Scholarlink

<p>The planned introduction of integrated emergency centres (INZ) represents a&#xa0;pivotal decision for the future of emergency care in Germany. The aim is cross-sectoral management of patients, integrating the hospital emergency department as the inpatient sector and the ambulatory on-call medical service. Previous recommendations by DIVI (German Interdisciplinary Association for Intensive and Emergency Medicine) and DGINA (German Society for Emergency Medicine) primarily addressed emergency departments without an integrated on-call practice. With these recommendations, DGIIN (German Society for Internal Medicine Intensive and Emergency Medicine) and DGINA present a&#xa0;concept for the structure, staffing, and quality assurance of INZ. The central element is the central point of assessment as the common point of entry. Using validated instruments, a&#xa0;standardized assessment of urgency is performed there, followed by allocation to the appropriate sector. This requires digital, interoperable documentation and management systems ensuring information flow to the emergency department, the on-call practice, and the&#xa0;116117 and 112 dispatch centres. The on-call practice within the INZ must cover a&#xa0;broad general medical spectrum, including basic diagnostic equipment (echocardiography [ECG], ultrasound, point-of-care testing [POCT] laboratory), and must be staffed with physicians with clinical experience as well as clearly defined qualification profiles for nursing and administrative staff. For the emergency department within the INZ, the structural requirements of the German Federal Joint Committee (G-BA) apply. In addition, specific nursing qualifications (e.g. emergency nursing, triage) and INZ-adapted staff-to-patient ratios are required. Digital management tools, waiting time management, and central bed management are mandatory in INZ. In these recommendations, DGIIN and DGINA emphasize that INZ must be established as an independent model of care with binding structural and staffing standards in order to ensure safe and efficient emergency care also for resource-intensive “hybrid” cases at the interface between in- and outpatient care.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Empfehlungen der DGIIN und DGINA zur Struktur und personellen Ausstattung integrierter Notfallzentren

  • 期刊论文

  • 发表日期：

    2026年1月8日

查看全文
  • Hans-Jörg Busch,
  • Felix P. Hans,
  • Martin Pin,
  • Patrick Dormann,
  • Christian Wrede,
  • Domagoj Schunk,
  • Torben Brod,
  • Martin Möckel,
  • Guido Michels,
  • Carsten Hermes,
  • Jonas Augustinski,
  • Dominik Gottlieb,
  • Sebastian Wolfrum

摘要

The planned introduction of integrated emergency centres (INZ) represents a pivotal decision for the future of emergency care in Germany. The aim is cross-sectoral management of patients, integrating the hospital emergency department as the inpatient sector and the ambulatory on-call medical service. Previous recommendations by DIVI (German Interdisciplinary Association for Intensive and Emergency Medicine) and DGINA (German Society for Emergency Medicine) primarily addressed emergency departments without an integrated on-call practice. With these recommendations, DGIIN (German Society for Internal Medicine Intensive and Emergency Medicine) and DGINA present a concept for the structure, staffing, and quality assurance of INZ. The central element is the central point of assessment as the common point of entry. Using validated instruments, a standardized assessment of urgency is performed there, followed by allocation to the appropriate sector. This requires digital, interoperable documentation and management systems ensuring information flow to the emergency department, the on-call practice, and the 116117 and 112 dispatch centres. The on-call practice within the INZ must cover a broad general medical spectrum, including basic diagnostic equipment (echocardiography [ECG], ultrasound, point-of-care testing [POCT] laboratory), and must be staffed with physicians with clinical experience as well as clearly defined qualification profiles for nursing and administrative staff. For the emergency department within the INZ, the structural requirements of the German Federal Joint Committee (G-BA) apply. In addition, specific nursing qualifications (e.g. emergency nursing, triage) and INZ-adapted staff-to-patient ratios are required. Digital management tools, waiting time management, and central bed management are mandatory in INZ. In these recommendations, DGIIN and DGINA emphasize that INZ must be established as an independent model of care with binding structural and staffing standards in order to ensure safe and efficient emergency care also for resource-intensive “hybrid” cases at the interface between in- and outpatient care.