DV 100 as a Framework for the Hospital Incident Command System

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorUniversity Hospital Heidelberg

About this trial

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.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Participation in at least one hospital incident command system (ICS) training and, if applicable, in a ICS exercise.

Disqualifiers

Decline of study participation

Trial population

The study population comprises all Heidelberg University Hospital staff potentially involved in the hospital incident command system

Trial design

Design model

Cohort

Time perspective

Cross-sectional

Treatments tested in this trial

  • No interventions.

    Other intervention

    This is an observational study with no interventions.

Treatment groups

20 Participants
are divided into 1 treatment group
Group A: University Hospital Heidelberg staff eligible for deployment in the hospital incident command system1 intervention

Trial outcomes

Primary outcomes

1

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

Time frame
During the table-top exercise on May 26 and May 27, 2025.
2

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

Time frame
During the table-top exercise on May 26 and May 27, 2025.

Secondary outcomes

1

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

Time frame
During the table-top exercise on May 26 and May 27, 2025.
2

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

Time frame
During the table-top exercise on May 26 and May 27, 2025.
3

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

Time frame
During the table-top exercise on May 26 and May 27, 2025.
4

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

Time frame
During the table-top exercise on May 26 and May 27, 2025.

Other outcomes

Sponsors and contacts

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University Hospital Heidelberg

Lead sponsor

Prof. Erik Popp, MD

Collaborator

Prof. Markus Ries, MD, PhD, MHSc, MA, FCP, FIBODM

Collaborator

Janna Küllenberg, PhD

Collaborator

Kirsten Bikowski

Collaborator

Hanne Schäfer, RN, BS, MS

Collaborator