential confounding variables including patient age sex geographic location of encounter and other dispatch details
The investigators will conduct an interrupted time series analysis ITSA to evaluate the magnitude and statistical significance of the average difference intercept and difference between trajectories slopes for our 24 month control T0 and each of the two intervention 5 month time periods T1 and T2 This will allow the investigators to measure the impact of each additional intervention EMS agency-level followed by the addition of Battalion-level Equity Report Cards
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None