Evidence map›Paper›PMID 41847352›Full record

ArticleJournal of the American College of Emergency Physicians open2026

State of the Art: Observation Units in the Emergency Department, an Interim Practice Update and Policy Review.

Christopher Caspers, Mallika Singh, Christopher W Baugh, Lauren T Southerland, Jason J Bischof, Andrew Weinberger, Hardeep Singh, George B Hughes, Matthew Wheatley, Michael A Ross

Abstract read
In one paragraph

Article in Journal of the American College of Emergency Physicians open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Christopher CaspersDepartment of Emergency Medicine, New York University Grossman Long Island School of Medicine, Mineola, New York, USA.
Mallika SinghDepartment of Emergency Medicine, Jamaica Hospital Medical Center, Richmond Hill, New York, USA.
Christopher W BaughDepartment of Emergency Medicine, Harvard Medical School, Boston, Massachusetts, USA.
Lauren T SoutherlandDepartment of Emergency Medicine, The Ohio State University College of Medicine, Columbus, Ohio, USA.
Jason J BischofDepartment of Emergency Medicine, The Ohio State University College of Medicine, Columbus, Ohio, USA.
Andrew WeinbergerDepartment of Emergency Medicine, New York University Grossman Long Island School of Medicine, Mineola, New York, USA.
Hardeep SinghDepartment of Emergency Medicine, New York University Grossman Long Island School of Medicine, Mineola, New York, USA.
George B HughesDepartment of Emergency Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Matthew WheatleyDepartment of Emergency Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Michael A RossDepartment of Emergency Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.

Funding

Implementation of Multidisciplinary Assessments for Geriatric Patients in an ED Observation Unit (IMAGE)K23AG061284 · NIA · OHIO STATE UNIVERSITY · PI SOUTHERLAND, LAUREN T. · 2019 to 2023
$832k
NIA NIH HHS K23 AG061284
6 · The paper itself

Abstract

Emergency department observation units (EDOUs) provide an essential model of care to address emergency department crowding, preventable hospital admissions, and rising health-care costs through protocol-driven, short-term management of patients requiring further evaluation or treatment. This interim update to the 2013 American College of Emergency Physicians Policy Resource and Education Paper reviews the current state of observation medicine, highlighting structural and staffing principles, professional billing models, and evolving applications across diverse clinical conditions, including geriatrics, toxicology, psychiatry, oncology, and chest pain. Recent developments in telehealth integration, pandemic surge response, and novel clinical pathways underscore the adaptability and high-value role of observation units within modern emergency care. By consolidating evidence-based practices and policy considerations, this paper emphasizes the continued importance of EDOUs in improving efficiency, outcomes, and cost-effectiveness while outlining key directions for future research and implementation.

Identifiers

PMID41847352
PMCPMC12990362

What OpenQuestion holds

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Registered trials

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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.