[Challenges of implementing a geriatric trauma network : A regional structure]. / Herausforderung der Implementierung eines Alterstraumanetzwerks : Ein standortübergreifendes Verbundsystem.
Unfallchirurg
; 121(4): 313-320, 2018 Apr.
Article
in De
| MEDLINE
| ID: mdl-28717977
ABSTRACT
BACKGROUND:
At present, there is a high percentage and increasing tendency of patients presenting with orthogeriatric injuries. Moreover, significant comorbidities often exist, requiring increased interdisciplinary treatment. These developments have led the German Society of Trauma Surgery, in cooperation with the German Society of Geriatrics, to establish geriatric trauma centers.METHODS:
As a conglomerate hospital at two locations, we are cooperating with two external geriatric clinics. In 2015, a geriatric trauma center certification in the form of a conglomerate network structure was agreed upon for the first time in Germany. For this purpose, the requirements for certification were observed. Both structure and organization were defined in a manual according to DIN EN ISO 90012015.RESULTS:
Between 2008 and 2016, an increase of 70% was seen in geriatric trauma cases in our hospital, with a rise of up to 360% in specific diagnoses. The necessary standards and regulations were compiled and evaluated from our hospitals. After successful certification, improvements were necessary, followed by a planned re-audit. These were prepared by multiprofessional interdisciplinary teams and implemented at all locations.CONCLUSIONS:
A network structure can be an alternative to classical cooperation between trauma and geriatric units in one clinic and help reduce possible staffing shortage. Due to the lack of scientific evidence, future evaluations of the geriatric trauma register should reveal whether network structures in geriatric trauma surgery lead to a valid improvement in medical care.Key words
Full text:
1
Database:
MEDLINE
Main subject:
Regional Medical Programs
/
Trauma Centers
/
Intersectoral Collaboration
/
Orthopedic Procedures
/
Interdisciplinary Communication
/
Geriatrics
/
Health Plan Implementation
Type of study:
Guideline
/
Sysrev_observational_studies
Limits:
Aged
/
Humans
Country/Region as subject:
Europa
Language:
De
Year:
2018
Type:
Article