Blaschke Sabine, Müller Gerhard A, Bergmann Günther
Interdisziplinären Notaufnahmeder Universitätsmedizin Göttingen.
Anasthesiol Intensivmed Notfallmed Schmerzther. 2008 Apr;43(4):314-7. doi: 10.1055/s-2008-1076615.
Configuration of the interdisciplinary emergency unit within the university clinic of Göttingen was successfully reorganized during the past two years. All emergencies except traumatologic, gynecologic and pediatric emergencies are treated within this functional unit which is guided by the center of internal medicine. It is organized in a three shift operation manner over a period of 24 hours. Due to a close interdisciplinary collaboration between different departments patients receive optimal diagnostic and therapeutic treatment within a short period of time. To improve processes within the emergency department a series of measures were taken including the -establishment of an intermediate care unit for unstable patients, setting up of special diagnostic and therapeutic units for the acute coronary syndrome as well as stroke, implementation of standardized clinical pathways, establishment of an electronic data processing network in close communication with all diagnostic entities, introduction of a quality assurance system and reduction of medical costs. Reorganization measures lead to a substantial optimization and acceleration of emergency proceedings and thus, provides optimal patient care around the clock. In addition, medical costs could clearly be reduced at the interface between preclinical and clinical emergency medicine.
在过去两年中，哥廷根大学诊所内的跨学科急诊单元配置成功进行了重组。除创伤、妇科和儿科急诊外，所有急诊均在这个以内科中心为导向的功能单元中进行治疗。它以三班倒的方式运行24小时。由于不同科室之间密切的跨学科合作，患者能够在短时间内获得最佳的诊断和治疗。为改善急诊科的流程，采取了一系列措施，包括为不稳定患者设立中间护理单元、为急性冠状动脉综合征和中风设立特殊诊断和治疗单元、实施标准化临床路径、建立与所有诊断实体紧密通信的电子数据处理网络、引入质量保证系统以及降低医疗成本。重组措施显著优化并加速了急诊流程，从而全天候提供最佳的患者护理。此外，在临床前和临床急诊医学的衔接处，医疗成本也能明显降低。
