Regionalisation of trauma care in Germany: the "TraumaNetwork DGU(®)-Project"

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
S RuchholtzH Siebert

Abstract

The care for severely injured patients is a demanding task for all medical professionals involved in both the pre-clinical and the clinical setting. While the overall quality of care in Germany is high, regional differences remain. These are due to geographical and infrastructural variations, as well as different personnel and equipment situations in the hospitals. In September 2006, the white paper 'Treatment of the severely injured' was published by the German Society of Trauma Surgery (DGU). The white paper asks for the improvement of comprehensive care and postulates the foundation of networks between trauma centres: a regional TraumaNetwork (TNW). All hospitals within a TNW are classified as local, regional or supraregional trauma centres by distinct criteria regarding personnel and equipment, as well as admission capacity and responsibility. Furthermore, agreements between the trauma centres and the pre-hospital rescue systems regulate the admission and transfer of patients in a TNW. To date, 878 hospitals are registered in 53 regional TNWs. A total of 511 hospitals have already been audited on-site. Preparing for the audit, 54.4% of the hospitals implemented organisational changes (e.g. inter-disciplinary guidelines), wh...Continue Reading

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Citations

Oct 7, 2014·Injury·Carolina I A Pape-KöhlerRolf Lefering
Oct 7, 2014·Injury·Bertil BouillonJohannes Sturm
Aug 21, 2013·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·S RuchholtzH Siebert
Jun 28, 2016·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·D EschbachB Buecking
Feb 27, 2018·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Koen Van den HeedeMarie Isabel Farfan-Portet
May 24, 2014·The Journal of Trauma and Acute Care Surgery·Steffen RuchholtzChristian A Kühne
Dec 12, 2019·British Journal of Hospital Medicine·Jonathan FrenchNemandra A Sandiford
Mar 30, 2018·Der Unfallchirurg·M EngelhardtC Willy

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