title: [Web-based evidence of treatment capacity. An instrument for optimizing the interface between prehospital and hospital management].
abstract: BACKGROUND
  The outcome of injured patients depends on intrastractural circumstances as well as on the time until clinical treatment begins. A rapid patient allocation can only be achieved occur if informations about the care capacity status of the medical centers are available. Considering this an improvement at the interface prehospital/clinical care seems possible.
  
  
  METHODS
  In 2010 in Frankfurt am Main the announcement of free capacity (positive proof) was converted to a web-based negative proof of interdisciplinary care capacities. So-called closings are indicated in a web portal, recorded centrally and registered at the local health authority and the management of participating hospitals.
  
  
  RESULTS
  Analyses of the allocations to hospitals of all professional disciplines from the years 2009 and 2010 showed an optimized use of the resources. A decline of the allocations by the order from 261 to 0 could be reached by the introduction of the clear care capacity proof system. The health authorities as the regulating body rarely had to intervene (decline from 400 to 7 cases). Surgical care in Frankfurt was guaranteed at any time by one of the large medical centers.
  
  
  CONCLUSIONS
  The web-based care capacity proof system introduced in 2010 does justice to the demand for optimum resource use on-line. Integration of this allocation system into the developing trauma networks can optimize the process for a quick and high quality care of severely injured patients. It opens new approaches to improve allocation of high numbers of casualties in disaster medicine.
authors: Abteilung für Unfallchirurgie und Orthopädische Chirurgie, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, Friedberger Landstraße 430, 60389, Frankfurt/M., Deutschland. uwe.schweigkofler@bgu-frankfurt.de
authors: U
authors: U
authors: Schweigkofler
authors: C
authors: C
authors: Reimertz
authors: T C
authors: TC
authors: Auhuber
authors: H G
authors: HG
authors: Jung
authors: R
authors: R
authors: Gottschalk
authors: R
authors: R
authors: Hoffmann
mesh_terms: D003299:Cooperative Behavior; D004189:Disaster Planning / Q000458:organization & administration*; D004632:Emergency Medical Services / Q000458:organization & administration*; D005858:Germany; D006297:Health Services Accessibility / Q000458:organization & administration*; D006301:Health Services Needs and Demand / Q000458:organization & administration; D006742:Hospital Bed Capacity; D006801:Humans; D033183:Interdisciplinary Communication; D020407:Internet; D009104:Multiple Trauma / Q000601:surgery*; D010348:Patient Care Team / Q000458:organization & administration*; D012984:Software; D014193:Trauma Centers / Q000458:organization & administration*; D014584:User-Computer Interface