title: [Interdisciplinary emergency room - key to success?].
abstract: In Germany, which is also faced with a scarcity of resources, the concept of central, interdisciplinary emergency rooms ("Zentrale Notfallaufnahme", ZNA) is being developed as an answer to the complex demands of modern emergency medicine with increasing numbers of patients and complexity of the medical conditions. This autonomous institution is the first point of contact for all emergency patients. The central tasks of the ZNA are triage and the interdisciplinary primary treatment of patients. The establishment of the ZNA includes specific facilities (treatment rooms, short stay units, resuscitation rooms, triage and management areas, integration of the premises on site) as well as specific processes (triage systems, specific standard operating procedures) and training for the staff (European Curriculum for Emergency Medicine). It could be shown that by establishing a ZNA along with all its structures the satisfaction of the patients (including shorter waiting times), resource management (intensive care capacity), and patient outcome could be significantly improved.
authors.affiliation: Innere Medizin, Universitätsspital Basel, Basel, Schweiz.
authors.forename: M
authors.initials: M
authors.lastname: Kirsch
authors.forename: P
authors.initials: P
authors.lastname: Zahn
authors.forename: D
authors.initials: D
authors.lastname: Happel
authors.forename: A
authors.initials: A
authors.lastname: Gries
mesh_terms: D003299:Cooperative Behavior; D003422:Critical Care / Q000458:organization & administration; D004632:Emergency Medical Services / Q000458:organization & administration*; D004636:Emergency Service, Hospital / Q000458:organization & administration*; D005858:Germany; D006801:Humans; D033183:Interdisciplinary Communication; D007902:Length of Stay; D017060:Patient Satisfaction; D012151:Resuscitation; D014218:Triage / Q000458:organization & administration
references.citation: Lancet. 2008 Aug 23;372(9639):685-7
references.pmid: 18722872
references.citation: Chirurg. 2011 Apr;82(4):342-7
references.pmid: 21424293
references.citation: Acad Emerg Med. 2010 Mar;17(3):284-92
references.pmid: 20370761
references.citation: Anasthesiol Intensivmed Notfallmed Schmerzther. 2010 Jun;45(6):400-6
references.pmid: 20539967
references.citation: Emerg Med J. 2012 Mar;29(3):208-12
references.pmid: 21415251
references.citation: Resuscitation. 2007 Jun;73(3):362-73
references.pmid: 17287064
references.citation: Dtsch Arztebl Int. 2010 Dec;107(50):892-8
references.pmid: 21246025
references.citation: Ann Emerg Med. 2006 Sep;48(3):260-9, 269.e1-4
references.pmid: 16934647
references.citation: Ann Emerg Med. 2008 Nov;52(5):497-501
references.pmid: 18353505
references.citation: Int J Emerg Med. 2008 Dec;1(4):273-7
references.pmid: 19384642
references.citation: Anasthesiol Intensivmed Notfallmed Schmerzther. 2009 Jun;44(6):454-9
references.pmid: 19526451
references.citation: Chirurg. 2011 Apr;82(4):326-33
references.pmid: 21424296
references.citation: Chirurg. 2005 Oct;76(10):959-66
references.pmid: 16021393
references.citation: Anasthesiol Intensivmed Notfallmed Schmerzther. 2010 Oct;45(10):666-71
references.pmid: 20960371
references.citation: Dtsch Arztebl Int. 2010 Apr;107(15):261-7
references.pmid: 20458367
references.citation: Eur J Emerg Med. 2009 Jun;16(3):113-4
references.pmid: 19417572
references.citation: Circulation. 2007 Jul 3;116(1):67-76
references.pmid: 17562960
references.citation: Swiss Med Wkly. 2010 Sep 24;140:w13085
references.pmid: 20927684
references.citation: Anaesthesist. 2011 Jan;60(1):71-8
references.pmid: 21184036
references.citation: Chest. 2005 Jun;127(6):2180-7
references.pmid: 15947335
references.citation: Ann Emerg Med. 2011 Feb;57(2):79-88.e1
references.pmid: 21251521
references.citation: Dtsch Arztebl Int. 2010 Apr;107(15):268-75
references.pmid: 20458368
references.citation: Acad Emerg Med. 2011 Dec;18(12):1358-70
references.pmid: 22168200
references.citation: JAMA. 2008 Feb 20;299(7):785-92
references.pmid: 18285590
references.citation: Curr Opin Anaesthesiol. 2008 Apr;21(2):128-40
references.pmid: 18443478