Trauma network DGU

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The Traumanetzwerk DGU ( spelling : TraumaNetzwerk DGU ) of the German Society for Trauma Surgery (DGU) aims to create nationwide networks between competent institutions for the interdisciplinary care of seriously injured people . The Trauma Network DGU is a registered trademark and consists of individual regional trauma networks.

History of origin

For Germany, the annual number of seriously injured patients ( Injury Severity Score ≥ 16) is around 33,000 to 35,000. In 2006, the German Society for Trauma Surgery (DGU) launched the DGU Trauma Network project to ensure nationwide standardization, ensure the quality of treatment and optimize the treatment of seriously injured patients in Germany.

Facilities

The standards for equipment, organization and quality assurance of interdisciplinary care for the severely injured are described in accordance with scientific evidence in the DGU's “White Book of Care for the Seriously Injured” . The “White Book of Care for the Seriously Injured” was comprehensively revised in 2012.

The cooperating in a regional trauma network hospitals ( nationwide , regional and local trauma centers have to) by certain features ( emergency room , helipad , computed tomography , emergency surgery , intensive care unit , blood bank necessary, etc.) as well as the proven specialist quality and 24-hour availability of expertise in the care of seriously injured people in the relevant areas (including trauma surgery department, emergency room team, etc.). In addition to the quality of structure, results and processes in the care of the seriously injured in each individual clinic, close organizational and professional cooperation between the clinics in a regional trauma network is required (regulation of the transferring and relocation of the seriously injured, joint quality circles, defined communication with emergency services and participants Clinics).

Compliance with the required structural, personnel and equipment quality features is ensured by means of so-called audits (on-site reviews) or re-audits (after 3 years) of the clinics and a final certification of the respective regional trauma network by an independent qualified certification company (DIOcert). The data and information from around 800 (accident) surgical clinics and departments are stored in the data system of the DGU trauma network (as of 2014). As of 2017, 649 clinics from Germany, Austria, Switzerland, the Netherlands, Belgium and Luxembourg are organized in 54 networks. With the exception of a few regions, the Federal Republic is covered by regional trauma networks. All treatment-relevant data from seriously injured patients are collected in the TraumaRegister DGU for scientific evaluation and documentation of the quality of treatment .

Trauma register DGU

The result and quality assessment in trauma network DGU is the trauma registry saved. In a reduced form for quality management, 40 parameters per patient are recorded to map the quality of care (in the original version, significantly more than 200 parameters are recorded for scientific purposes). The data is recorded online. After central evaluation in benchmarking , it is made available online to the individual clinics and trauma networks for advice and optimization of their treatment quality (accessible from the clinic at any time).

Web links

literature

  • CA Kühne, S. Ruchholtz, S. Sauerland, C. Waydhas, D. Nast-Kolb (2004): Personal and structural prerequisites for shock room treatment of multiple trauma patients. A systematic review of the literature. Trauma surgeon 107: pp. 851-861
  • CA Kühne, S. Ruchholtz, C. Buschmann, C. Weber, C. Waydhas, J. Sturm, C. Lackner, B. Bouillon: Initiative Trauma Network of the DGU (2006) Multiple trauma care in Germany - a position assessment. Trauma surgeon 109: pp. 357-366
  • J. Sturm, CA Kühne, S. Ruchholtz (2006): The Trauma Network Trauma Occupational Illness 8. pp. 58–63
  • CA Kühne, S. Ruchholtz, K. Görlinger (2006): The future of multiple trauma care in Germany - considerations for comprehensive optimization. Emergency and intensive care medicine. 1/2006 pp. 8-9
  • S. Ruchholtz (2006): Improvement of accident care through a nationwide network. MedReport 38-5
  • CA Kühne, S. Ruchholtz, H. Siebert (2007): Working Group Implementation White Book / Trauma Network in the DGU - AKUT. The trauma network of the German Society for Trauma Surgery For the establishment, organization and quality assurance of a regional trauma network of the DGU. Trauma surgeon 110: pp. 373-380
  • HR Siebert, S. Ruchholtz: TraumaNetzwerkD DGU project. Trauma occupational disease 2007; 9: pp. 265-270
  • S. Ruchholtz, CA Kühne, J. Sturm: Initiative Trauma Network of the DGU (2007) The implementation of the trauma network - vision and reality. Intensive Care and Emergency Medicine 44: pp. 142–148
  • CA Kühne, S. Ruchholtz, H. Siebert: Working group implementation of white paper / trauma network. TraumaNetzwerkD - the current status. DGU Mitteilungen und Nachrichten 57/2008; Pp. 66-67
  • S. Ruchholtz, R. Lefering, T. Paffrath, HJ Oestern, E. Neugebauer, D. Nast-Kolb, HC Pape, B. ouillon: Decline in trauma death. Results of the trauma register of the German Society for Trauma Surgery. (2008) Deutsches Ärzteblatt ; 105: pp. 225-231
  • CA Kühne, S. Ruchholtz, H. Siebert: Working group for the implementation of the white book / trauma network. Current status of the implementation of the TraumaNetzwerkD of the DGU. Trauma occupational disease 2008; doi : 10.1007 / s10039-008-1419-4 ; Springer Medizin Verlag 2008
  • CA Kühne, RP Zettl, S. Ruchholtz: Selection of the target hospital for trauma. Emergency Rescue Med 2008; 11: pp. 381-385; doi : 10.1007 / s10049-008-1089-6 ; Springer Medizin Verlag 2008
  • S. Ruchholtz: Important steps on the way to comprehensive networking in the care of the seriously injured. Trauma surgeon 2009; 112: p. 217
  • S. Ruchholtz, H. Siebert, CA Kühne: Working group for the implementation of the white book / trauma network. Current status of the implementation of the TraumaNetzwerkD of the DGU. Trauma occupational disease 2009; 11 (Suppl 1): pp. 10-13
  • CA Kühne, S. Ruchholtz, H. Siebert, C. Mand: Working group for the implementation of white paper / trauma network in the DGU. (ACUTE); Ruchholtz S (2009). The Trauma NetworkD of the German Society for Trauma Surgery. 4Rescue 2/2009: pp. 1–8
  • CA Kühne, S. Ruchholtz, H. Siebert: Report on the 1st annual congress of the TraumaNetzwerkD DGU. Trauma surgeon 2009; 112: pp. 820-825
  • CA Kühne, C. Mand, J. Sturm, CK Lackner, A. Künzel, H. Siebert, S. Ruchh: The Trauma Network DGU 2009. In: The trauma surgeon. Volume 112, Number 10, October 2009, pp. 878-884, ISSN  1433-044X . doi : 10.1007 / s00113-009-1604-3 . PMID 19756455 .
  • S. Ruchholtz, R. Lefering, U. Lewan, F. Debus, C. Mand, H. Siebert, CA Kühne: Implementation of a nationwide trauma network for the care of severely injured patients. In: The Journal of Trauma and Acute Care Surgery . Volume 76, Number 6, June 2014, [Epub ahead of print].

Individual evidence

  1. ^ "White Book for Severely Injured Care" (PDF; 247 KB) German Society for Trauma Surgery (Ed.). June 2012. Retrieved May 28, 2014.
  2. ↑ “White Book for Severely Injured Care” on the DGU website
  3. ↑ Information on new developments on the TraumaNetzwerk DGU website
  4. ↑ TraumaRegister DGU