Background <p>Emergency care is increasingly complex and utilized, yet cross-sectoral data infrastructures are lacking to meet the rising quality expectations.</p> Objective <p>Quality management and guideline development in emergency medicine often rely on fragmented data. At the same time, clinical trials are difficult to conduct in emergency settings, resulting in low-level evidence for medical guidelines. Without population-based registries, a&#xa0;systematic assessment of structural, process, and outcome quality across the emergency care pathway is not feasible.</p> Results <p>Legally mandated emergency registries enable the structured collection of relevant organizational and clinical routine data related to emergency events. The resulting registry-based data constitutes a&#xa0;key foundation for quality management and health services research. In the longer term, real-time registries may allow individualized feedback and support continuous improvement.</p> Conclusion <p>Emergency registries represent a&#xa0;necessary infrastructure for a&#xa0;learning emergency care system. They offer the opportunity to continuously improve structural and case-specific quality of care.</p>

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Notfallregister als Instrument einer lernenden Notfallversorgung

  • Matthias Bonigut,
  • Lena Pigat,
  • Michael Städtler,
  • Michael Bayeff-Filloff,
  • Dominik von Stillfried,
  • Ludwig Christian Hinske

摘要

Background

Emergency care is increasingly complex and utilized, yet cross-sectoral data infrastructures are lacking to meet the rising quality expectations.

Objective

Quality management and guideline development in emergency medicine often rely on fragmented data. At the same time, clinical trials are difficult to conduct in emergency settings, resulting in low-level evidence for medical guidelines. Without population-based registries, a systematic assessment of structural, process, and outcome quality across the emergency care pathway is not feasible.

Results

Legally mandated emergency registries enable the structured collection of relevant organizational and clinical routine data related to emergency events. The resulting registry-based data constitutes a key foundation for quality management and health services research. In the longer term, real-time registries may allow individualized feedback and support continuous improvement.

Conclusion

Emergency registries represent a necessary infrastructure for a learning emergency care system. They offer the opportunity to continuously improve structural and case-specific quality of care.