Zentrale Notaufnahme – Update 2016

Abstract

Acute medical care in hospital emergency departments has experienced rapid development in recent years and gained increasing importance not only from a professional medical point of view but also from an economic and health policy perspective. The present article therefore provides an update on the situation of emergency departments in Germany. Care in emergency departments is provided with an increasing tendency to patients of all ages presenting with varying primary symptoms, complaints, illnesses and injury patterns. In the process, patients reach the emergency department by various routes and structural provision. Cross-sectional communication and cooperation, prioritization and organization of emergency management and especially medical staff qualifications increasingly play a decisive role in this process. The range of necessary knowledge and skills far exceeds the scope of prehospital medical emergency care and the working environment differs substantially. In addition to existing structural and economic problems, the latest developments, as well as future proposals for the design of in-hospital emergency medical care in interdisciplinary emergency departments are described.

Patients Attending Emergency Departments

“…However, the number of patients visiting emergency departments has substantially increased in recent years, and this increase seems to be mainly caused by patients not requiring urgent treatment (3)(4)(5)(6)(7)(8). Some authors regard the overcrowding in emergency departments as a problem of patient safety (9), as overcrowded emergency departments are associated with higher mortality, a longer time before medication is given to patients with pneumonia and acute pain, and a larger number of patients leaving emergency departments without having seen a doctor (9)(10)(11).…”

Acil Kliniklerde Çalışan Hemşirelerin Problem Çözme Becerilerinin İncelenmesi

“…Özlem ŞAHİN AKBOĞA 1 In the collection of data was used the personal information form with Problem Solving Inventory. In the evaluation of the data, descriptive statistics and ANOVA test were used.…”

Chronisch Kranke in deutschen Notaufnahmen

“…Aus dem Wunsch vonseiten der Patienten nach sofortiger Verfügbarkeit von komplexer Diagnostik und einer Vielzahl von Spezialisten [1,25,26] ergeben sich besondere Herausforderungen für die Behandler in Notaufnahmen und die Betroffenen selbst [1]. Da die Leitlinien meist an Einzelerkrankungen orientiert sind und in der Notaufnahme häufig Informationen zur Vorgeschichte der Patienten fehlen, können Diagnosestellung und Behandlung bei Patienten mit Mehrfacherkrankungen erschwert sein [2,27].…”