M Kulla1, R Röhrig, M Helm, M Bernhard, A Gries, R Lefering, F Walcher. 1. Klinik für Anästhesie und Intensivmedizin - Sektion Notfallmedizin, Bundeswehrkrankhaus Ulm, Oberer Eselsberg 40, 89081, Ulm, Deutschland, mail@kulla.de.
Abstract
BACKGROUND: The Deutsche Interdisziplinäre Vereinigung für Intensivmedizin und Notfallmedizin (DIVI) is divided into sections one of which is the "Sektion Notaufnahmeprotokoll" (emergency department protocol section) founded in 2007. The main task was to create a national data set for the documentation of patients in emergency departments (ED). MATERIAL AND METHODS: In order to create such a data set a careful look was taken at the current state of documentation in many different hospitals throughout Germany. In addition, existing registries and international requirements were also taken into consideration. The content of the dataset "ED documentation" was developed in interdisciplinary and interprofessional expert rounds. RESULTS: The dataset "ED documentation" forms the first basis for documentation in German EDs. The modular data set contains 676 fields and covers all relevant information of the whole clinical process in the ED. Legal issues as well as several aspects for internal and external quality management are also included. For this reason the data of several German quality registries (e.g. TraumaRegister DGU® of the German Society of Trauma Surgery) are part of the data set. Furthermore, the data set forms the basis for several financial and billing aspects. A set of six forms was created in accordance with the developed modular data set. In 2010 the data set was approved by the executive committee of the DIVI. Several German medical associations (e.g. German Association for Emergency Medicine/Deutsche Gesellschaft Interdisziplinäre Notfall- und Akutmedizin, DGINA) recommend its use. Currently 80 hospitals are using the data set. CONCLUSION: Beside the ability to exchange information the presented data set is the basis for internal and external quality assessment in the ED even if most of the available scoring and benchmarking tools are not validated for the German medical system. Implementing an ED register in Germany which is planned in the future, could close this gap.
BACKGROUND: The Deutsche Interdisziplinäre Vereinigung für Intensivmedizin und Notfallmedizin (DIVI) is divided into sections one of which is the "Sektion Notaufnahmeprotokoll" (emergency department protocol section) founded in 2007. The main task was to create a national data set for the documentation of patients in emergency departments (ED). MATERIAL AND METHODS: In order to create such a data set a careful look was taken at the current state of documentation in many different hospitals throughout Germany. In addition, existing registries and international requirements were also taken into consideration. The content of the dataset "ED documentation" was developed in interdisciplinary and interprofessional expert rounds. RESULTS: The dataset "ED documentation" forms the first basis for documentation in German EDs. The modular data set contains 676 fields and covers all relevant information of the whole clinical process in the ED. Legal issues as well as several aspects for internal and external quality management are also included. For this reason the data of several German quality registries (e.g. TraumaRegister DGU® of the German Society of Trauma Surgery) are part of the data set. Furthermore, the data set forms the basis for several financial and billing aspects. A set of six forms was created in accordance with the developed modular data set. In 2010 the data set was approved by the executive committee of the DIVI. Several German medical associations (e.g. German Association for Emergency Medicine/Deutsche Gesellschaft Interdisziplinäre Notfall- und Akutmedizin, DGINA) recommend its use. Currently 80 hospitals are using the data set. CONCLUSION: Beside the ability to exchange information the presented data set is the basis for internal and external quality assessment in the ED even if most of the available scoring and benchmarking tools are not validated for the German medical system. Implementing an ED register in Germany which is planned in the future, could close this gap.
Authors: K Pommerening; D Debling; P Kaatsch; M Blettner Journal: Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz Date: 2008-05 Impact factor: 1.513
Authors: Dominik Brammen; Felix Greiner; Harald Dormann; Carsten Mach; Christian Wrede; Anne Ballaschk; Declan Stewart; Steven Walker; Christine Oesterling; Martin Kulla Journal: Eur J Emerg Med Date: 2018-08 Impact factor: 2.799
Authors: Kai Kehe; Roland Girgensohn; Walter Swoboda; Dan Bieler; Axel Franke; Matthias Helm; Martin Kulla; Kerstin Luepke; Thomas Morwinsky; Markus Blätzinger; Katalyn Rossmann Journal: JMIR Mhealth Uhealth Date: 2019-08-19 Impact factor: 4.773
Authors: Benjamin Lucas; Peter Schladitz; Wiebke Schirrmeister; Gerald Pliske; Felix Walcher; Martin Kulla; Dominik Brammen Journal: BMC Health Serv Res Date: 2019-08-09 Impact factor: 2.655