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Angesichts zunehmender sicherheitsrelevanter Bedrohungslagen und klimabedingter Extremereignisse gewinnt ihre praktische Umsetzung weiter an Bedeutung. Eine ad\u00e4quate medizinische Versorgung setzt strukturell und organisatorisch widerstandsf\u00e4hige Gesundheitseinrichtungen voraus, deren baulich-infrastrukturelle Voraussetzungen in Deutschland bislang kaum systematisch untersucht wurden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ziel der Arbeit<\/jats:title>\n                    <jats:p>Analyse des aktuellen Stands baulicher und infrastruktureller Rahmenbedingungen, die die Wirksamkeit und Umsetzbarkeit der KAEP beeinflussen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methoden<\/jats:title>\n                    <jats:p>Vom 24.\u00a0Januar bis zum 21.\u00a0Februar 2025 wurden \u00e4rztliche Leitungen zentraler Notaufnahmen (ZNA) in 1065 deutschen Krankenh\u00e4usern mittels eines standardisierten Fragebogens online interviewt. Die Auswertung erfolgte deskriptiv und stratifiziert nach Versorgungsstufen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>Von 313 R\u00fcckmeldungen (R\u00fccklaufquote 29\u202f%) konnten 246 Frageb\u00f6gen analysiert werden. In 50\u202f% der Einrichtungen fehlten bauliche Schutzma\u00dfnahmen, in 43\u202f% Zugangskontrollen zu kritischen Bereichen. Gesch\u00fctzte Areale f\u00fcr kontaminierte Patienten bestanden in 29\u202f%. Zwar verf\u00fcgten 95\u202f% \u00fcber Konzepte zur Funktionssicherung kritischer Infrastrukturen, jedoch wiesen essenzielle Versorgungsstrukturen nur in 43\u202f% vollst\u00e4ndige Redundanz auf. Lediglich 18\u202f% der Einrichtungen beteiligen sich an der Sanit\u00e4tsmittelbevorratung des Bunds.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Diskussion<\/jats:title>\n                    <jats:p>Die Ergebnisse deuten auf eine erhebliche Diskrepanz zwischen konzeptioneller Vorbereitung und baulich-infrastruktureller Umsetzung der KAEP hin. Zur St\u00e4rkung der Resilienz sind verbindliche Mindeststandards, zweckgebundene Finanzierungsstrukturen sowie regelm\u00e4\u00dfige Schulungen und \u00dcbungen erforderlich, um die Funktionsf\u00e4higkeit von Krankenh\u00e4usern auch unter Krisen- und Katastrophenbedingungen sicherzustellen.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00063-025-01367-5","type":"journal-article","created":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T09:58:51Z","timestamp":1765447131000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Bauliche Resilienz und Robustheit deutscher Krankenh\u00e4user: Ergebnisse einer bundesweiten Befragung zentraler Notaufnahmen","Structural resilience and robustness of German hospitals: results form a\u00a0nationwide survey of emergency departments"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-4202-6801","authenticated-orcid":false,"given":"Alexandra","family":"Ramshorn-Zimmer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Wurmb","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0808-1987","authenticated-orcid":false,"given":"Karl Philipp","family":"Drewitz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1176-161X","authenticated-orcid":false,"given":"Robert","family":"Werdehausen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rupert","family":"Grashey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerhard","family":"Achatz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Axel","family":"Franke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Urban","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felix","family":"Walcher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5088-9931","authenticated-orcid":false,"given":"Torben","family":"Brod","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,12,11]]},"reference":[{"issue":"6","key":"1367_CR1","doi-asserted-by":"publisher","first-page":"516","DOI":"10.1136\/emj.2009.089920","volume":"28","author":"AD Redmond","year":"2011","unstructured":"Redmond\u00a0AD, Li\u00a0J (2011) The UK medical response to the Sichuan earthquake. 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