ReviewMedizinische Klinik, Intensivmedizin und Notfallmedizin2026
[Recommendations of the DGIIN and DGINA on the structure and staffing of integrated emergency centres].
Review in Medizinische Klinik, Intensivmedizin und Notfallmedizin, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- [Efficiency of streaming and integrated care models for low acuity patients in acute and emergency care-results from a prospective cohort study].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2026Article
Corrections and comments
- Erratum issued
Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The planned introduction of integrated emergency centres (INZ) represents a pivotal decision for the future of emergency care in Germany. The aim is cross-sectoral management of patients, integrating the hospital emergency department as the inpatient sector and the ambulatory on-call medical service. Previous recommendations by DIVI (German Interdisciplinary Association for Intensive and Emergency Medicine) and DGINA (German Society for Emergency Medicine) primarily addressed emergency departments without an integrated on-call practice. With these recommendations, DGIIN (German Society for Internal Medicine Intensive and Emergency Medicine) and DGINA present a concept for the structure, staffing, and quality assurance of INZ. The central element is the central point of assessment as the common point of entry. Using validated instruments, a standardized assessment of urgency is performed there, followed by allocation to the appropriate sector. This requires digital, interoperable documentation and management systems ensuring information flow to the emergency department, the on-call practice, and the 116117 and 112 dispatch centres. The on-call practice within the INZ must cover a broad general medical spectrum, including basic diagnostic equipment (echocardiography [ECG], ultrasound, point-of-care testing [POCT] laboratory), and must be staffed with physicians with clinical experience as well as clearly defined qualification profiles for nursing and administrative staff. For the emergency department within the INZ, the structural requirements of the German Federal Joint Committee (G-BA) apply. In addition, specific nursing qualifications (e.g. emergency nursing, triage) and INZ-adapted staff-to-patient ratios are required. Digital management tools, waiting time management, and central bed management are mandatory in INZ. In these recommendations, DGIIN and DGINA emphasize that INZ must be established as an independent model of care with binding structural and staffing standards in order to ensure safe and efficient emergency care also for resource-intensive "hybrid" cases at the interface between in- and outpatient care.
Indexed as
Identifiers
41504780What OpenQuestion holds
Registered trials
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.