A Google Maps-based approach identifies emergency departments, reducing sampling bias in rural and community areas.
Hospital mergers, closures, and rebranding in the United States make it difficult to maintain an accurate national list of emergency departments (EDs). 1 Without a public registry, researchers must rely on private sources such as the National Emergency Department Inventory (NEDI), which is comprehensive but pay-walled, or inconsistent state-level lists. 2 , 3 This absence of a unified, up-to-date database increases the risk of biased sampling, particularly for rural, community, and lower-volume EDs. 4
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Shaughnessy et al. (2026) studied this question.
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