title: [Implementation of a new emergency room protocol at a University Medical Center in Germany: basis for improved flow of information, adequate quality management and scientific assessment].
abstract: BACKGROUND
  After analyzing the existing documentation protocol for the emergency room (ER), the department of anesthesiology of the Medical University of Göttingen (UMG) developed a new department-specific ER protocol.
  
  
  OBJECTIVE
  The objective was to improve the flow of patient information from the preclinical situation through the emergency room to the early inpatient period. With this in mind a new emergency protocol was developed that encompasses the very heterogeneic patient collective in the ER as well as forming a basis for quality management and scientific investigation, taking user friendliness and efficiency into consideration.
  
  
  METHODS
  A strategical development of a new emergency room protocol is represented, which was realized using a self-developed 8-step approach. Technical support and realization was carried out using the Scribus 1.4.2 open source desktop and GIMP 2.8.4 GNU image manipulation graphic programs.
  
  
  RESULTS
  The new emergency room protocol was developed based on scientific knowledge and defined targets. The following 13 sections represent the contents of the new protocol: general characteristics, emergency event, initial findings and interventions, vital parameters, injury pattern, vascular access, hemodynamics, hemogram/blood gas analysis (BGA), coagulopathy, diagnostics, emergency interventions, termination of ER treatment and final evaluation.
  
  
  CONCLUSIONS
  The structured and elaborated documentation was limited to the target of two sides and succeeds in incorporating trauma patients as well as non-trauma patients in the ER.
authors.affiliation: Klinik für Anästhesiologie, Zentrum Anaesthesiologie, Rettungs- und Intensivmedizin, Universitätsmedizin Göttingen, Georg-August-Universität, Robert-Koch-Str. 40, 37099, Göttingen, Deutschland, daniel.ross@med.uni-goettingen.de.
authors.forename: D
authors.initials: D
authors.lastname: Ross
authors.forename: J
authors.initials: J
authors.lastname: Hinz
authors.forename: A
authors.initials: A
authors.lastname: Mansur
authors.forename: F
authors.initials: F
authors.lastname: Mielck
authors.forename: M
authors.initials: M
authors.lastname: Roessler
authors.forename: M
authors.initials: M
authors.lastname: Quintel
authors.forename: M
authors.initials: M
authors.lastname: Bauer
mesh_terms: D000046:Academic Medical Centers / Q000458:organization & administration*; D002985:Clinical Protocols; D004282:Documentation; D004636:Emergency Service, Hospital / Q000458:organization & administration*; D005858:Germany; D006801:Humans; D019451:Information Management; D010355:Patient Identification Systems; D011787:Quality of Health Care; D012984:Software; D014947:Wounds and Injuries / Q000628:therapy