ArticleMedizinische Klinik, Intensivmedizin und Notfallmedizin2022
[AKTIN - The German Emergency Department Data Registry - real-time data from emergency medicine : Implementation and first results from 15 emergency departments with focus on Federal Joint Committee's guidelines on acuity assessment].
Article in Medizinische Klinik, Intensivmedizin und Notfallmedizin, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
27 citing papers in PubMed.
- [Structured triage in the emergency department via intelligent assistant service OPTINOFA : Results of a multicenter, cluster-randomized and controlled interventional study in Germany].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025Trial
- KlimaNot-Effects of Climate Change on Emergency and Acute Care: Protocol for a Multicenter, Registry-Based Observational Cohort Study.JMIR research protocols · 2026Observational
- [Orthopedics and trauma surgery in German emergency departments : Evaluation from the AKTIN emergency department registry].Unfallchirurgie (Heidelberg, Germany) · 2026Article
- [Children and adolescents in German emergency departments : The most common reasons for presentation throughout the day-current insights from the AKTIN emergency department registry].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2026Article
- Impact of government pyrotechnics ban on emergency department usage rates around the turn of the years.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Establishing and validating syndromic surveillance of gastrointestinal infections using routine emergency department data, Germany, 2019-2023.Scientific reports · 2025Article
- Bridging Data Silos in Oncology with Modular Software for Federated Analysis on Fast Healthcare Interoperability Resources: Multisite Implementation Study.Journal of medical Internet research · 2025Article
- [OPTINOFA-Intelligent assistance service for structured assessment in the emergency department].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025Article
- Establishing Syndromic Surveillance of Acute Coronary Syndrome, Myocardial Infarction, and Stroke: Registry Study Based on Routine Data From German Emergency Departments.JMIR public health and surveillance · 2025Article
- Implementation report on pioneering federated data access for the German National Emergency Department Data Registry.NPJ digital medicine · 2025Article
- Low health literacy is associated with patient-clinician discrepancy in the perceived severity of medical emergencies.Frontiers in public health · 2025Observational
- [Possibilities of the utilization of trauma networks of the German Society for Trauma Surgery using digital solutions].Unfallchirurgie (Heidelberg, Germany) · 2024Review
- [FAIR health data in the national and international data space].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2024Article
- The Effects of Displaying the Time Targets of the Manchester Triage System to Emergency Department Personnel: Prospective Crossover Study.Journal of medical Internet research · 2024Article
- [Characteristics of older versus younger emergency patients : Analysis of over 356,000 visits from the AKTIN German emergency department data registry].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2024Article
- [Emergency department visits by nursing home residents: analysis of routine data from an urban hospital].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2023Article
- Towards interoperability in infection control: a standard data model for microbiology.Scientific data · 2023Article
- Identification of low-acuity attendances in routine clinical information documented in German Emergency Departments.BMC emergency medicine · 2023Article
- [Patients treated by general practitioners in a university emergency department before and after implementation of a triage system].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2023Article
- Changes in emergency department utilisation in Germany before and during different phases of the COVID-19 pandemic, using data from a national surveillance system up to June 2021.BMC public health · 2023Article
Corrections and comments
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Authors and funding
16 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEmergency care in Germany is in transition. Emergency departments (EDs) treat their patients based on symptoms and acuity. However, this perspective is not reflected in claims data. The aim of the AKTIN project was to establish an Emergency Department Data Registry as a data privacy-compliant infrastructure for the use of routine medical data.
methodsData from the respective documentation systems are continuously transmitted to local data warehouses using a standardized interface. They are available for several applications such as internal reports but also multicentre studies, in compliance with data privacy regulations. Based on a 12-months period we evaluate the population with focus on acuity assessment (triage) and vital parameters in combination with presenting complaints.
resultsFor the period April 2018 to March 2019, 436,149 cases from 15 EDs were available. A triage level is documented in 86.0% of cases, and 70.5% were triaged within 10 min of arrival. Ten EDs collected a presenting complaint regularly (82.3%). The respective documentation of vital signs shows plausible patterns.
conclusionsThe AKTIN registry provides an almost real-time insight into German EDs, regardless of the primary documentation system and health insurance claims data. The Federal Joint Committee's requirements are largely met. Standardized presenting complaints allow for symptom-based analyses as well as health surveillance.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.