title: [Concept of an interdisciplinary emergency department at the Schwarzwald-Baar Hospital].
abstract: BACKGROUND
  Numerous hospitals were combined years ago into a new Central Hospital for cost reasons in the Schwarzwald-Baar region. This also suggested the idea of a large central emergency department. The concept of a central emergency department is an organizational challenge, since they are directly engaged in the organizational structure of all medical departments that are involved in emergency treatment. Such a concept can only be enforced if it is supported by hospital management and all parties are willing to accept interdisciplinary and interprofessional work.
  
  
  OBJECTIVE
  In this paper, the concept of a central emergency department in a tertiary care hospital which was rebuilt as an organizationally independent unit is described. Collaborations with various departments, emergency services, and local physicians are highlighted. The processes of a central emergency department with an integrated admission department and personnel structures are described.
  
  
  CONCLUSIONS
  The analysis of the concept after almost a year has shown that the integration into the clinic has been successful, the central emergency department has proven itself as a central hub and has been accepted as a unit within the hospital.
authors.affiliation: Zentrale Notaufnahme, Schwarzwald-Baar Klinikum GmbH, Klinikstr. 11, 78052, Villingen-Schwenningen, Deutschland, bernhard.kumle@sbk-vs.de.
authors.forename: B
authors.initials: B
authors.lastname: Kumle
authors.forename: S
authors.initials: S
authors.lastname: Merz
authors.forename: M
authors.initials: M
authors.lastname: Geiger
authors.forename: K
authors.initials: K
authors.lastname: Kugel
authors.forename: U
authors.initials: U
authors.lastname: Fink
mesh_terms: D002497:Centralized Hospital Services / Q000191:economics / Q000458:organization & administration*; D017046:Cost Savings; D004636:Emergency Service, Hospital / Q000191:economics / Q000458:organization & administration*; D005858:Germany; D006801:Humans; D017146:Models, Organizational; D009313:National Health Programs / Q000191:economics; D010343:Patient Admission / Q000191:economics; D010348:Patient Care Team / Q000191:economics / Q000458:organization & administration*; D062606:Tertiary Care Centers / Q000191:economics / Q000458:organization & administration*