Open research questions in Emergency and Acute Care Studies
469 gap statements mined from Emergency and Acute Care Studies papers in our 7.9M-paper local library, which holds 2,985 papers on the topic — drawn mostly from each paper's own stated research gap, future-work, challenge and limitation notes, and its abstract. The ones listed below are a selection still marked open; each names the study that raised it, with a DOI link where the paper has one.
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What the literature leaves open
5 | Limitations This study was undertaken in one state of Australia, and given that every state and territory government run their health services independently, results may differ outside the study setting.
Future work should focus on multicenter validation to evaluate generalizability across diverse health care systems with varying operational structures. Prospective real-time deployment studies will be essential to characterize the full intervention loop: prediction generation, operational responses, and impact on abandonment rates.
Predicting Call Abandonment in a Health Care Call Center Using Nonpersonal Operational Data: Machine Learning Study · 2026 · DOIThe previously described rule based on a small AUC difference followed by prioritization of sensitivity had not been documented before the original analysis and was therefore not regarded as a prespecified model-selection procedure.
Development and internal validation of triage-stage prediction models for short-term critical outcomes among adult emergency department patients entering observation or hospital-based care: a retrospective study · 2026 · DOIFuture studies should validate these findings in multi-center cohorts, particularly in hospitals with different triage and zone-allocation policies, to assess generalizability. Prospective designs incorporating caregiver interviews, discharge instruction quality, and post-discharge follow-up data could help distinguish potentially preventable returns from those driven by unavoidable disease progression.
Clinical and diagnostic factors associated with 72-h unscheduled return to high-priority pediatric emergency care: a health services retrospective cohort study · 2026 · DOIAlthough whiplash injuries are common and costly, longitudinal data on incidence trends is lacking in recent years, and research on the impact of public health campaigns and global disruptions such as the COVID-19 pandemic is scarce.
Fifteen Years of Emergency Visits for Whiplash Injuries: Impact of COVID-19 and Campaign to Reduce Minor Injury Admission · 2025 · DOIIn the context of COVID-19, available data are inconsistent, one study reported increased weekend mortality, whereas other showed a trend toward reduced mortality.
Weekend Effect and Predictors of Mortality for Patients Presenting to Emergency Department with COVID-19 Infection · 2025 · DOIBecause studies using matched inpatient and outpatient comparators with longitudinal endpoints are scarce, we evaluated the effectiveness, safety, and medical costs of an ED-initiated OPAT program in Taiwan.
Emergency department-initiated outpatient parenteral antimicrobial therapy in Taiwan: A retrospective cohort study on clinical outcomes and cost analysis · 2025 · DOIDespite the small number of articles eligible for this review, there was some limited evidence that appropriate and higher-level training not only improves ED non-conveyance but also increased paramedic competence and confidence in patient assessment and decision making.
Paramedic Education and Training for the Management of Patients Presenting with Low-Acuity Clinical Conditions: A Scoping Review · 2024 · DOIFuture research is needed to investigate more about frequent emergency department users with mental illness or addiction and how to best assist them and the health care systems in which they seek support.
Health Care Service Use Outcomes of a Community Mental Health Program for Frequent Emergency Department Users · 2026 · DOIHowever, the accuracy of these estimates cannot be validated because empirical data on their effects in the Dutch health care system is lacking.
Simulating the impact of preventive strategies for older persons’ emergency care demands on health care utilisation, Amsterdam as Dutch use case · 2026 · DOIThe model has not been tested against external cohorts, and the operating characteristics reported here are likely to differ in institutions with distinct patient case-mix, triage practices, or documentation conventions.
Beyond Vital Signs: A Machine Learning Model Using Comprehensive Triage-Time Data to Detect Undertriage in Emergency Department Patients · 2026 · DOIFew studies have assessed the factors and clinical indicators that predict the need for in-hospital emergency interventions as an outcome.
Early identification of emergency abdominal surgery candidates in the emergency department – a Delphi study · 2026 · DOIAs such, efficacy in higher-acuity patient cohorts, as well as lower priority patients determined not require an ambulance remains to be established.
Machine learning assisted differentiation of low acuity patients at dispatch: The MADLAD randomized controlled trial · 2026 · DOIThe lack of specialized care for oncological patients in general ERs. The need for more data on cancer-related emergency room visits.
Abdominal cancer pain admission in emergency department vs. oncology emergency department · 2025 · DOIFrom the small number of articles identified, there appears to be limited research in this area of paramedic education. While this extra training was clinically focussed, it was still insufficient to influence the non-conveyance rates.
Paramedic Education and Training for the Management of Patients Presenting with Low-Acuity Clinical Conditions: A Scoping Review · 2024 · DOIExisting delivery innovations to reduce ED use are underused, and reasons for this are not understood.
Further research is needed to understand the extent to which emergency diagnoses can be prevented, and whether doing so would improve outcomes for these patients. Further research is needed to understand whether it is possible to diagnose these patients through alternative diagnostic routes, whether doing so would positively impact patient outcomes, and, if so, how these aims could be achieved in practice.
Frequency and prognostic outcomes of emergency diagnosis in 13 non-neoplastic conditions in England: A population-based cohort study using linked electronic health records of 1.7 million patients · 2026 · DOIBy gathering stakeholders' perspectives, findings of this study could help to propose and evaluate suitable PEC interventions and enablers that could be explored in Singapore and similar healthcare systems globally.
Exploring Pre-hospital Emergency Care Challenges and Interventions in Singapore: A Qualitative Environmental Scan · 2026 · DOIAdolescents and young adults (AYAs) with chronic conditions are increasingly surviving into adulthood, yet little is known on their use of pediatric emergency departments (PEDs).
Trends in emergency department utilization by patients with chronic conditions aged 15 and over in a tertiary-care Italian pediatric emergency department (2010–2022) · 2026 · DOIHowever, a robust definition and the characteristics of patients at risk remain unclear.
Identifying Oncology Patients at High Risk for Potentially Preventable Emergency Department Visits Using a Novel Definition · 2024 · DOIThere is limited evidence on whether the presence of an emergency department (ED) that exceeds a certain hospital bed capacity is associated with emergency patient outcomes at the regional level.
Effect of the Presence of Emergency Departments with 300 or More Hospital Beds in Health Service Areas on 30-Day Mortality in Korea: A Nationwide Retrospective Cross-sectional Study · 2024 · DOIFurther research is warranted to optimize emergency processes and outcomes during public health emergencies, as well as examine strategies through multicenter investigations comparing prepandemic to intra-pandemic performance to provide broader insights into challenges and inform efforts to bolster emergency care through future crises.
Comparing Emergency Nursing Measures Before and During COVID-19: A Retrospective Study of Assessment, Triage, and Workflow · 2024 · DOIInvestigating the long-term effects of oncology emergency care on patient outcomes, - Comparing the effectiveness of different models of oncology emergency care, - Examining the cost-effectiveness of oncology emergency…
Abdominal cancer pain admission in emergency department vs. oncology emergency department · 2025 · DOIHowever, no consensus emerged on their relative importance, suggesting that early recognition depends on patterns of multiple symptoms and objective clinical markers, rather than any single factor.
Early identification of emergency abdominal surgery candidates in the emergency department – a Delphi study · 2026 · DOIFuture research could focus on developing and testing nurse-led interventions, such as telephone triage protocols or community-based education programs, to analyze their effectiveness in empowering citizens, making them more aware…
Ambulance Use Appropriateness: Emergency Medical Service Technicians’ and Triage Nurses’ Assessments and Patients’ Perceptions · 2025 · DOI
Most-cited papers in Emergency and Acute Care Studies
- Systematic Review of Emergency Department Crowding: Causes, Effects, and Solutions · Annals of Emergency Medicine · 2008 · 1,248 citations
- Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial · The Lancet · 2005 · 1,068 citations
- Chart Reviews In Emergency Medicine Research: Where Are The Methods? · Annals of Emergency Medicine · 1996 · 883 citations
- Older adults in the emergency department: A systematic review of patterns of use, adverse outcomes, and effectiveness of interventions · Annals of Emergency Medicine · 2002 · 875 citations
- Group inhibition of bystander intervention in emergencies. · Journal of Personality and Social Psychology · 1968 · 820 citations
- Overcrowding in the nation’s emergency departments: Complex causes and disturbing effects · Annals of Emergency Medicine · 2000 · 788 citations
- Error Reduction and Performance Improvement in the Emergency Department through Formal Teamwork Training: Evaluation Results of the MedTeams Project · Health Services Research · 2002 · 759 citations
- Looking Through the Retrospectoscope: Reducing Bias in Emergency Medicine Chart Review Studies · Annals of Emergency Medicine · 2014 · 633 citations
- Effect of Emergency Department Crowding on Outcomes of Admitted Patients · Annals of Emergency Medicine · 2012 · 600 citations
- Older Patients in the Emergency Department: A Review · Annals of Emergency Medicine · 2010 · 525 citations
Most recent work
- Multi-Evidence Clinical Reasoning With Retrieval-Augmented Generation for Emergency Triage: Retrospective Evaluation Study · JMIR Medical Informatics · 2026
- Pediatric Readiness in the Emergency Department: Technical Report · PEDIATRICS · 2026
- Pediatric Readiness in the Emergency Department: Policy Statement · PEDIATRICS · 2026
- Medical patient boarding in the emergency department as a source of crowding and delay-related harm, impacting patient outcomes and the efficiency of urgent and emergency care · Emergency Medicine Journal · 2026
- Association Between Emergency Department Undertriage or Overtriage With Timeliness of Care and Patient Outcomes · Annals of Emergency Medicine · 2026
- The National Pediatric Prehospital Readiness Project: First Comprehensive Assessment of United States Emergency Medical Services Agencies · Annals of Emergency Medicine · 2026
- A Population-Level Evaluation of Emergency General Surgery Models of Care and Clinical Outcomes · JAMA Surgery · 2026
- Strategies for Reducing Access Block and Waiting Time for Patients Seeking Emergency Hospital Care: Results of a Ward‐Level Discrete Event Simulation at Queensland's Largest Public Hospitals · The Medical Journal of Australia · 2026
- Mismatch Between Emergency Physician Follow‐Up Recommendations and Primary Care Visit Attendance Among Older Adults: A Retrospective Cohort Study · Academic Emergency Medicine · 2026
- Frailty Alerts Reduce Waiting Time and Length of Stay in the Emergency Department · Academic Emergency Medicine · 2026
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