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| Name | Class |
|---|---|
| Prof. Erik Popp, MD | UNKNOWN |
| Prof. Markus Ries, MD, PhD, MHSc, MA, FCP, FIBODM | UNKNOWN |
| Janna Küllenberg, PhD | UNKNOWN |
| Kirsten Bikowski |
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There is limited scientific research on the organizational structure of the Hospital Incident Command System. The Hospital Alarm and Emergency Planning manual by the German Federal Office of Civil Protection and Disaster Assistance (BBK) recommends a continental staff system-based organization, as outlined in the Service Regulation DV 100, similar to military, fire, and police structures. This approach is frequently discussed at professional conferences, but evidence on its functionality in hospitals is lacking. This study aims to generate new insights into the use of a continental staff system-based Hospital Incident Command System and qualitatively analyze transition and communication processes within the command structure.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| University Hospital Heidelberg staff eligible for deployment in the hospital incident command system | Only adult employees capable of giving informed consent are included. The study population comprises all University Hospital Heidelberg staff potentially involved in the hospital incident command system. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| No interventions. | Other | This is an observational study with no interventions. |
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| Measure | Description | Time Frame |
|---|---|---|
| Exploration of leadership communication and dynamics during the transition from routine clinical operations to an emergency situation | Assessed through semi-structured interviews based on Grounded Theory, a systematic method for developing theories through the analysis of qualitative data | During the table-top exercise on May 26 and May 27, 2025. |
| Assessment of training and exercise effects within a structured (according to DV-100) hospital incident command system, including challenges, resistance, benefits, subjective participant experiences, potential improvements, and alternatives | Assessed through semi-structured interviews based on Grounded Theory, a systematic method for developing theories through the analysis of qualitative data | During the table-top exercise on May 26 and May 27, 2025. |
| Measure | Description | Time Frame |
|---|---|---|
| Examination of the applicability of the traditional incident command concept in hospitals, considering a workforce largely inexperienced in continental staff system-based work. | Assessed through semi-structured interviews based on Grounded Theory, a systematic method for developing theories through the analysis of qualitative data | During the table-top exercise on May 26 and May 27, 2025. |
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Inclusion Criteria:
Written informed consent from the employee for participation in the second part of the study (semi-structured interview)
Exclusion Criteria:
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The study population comprises all Heidelberg University Hospital staff potentially involved in the hospital incident command system
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Maik von der Forst, MD, MHBA, DESAIC | Contact | +49 6221 56264-60 | Maik.Forst@med.uni-heidelberg.de |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Heidelberg | Recruiting | Heidelberg | Germany |
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| ID | Term |
|---|---|
| D004630 | Emergencies |
| D003142 | Communication |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001519 | Behavior |
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| UNKNOWN |
| Hanne Schäfer, RN, BS, MS | UNKNOWN |
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| Evaluation of participants' operational confidence | Assessed through semi-structured interviews based on Grounded Theory, a systematic method for developing theories through the analysis of qualitative data | During the table-top exercise on May 26 and May 27, 2025. |
| Analysis of communication behaviors within the command functions | Assessed through semi-structured interviews based on Grounded Theory, a systematic method for developing theories through the analysis of qualitative data | During the table-top exercise on May 26 and May 27, 2025. |
| Assessment of the advantages and disadvantages of a structured hospital incident command system | Assessed through semi-structured interviews based on Grounded Theory, a systematic method for developing theories through the analysis of qualitative data | During the table-top exercise on May 26 and May 27, 2025. |