Evidence map›Paper›PMID 36257864›Full record

ArticleAnnals of emergency medicine2023

A Quality Framework to Address Racial and Ethnic Disparities in Emergency Department Care.

Hazar Khidir, Rama Salhi, Amber K Sabbatini, Nicole M Franks, Andrea Green, Lynne D Richardson, Aisha Terry, Nicholas Vasquez, Pawan Goyal, Keith Kocher and 2 more

Abstract read
In one paragraph

Article in Annals of emergency medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Reduced left-without-being-seen rates and impact on disparities after guest services ambassadors implementation.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025
    Observational
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Racial and ethnic disparities in emergency department-initiated buprenorphine across five health care systems.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Hazar KhidirNational Clinician Scholars Program, Yale University School of Medicine, New Haven, CT; Department of Emergency Medicine, Yale University School of Medicine, New Haven, CT.
Rama SalhiNational Clinician Scholars Program, Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI; Department of Emergency Medicine, University of Michigan School of Medicine, Ann Arbor, MI.
Amber K SabbatiniDepartment of Emergency Medicine, University of Washington School of Medicine, Seattle, WA; Department of Health Systems and Population Health, University of Washington School of Public Health, Seattle, WA.
Nicole M FranksDepartment of Emergency Medicine, Emory University School of Medicine, Atlanta, GA.
Andrea GreenUniversity Medical Center Northeast, El Paso, TX.
Lynne D RichardsonInstitute for Health Equity Research, Icahn School of Medicine at Mount Sinai, New York, NY; Departments of Emergency Medicine and Population Health Science & Policy, Icahn School of Medicine at Mount Sinai, New York, NY.
Aisha TerryDepartment of Emergency Medicine, George Washington University School of Medicine, Washington, DC; Department of Health Policy, Milken Institute of Public Health, George Washington University, Washington, DC.
Nicholas VasquezEnvision Healthcare and Vitalyst Health Foundation, Phoenix, AZ.
Pawan GoyalAmerican College of Emergency Physicians, Irving, TX.
Keith KocherDepartment of Emergency Medicine, University of Michigan School of Medicine, Ann Arbor, MI.
Arjun K VenkateshNational Clinician Scholars Program, Yale University School of Medicine, New Haven, CT; Department of Emergency Medicine, Yale University School of Medicine, New Haven, CT; Yale New Haven Hospital Center for Outcomes Research and Evaluation, New Haven, CT.
Michelle P LinDepartment of Emergency Medicine at Stanford University School of Medicine, Palo Alto, CA. Electronic address: mplin@stanford.edu.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NRSA Training CoreTL1TR001864 · NCATS · YALE UNIVERSITY · PI CANTLEY, LLOYD G, EDELMAN, E. JENNIFER · 2016 to 2025
$9.9M
PROAACT- Admin SupplementK23HL143042 · NHLBI · STANFORD UNIVERSITY · PI LIN, MICHELLE P · 2019 to 2023
$1.0M
NCATS NIH HHS TL1 TR001864NCATS NIH HHS UL1 TR001863NHLBI NIH HHS K23 HL143042
6 · The paper itself

Abstract

The emergency department serves as a vital source of health care for residents in the United States, including as a safety net. However, patients from minoritized racial and ethnic groups have historically experienced disproportionate barriers to accessing health care services and lower quality of services than White patients. Quality measures and their application to quality improvement initiatives represent a critical opportunity to incentivize health care systems to advance health equity and reduce health disparities. Currently, there are no nationally recognized quality measures that track the quality of emergency care delivery by race and ethnicity and no published frameworks to guide the development and prioritization of quality measures to reduce health disparities in emergency care. To address these gaps, the American College of Emergency Physicians (ACEP) convened a working group of experts in quality measurement, health disparities, and health equity to develop guidance on establishing quality measures to address racial and ethnic disparities in the provision of emergency care. Based on iterative discussion over 3 working group meetings, we present a summary of existing emergency medicine quality measures that should be adapted to track racial and ethnic disparities, as well as a framework for developing new measures that focus on disparities in access to emergency care, care delivery, and transitions of care.

Indexed as

Emergency Medical ServicesHealth EquityEmergency Service, HospitalEthnicityHealthcare DisparitiesHealth Services AccessibilityHumansUnited States

Identifiers

PMID36257864
PMCPMC9780164

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.