{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T17:39:29Z","timestamp":1792604369330,"version":"4.5.0"},"reference-count":16,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T00:00:00Z","timestamp":1792540800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"},{"start":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T00:00:00Z","timestamp":1792540800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Med Klin Intensivmed Notfmed"],"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Hintergrund<\/jats:title>\n                    <jats:p>Beobachtungsstationen sind ein etablierter Bestandteil moderner Notaufnahmen. \u00dcber die zugrunde liegenden Betriebs\u2011, Governance- und Personalkonzepte liegen jedoch nur wenige Daten vor.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ziel der Arbeit<\/jats:title>\n                    <jats:p>Beschreibung und Evaluation des Clinical-Decision-Unit-Modells einer universit\u00e4ren interdisziplin\u00e4ren Notaufnahme.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material und Methoden<\/jats:title>\n                    <jats:p>In einer retrospektiven Kohortenstudie wurden alle erwachsenen nichttraumatologischen PatientInnen des Jahrs 2024 untersucht. Analysiert wurden Organisationsstruktur, Versorgungspfade, Ressourcenbedarf und Behandlungsergebnisse. Eine Simulation sch\u00e4tzte den zus\u00e4tzlichen station\u00e4ren Bettenbedarf ohne Clinical-Decision-Unit-Modell.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>Von 17.001 PatientInnen wurden 10.327 (60,7\u202f%) station\u00e4r im Clinical-Decision-Unit-Modell gef\u00fchrt. Davon konnten 3880 (37,6\u202f%) fallabschlie\u00dfend in der Notaufnahme versorgt werden; 6447 (62,4\u202f%) wurden in eine Fachabteilung \u00fcbernommen. Fallabschlie\u00dfend versorgte PatientInnen verblieben im Median 9,6\u202fh in der Notaufnahme und beanspruchten diagnostische und therapeutische Ressourcen in vergleichbarem Umfang. Im hypothetischen Szenario ohne Clinical-Decision-Unit-Modell h\u00e4tte sich auf den Normalstationen ein zus\u00e4tzlicher Bedarf von 5485 Belegungstagen ergeben; nach Ber\u00fccksichtigung des Bettenbedarfs in der Notaufnahme verblieb eine Nettokapazit\u00e4tsdifferenz von 4191 Belegungstagen bzw. durchschnittlich 11,5 Betten.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Diskussion<\/jats:title>\n                    <jats:p>Ein strukturiertes Clinical-Decision-Unit-Modell kann station\u00e4re Versorgung innerhalb der Notaufnahme abschlie\u00dfen und station\u00e4re Kapazit\u00e4ten schonen. Voraussetzung sind erfahrene interprofessionelle Teams, klare klinische Entscheidungsverantwortung und eine bedarfsgerechte Notfallinfrastruktur.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00063-026-01507-5","type":"journal-article","created":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T16:57:05Z","timestamp":1792601825000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical Decision Unit in der interdisziplin\u00e4ren Notaufnahme\u00a0\u2013 Systemanalyse eines klinischen Entscheidungsmodells zur Steuerung station\u00e4rer Versorgung","Clinical Decision Unit in the emergency department\u2014a\u00a0systems analysis of a\u00a0clinical decision model for hospital admission management"],"prefix":"10.1007","author":[{"given":"Richard","family":"K\u00f6hnke","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linus","family":"Pinkernell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandros","family":"Rovas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"de Goede","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katharina","family":"Dany","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vitali","family":"Jahn-Frank","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophia","family":"M\u00fchlenkamp","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esra","family":"Liebenau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niklas","family":"Menzen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hermann","family":"Pavenst\u00e4dt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel","family":"M\u00f6ddel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antje","family":"Schmidt-Pogoda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Bernhard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9929-0703","authenticated-orcid":false,"given":"Philipp","family":"K\u00fcmpers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,10,21]]},"reference":[{"key":"1507_CR1","unstructured":"Gemeinsamer Bundesausschuss (2018) Beschluss des Gemeinsamen Bundesausschusses \u00fcber die Erstfassung der Regelungen zu einem gestuften System von Notfallstrukturen in Krankenh\u00e4usern gem\u00e4\u00df \u00a7\u00a0136c Absatz\u00a04 SGB\u00a0V."},{"key":"1507_CR2","unstructured":"Gemeinsamer Bundesausschuss (2025) Beschluss \u00fcber eine \u00c4nderung der Regelungen zu einem gestuften System von Notfallstrukturen in Krankenh\u00e4usern gem\u00e4\u00df \u00a7\u00a0136c Absatz\u00a04 SGB\u00a0V vom 20.\u00a0November 2025"},{"key":"1507_CR3","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1007\/s10049-024-01380-9","volume":"27","author":"T Brod","year":"2024","unstructured":"Brod\u00a0T, Bernhard\u00a0M, Blaschke\u00a0S et\u00a0al (2024) Empfehlungen der DGINA und DIVI zur Struktur und Ausstattung von Notaufnahmen 2024. 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