Evidence map›Paper›PMID 42733829›Full record

ArticleJournal of the American College of Emergency Physicians open2026

A Qualitative Needs Assessment for Pediatric Care Partnerships in Community Emergency Departments.

Rajesh K Daftary, Ashley A Foster, Anneka Hooft, Chris Baker, Ryman Crone, Mimi Lu, Sara Malakzay, Inder Narula, Sonny Tat, Shruti Kant

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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.

Rajesh K DaftaryDepartment of Emergency Medicine, University of California, San Francisco, California, USA.
Ashley A FosterDepartment of Emergency Medicine, University of California, San Francisco, California, USA.
Anneka HooftDepartment of Emergency Medicine, University of California, San Francisco, California, USA.
Chris BakerDepartment of Emergency Medicine, University of California, San Francisco, California, USA.
Ryman CroneDepartment of Emergency Medicine, University of California, San Francisco, California, USA.
Mimi LuDepartment of Emergency Medicine, University of California, San Francisco, California, USA.
Sara MalakzayInstitute of Global Health Sciences, University of California, San Francisco, California, USA.
Inder NarulaBenioff Children's Hospital, University of California, San Francisco, California, USA.
Sonny TatDepartment of Emergency Medicine, University of California, San Francisco, California, USA.
Shruti KantDepartment of Emergency Medicine, University of California, San Francisco, California, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Most pediatric emergency care in the United States occurs within community emergency departments (CEDs). CEDs often rely on pediatric academic medical centers (PAMCs) for specialty consultation and care continuation. These collaborations may be conduits for CEDs to enhance delivery of pediatric care. We sought to explore the experiences of CEDs with the provision of pediatric care and their perspectives on ways a PAMC can provide support. Methods: We used phenomenological qualitative techniques to explore lived experiences of health care leaders of CEDs. We purposefully sampled nurse and physician leaders from CEDs with varying pediatric volumes, rural and nonrural designations, and proximity to a PAMC. In semistructured interviews, we explored their experiences of caring for children and views on current and desired PAMC support. We used reflexive thematic analysis to identify themes. Results: We interviewed 15 nurse and 13 physician leaders representing 13 CEDs. Four major themes were identified: (1) existing pediatric infrastructure impacts care, (2) caring for pediatric patients has a unique emotional and psychological impact, (3) increased PAMC support for CEDs is desired, and (4) expedient interfacility transfer is valued, but challenges in execution exist. Participants cited loss of inhouse pediatric-specific support as challenging and desired partnerships with PAMCs to improve care via linkage to subspecialty care, facilitation of timely transfer, and educational support. Conclusion: ED leaders at CEDs value the ability to deliver high-quality pediatric care in their settings but often encounter barriers. PAMCs can enhance partnerships with CEDs and help advance optimal pediatric emergency care delivery in these settings.

Indexed as

childemergency medical servicesethical dilemmaspatient transferpediatric emergency medicinepediatric hospitalsquality improvementrural hospitalstelemedicine

Identifiers

PMID42733829
PMCPMC13571585

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.