Evidence map›Paper›PMID 42633006›Full record

ArticleJournal of patient experience2026

Patient and Family Experience in the Pediatric Emergency Department: Association With Real-Time Crowding Monitoring and Operational Factors.

Rebecca C Spegele, Adam A Vukovic, Michael C Ponti-Zins, Yin Zhang, Elena Duma, Nathan Timm, Benjamin Kerrey, Kevin M Overmann

Abstract read
In one paragraph

Article in Journal of patient experience, 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

8 authors.

Rebecca C SpegeleCincinnati Children's Hospital Medical Center Residency Training Program, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.ORCID https://orcid.org/0000-0001-5927-9921
Adam A VukovicCincinnati Children's Hospital Medical Center Residency Training Program, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.ORCID https://orcid.org/0000-0003-3499-1642
Michael C Ponti-ZinsCenter for Patient and Family Experience, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Yin ZhangDivision of Emergency Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Elena DumaDivision of Emergency Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Nathan TimmDivision of Emergency Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Benjamin KerreyDivision of Emergency Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Kevin M OvermannDivision of Emergency Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.ORCID https://orcid.org/0000-0002-4822-8018

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Emergency department (ED) crowding is associated with many types of medical errors and mortality. The association of ED crowding and patient and family experience (PFE) is largely unknown. The study objective was to determine the association between crowding in pediatric EDs (PEDs), operational factors, and PFE scores. This was a retrospective analysis of the association between PED crowding (main exposure as measured by PEDOCS, a validated real-time crowding score) and PFE survey scores (main outcome), for 10,876 patient encounters in two PEDs over 18 months. Multivariable regression was used to determine the association of PEDOCS and relevant covariates with PFE. The PEDs were busy but not overcrowded for 83% of encounters. PED crowding was independently associated with worse PFE. Pairwise comparisons showed PEDOCS-measured crowding was independently associated with worse PFE. The greatest reduction in PFE occurred as the PEDs progressed from "busy" to "extremely busy." Covariates including acuity, arrival time, and patient age were also associated with worse PFE scores. Further work to develop targeted interventions using real-time crowding measures may improve PFE in PEDs.

Indexed as

emergency medicinepatient experiencepatient-reported experience measurespediatricswait times

Identifiers

PMID42633006
PMCPMC13498782

What OpenQuestion holds

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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.