Lucas Benjamin, Brammen Dominik, Schirrmeister Wiebke, Aleyt Jacob, Kulla Martin, Röhrig Rainer, Walcher Felix
Klinik für Unfallchirurgie, Universitätsklinikum Magdeburg, Leipziger Straße 44, 39120, Magdeburg, Deutschland.
Klinik für Anästhesiologie und Intensivmedizin, Universitätsklinikum Magdeburg, Leipziger Straße 44, 39120, Magdeburg, Deutschland.
Unfallchirurg. 2019 Mar;122(3):243-246. doi: 10.1007/s00113-019-0603-2.
Digitalization and standardization of documentation in medicine are increasingly progressing. In the decision of the Federal Joint Committee (G-BA) for a staged system of emergency structures in hospitals and in the report of the expert committee for development in the healthcare system on needs-oriented guidance of healthcare, the actuality of the topic is underlined with concrete naming of future tasks. The section on emergency admission protocols of the German Interdisciplinary Association of Intensive and Emergency Care Medicine (DIVI) has been working for years on this topic and has repeatedly reported on the progress of the topic in clinical emergency care. Standardization and digitalization represent the foundation for health services research spread across locations as well as the possibility for benchmarking. Digitalization makes the secondary use of primary clinical routine data possible. Digitalization decreases redundancies of data transmission by avoiding manual data input in, for example registers.
医学文档的数字化和标准化进程日益加快。在联邦联合委员会（G-BA）关于医院应急结构分级系统的决定以及医疗保健系统发展专家委员会关于以需求为导向的医疗保健指导的报告中，通过具体列举未来任务强调了该主题的现实意义。德国重症与急救医学跨学科协会（DIVI）的急诊入院协议部分多年来一直致力于该主题，并多次报告临床急诊护理中该主题的进展情况。标准化和数字化是跨地区卫生服务研究的基础，也是进行基准比较的可能性。数字化使临床常规原始数据的二次利用成为可能。数字化通过避免在例如登记簿中进行手动数据输入来减少数据传输的冗余。
