„SAve Projekt: sektorenübergreifende Akutversorgung in Schleswig-Holstein“

Nationwide, there has been an increase in the number of rescue service operations for years. While there is sometimes an emotional discussion about the number of dispatches for supposedly “minor” emergencies, the general existence of requests for help in the area between outpatient and rescue service care is largely undisputed. In cooperation with the “Kassenärztliche Vereinigung Schleswig-Holstein” (KVSH), the “Zentralinstitut für die kassenärztliche Versorgung” (Zi) and the “Rettungsdienst-Kooperation in Schleswig-Holstein” (RKiSH) gGmbH, a pilot project was designed and implemented in which the initial assessment software SmED-Kontakt is used in ambulances. Specially trained emergency paramedics will use the medical device SmED-Kontakt if, on the basis of the standardised patient assessment at the scene, there are indications that transport to a hospital is highly unlikely to be indicated. With the help of the software, the decision to forego transport by the rescue service is additionally validated and documented, suitable care level and time of care are determined and a concrete outpatient follow-up care is initiated. The use of SmED-Kontakt by ambulance services is one building block to adequately counter the increasing frequency of low-need medical incidents by bringing possibly misdirected patients to the outpatient sector in a concrete and barrier-free manner.