Evidence map›Paper›PMID 40177470›Full record

ArticleHealth affairs scholar2025

Building a public-private partnership to confront the emergency department boarding crisis.

Sean S Michael, Sean Bruna, Laura L Sessums

Abstract read
In one paragraph

Article in Health affairs scholar, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

3 authors.

Sean S MichaelCenters for Medicare & Medicaid Services, Center for Clinical Standards and Quality, Baltimore, MD 21244, USA.ORCID https://orcid.org/0000-0001-7496-8389
Sean BrunaAgency for Healthcare Research and Quality, Office of the Director, Rockville, MD 20857, USA.ORCID https://orcid.org/0000-0003-1715-6258
Laura L SessumsAgency for Healthcare Research and Quality, Office of the Director, Rockville, MD 20857, USA.ORCID https://orcid.org/0000-0002-1085-3993

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The nation's critically crowded emergency departments have aptly been called "the sentinel canaries in the health care system," given their nexus point between inpatient, ambulatory, perioperative, and long-term care systems. Emergency department boarding-holding or physically keeping a patient in an emergency department after the clinical decision to admit the individual to the hospital-is a critical symptom of overload and breakdown of the more extensive health care delivery system. Despite more than 25 years of incontrovertible scientific evidence that the practice is associated with significant harm, little progress has been made in confronting its structural and economic drivers at a national scale. This article, authored by federal health care leaders, opens the

Indexed as

access blockboardingcapacitycrowdingEmergency department (ED)emergency room (ER)overcrowdingpatient safety

Identifiers

PMID40177470
PMCPMC11963249

What OpenQuestion holds

Textmetadata
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.