Evidence map›Paper›PMID 41293637›Full record

ArticleJournal of the American College of Emergency Physicians open2025

Documentation of Adverse Social Drivers of Health in US Emergency Departments.

Melanie F Molina, Rebecca E Cash, Janice A Espinola, Krislyn M Boggs, Carlos A Camargo, Margaret E Samuels-Kalow

Abstract read
In one paragraph

Article in Journal of the American College of Emergency Physicians open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Melanie F MolinaDepartment of Emergency Medicine, University of California, San Francisco, California, USA.
Rebecca E CashDepartment of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Janice A EspinolaDepartment of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Krislyn M BoggsDepartment of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Carlos A CamargoDepartment of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Margaret E Samuels-KalowDepartment of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Funding

Using Clinical Decision Support to Provide Social Risk-Informed Care for Opioid Use Disorder in the Emergency DepartmentK23DA060993 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Melanie Frances Molina · 2024 to 2026
$570k
NIDA NIH HHS K23 DA060993NIDA NIH HHS L60 DA061280
6 · The paper itself

Abstract

Objectives: This study aimed to characterize emergency department (ED)-based policies related to documentation of adverse social drivers of health (aSDOH) among a national sample of US EDs. Methods: We conducted a cross-sectional survey of ED leaders from a 5% stratified random sample of US EDs ( Results: Of 232 responding EDs (83% response rate), 213 (93.2%, 95% CI, 89.3-95.7) reported screening for at least 1 risk factor. Among these, 196 (93.8%, 95% CI, 87.9-96.9) had policies requiring documentation of positive screens. Documentation requirements were higher for regulatory requirement-driven screening (84-93.5) compared with core aSDOH screening (56.8-68.9). Clinical providers most commonly documented findings (97.8%, 95% CI, 94.8-99.1), followed by social workers/care coordinators (52.6%, 95% CI, 42.4-62.6). All documentation occurred in the electronic health record. In adjusted analyses, 24/7 social work availability was associated with greater odds of having at least 1 aSDOH documentation policy (odds ratio, 2.86; 95% CI, 1.09-7.52). Conclusion: Although most EDs with screening policies required documentation of positive screens, requirements varied by domain. Future research should focus on standardizing documentation practices and developing systems to effectively translate documented social needs into meaningful interventions.

Identifiers

PMID41293637
PMCPMC12641213

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.