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Updated: Aug 1, 2026

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
[Concept of an interdisciplinary emergency department at the Schwarzwald-Baar Hospital]
1Zentrale Notaufnahme, Schwarzwald-Baar Klinikum GmbH, Klinikstr. 11, 78052, Villingen-Schwenningen, Deutschland, bernhard.kumle@sbk-vs.de.
Insights
The successful implementation of a central emergency department (CED) in a tertiary care hospital demonstrates its value as an organizational hub. This model fosters interdisciplinary collaboration and improves emergency care delivery.
Area of Science:
- Healthcare Management
- Emergency Medicine Organization
Context:
- Merger of hospitals into a Central Hospital in the Schwarzwald-Baar region necessitated organizational changes.
- The establishment of a central emergency department (CED) was proposed to streamline emergency care.
- Implementing a CED presents organizational challenges due to its integration with multiple medical departments.
Purpose:
- To describe the concept of a central emergency department (CED) as an organizationally independent unit in a tertiary care hospital.
- To highlight collaborations with various hospital departments, emergency services, and local physicians.
- To detail the operational processes, integrated admission department, and personnel structures of the CED.
Summary:
- A central emergency department (CED) was established as an organizationally independent unit within a tertiary care hospital.
- The CED successfully integrated various departments, emergency services, and local physicians.
- Operational processes, admission, and personnel structures were specifically designed for the CED.
Impact:
- After nearly a year, the CED integration into the clinic has been successful.
- The CED has proven effective as a central hub for emergency care.
- The CED has been widely accepted as a distinct and valuable unit within the hospital.
Background:
Numerous hospitals were combined years ago into a new Central Hospital for cost reasons in the Schwarzwald-Baar region. This also suggested the idea of a large central emergency department. The concept of a central emergency department is an organizational challenge, since they are directly engaged in the organizational structure of all medical departments that are involved in emergency treatment. Such a concept can only be enforced if it is supported by hospital management and all parties are willing to accept interdisciplinary and interprofessional work.
Objective:
In this paper, the concept of a central emergency department in a tertiary care hospital which was rebuilt as an organizationally independent unit is described. Collaborations with various departments, emergency services, and local physicians are highlighted. The processes of a central emergency department with an integrated admission department and personnel structures are described.
Conclusion:
The analysis of the concept after almost a year has shown that the integration into the clinic has been successful, the central emergency department has proven itself as a central hub and has been accepted as a unit within the hospital.
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