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Disaster PlanningKAEPacityNCT07440329

The KAEPacity Study Analyzes Hospital Emergency and Disaster Plans From Hospitals Across Germany to Evaluate How Well Hospitals Are Prepared for Crises and Disasters Organizational Structures Communication Leadership Training Are Examined Within These Plans No Medical Intervention is Performed

An observational study of Disaster Planning and Emergency Medical Services, run by Lea Kölsch at 1 site in Germany.

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Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Hospital Emergency and Disaster Plans (Krankenhausalarm- und Einsatzplan-KAEP) are a central component of hospital preparedness in Germany. Despite national and international recommendations, considerable variability exists in structure, responsibilities, communication pathways, and training concepts across hospitals. Read more about this study

Who is it for?
Any age
How many people
319 participants
Where
1 siteGermany
Study dates
9 Mar 2026to 30 Dec 2026
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: Hospitals in Germany with an existing documented Hospital Emergency and Disaster Plan (KAEP).

Who may be able to join

  • German hospitals with a documented KAEP Institutional consent to provide KAEP documents for analysis

Who cannot join

  • Hospitals declining participation Specialized facilities without emergency or acute care services (e.g., rehabilitation clinics)

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Germany1 site, 1 recruiting
  • Stabsstelle Krisen- und Katastrophenmanagement

    Heidelberg, 69120

    Maik von der Forst, Dr. med., +49 6221-5632939, maik.forst@med.uni-heidelberg.de

    Recruiting

Other trials in Germany

About this study

Official title: KAEPacity - Eine Vergleichende Analyse Der Krankenhausalarm- Und Einsatzpläne (KAEP) Deutscher Krankenhäuser

Hospital Emergency and Disaster Plans (Krankenhausalarm- und Einsatzplan-KAEP) are a central component of hospital preparedness in Germany. Despite national and international recommendations, considerable variability exists in structure, responsibilities, communication pathways, and training concepts across hospitals. This study aims to systematically analyze and compare KAEP documents from German hospitals using a structured qualitative and quantitative document analysis. The goal is to identify strengths, deficits, institutional influencing factors, and best-practice elements to support evidence-based improvements and harmonization of hospital emergency planning.

Read the detailed description

KAEPacity is an observational, mixed-methods, descriptive-comparative document analysis of Hospital Emergency and Disaster Plans (Krankenhausalarm- und -einsatzpläne; KAEP) from hospitals in Germany. The aim is to characterize and compare how hospitals operationalize preparedness for exceptional events (e.g., mass casualty incidents, technical failures, security incidents, pandemics) through their written emergency planning documents, and to derive evidence-informed recommendations for quality improvement and harmonization.

Participating hospitals provide their current KAEP documents (and, if available, related materials such as exercise plans, training concepts, evaluation reports, and "lessons learned" documentation). All received documents are stored in a secure institutional environment and processed confidentially. Prior to analysis, documents are pseudonymized: identifying information about hospitals and individuals is removed as far as feasible, and each hospital is assigned a study code (e.g., KH01). Hospital-level characteristics relevant for comparative analyses (e.g., care level, size category, ownership/management type, region) are recorded in a separate, access-restricted key file and used only for aggregated comparisons.

The analysis is conducted using a structured criteria framework derived from national guidance (including the BBK KAEP handbook) and international recommendations (including the WHO Hospital Emergency Response Checklist), complemented by findings from current hospital preparedness and disaster medicine literature. The framework covers core preparedness domains such as: plan structure and governance, leadership and command arrangements, alerting and activation processes, triage concepts and patient flow organization, internal and external communication pathways, defined hazard scenarios and functional annexes, and training, exercises, evaluation, and plan maintenance.

Qualitative analysis follows a deductive-inductive content analytic approach: an initial codebook is developed from guidelines and established models, and then iteratively refined by adding inductive subcategories when additional recurring themes or organizational patterns emerge from the material. In addition to explicit content, the analysis considers aspects such as role logic, implied assumptions, handling of uncertainty, and indications of preparedness culture as reflected in the documents' structure and language.

To support comparability across hospitals, selected structural and process features are additionally rated on an ordinal 0-5 scale (0 = not present; 1 = insufficient; 2 = partially present; 3 = adequate; 4 = well developed; 5 = fully operationalized). This allows descriptive summaries and stratified comparisons across hospital categories without identifying individual institutions. Where feasible, interrater reliability procedures are implemented (e.g., double-coding of a subset and consensus review) to increase the robustness of coding and ratings.

The study does not involve patient recruitment, clinical interventions, or collection of personal health data. Results will be reported exclusively in aggregated form to prevent identification of individual hospitals. The primary intent is to generate an evidence base on current KAEP practice in Germany and to highlight best-practice elements and development needs that can inform future preparedness guidance, training, and quality assurance initiatives.

Keywords
hospital preparedness, Disaster Preparedness, Healthcare Resilience, Crisis Management

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Maturity of Hospital Emergency Plans

    Overall maturity of hospital emergency and disaster plans assessed using a predefined composite score. The score is calculated by aggregating four predefined domains (structure, operational processes, communication, training/exercises) each rated on a standardized 0-5 ordinal scale. Domain scores are summed to generate a single overall maturity score per hospital.

    Measured: Baseline

  2. Derivation of Practice-Oriented Recommendations

    Identification of strengths, weaknesses, and improvement potential across hospitals.

    Measured: through study completion, an average of 1 year

Secondary outcomes (4)
  1. Institutional Influencing Factors

    Association between KAEP quality and hospital characteristics (care level, size, ownership, region).

    Measured: through study completion, an average of 1 year

  2. Training and Exercise Practices

    Frequency, documentation, and evaluation mechanisms related to KAEP exercises.

    Measured: Baseline

  3. Best-Practice Elements

    Identification of recurring high-quality structural or procedural elements.

    Measured: through study completion, an average of 1 year

  4. Use of Digital or AI-Supported Components

    Exploratory assessment of digital tools referenced in KAEP documents.

    Measured: Baseline

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Feb 2026
  2. Study start9 Mar 2026
  3. Primary completion30 Jul 2026 (estimated)
  4. Study completion30 Dec 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Other
Time perspective
Retrospective
Enrolment
319 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07440329
Sponsor's protocol ID
S-672/2025
Acronym
KAEPacity
Status last verified
Mar 2026
First submitted
28 Jan 2026
Last updated
11 Mar 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Only aggregated, anonymized results will be published. No individual hospital data will be shared.

Publications

  • Mayring, P. (2014). Qualitative content analysis: theoretical foundation, basic procedures and software solution. Social Science Open Access Repository (GESIS - Leibniz Institute for the Social Sciences), 143. http://www.ssoar.info/ssoar/handle/document/39517

  • Wurmb T, Kurz S, Schwarzmann G, Trautner H, Kinstle U, Wagenhauser U, Koch F, Munch M, Meybohm P, Kippnich M. Application of quality indicators and critical lessons learned assessment as a research approach for the evaluation of rescue missions during terrorist attacks. Sci Rep. 2024 Oct 23;14(1):25087. doi: 10.1038/s41598-024-76267-3.

    PubMed 39443574
  • Was sind Kritische Infrastrukturen? (n.d.). Bundesamt Für Sicherheit in Der Informationstechnik. Retrieved November 20, 2025, from https://www.bsi.bund.de/dok/kritis-allgemein

  • Walcher, F., Ramshorn-Zimmer, A., Janssens, U., Hoffmann, F., Werdehausen, R., & Wurmb, T. (2025). 10 Punkte zur Verbesserung der Notfall- und Katastrophenversorgung im deutschen Gesundheitswesen. Notarzt, 41(02), 76-79. https://doi.org/10.1055/a-2549-8964

  • von der Forst M, Popp E, Weigand MA, Neuhaus C. [Special emergency situations and hazard control in German hospitals-A survey on the current state]. Anaesthesiologie. 2023 Nov;72(11):784-790. doi: 10.1007/s00101-023-01349-2. Epub 2023 Oct 19. German.

    PubMed 37855945
  • Von Der Forst, M., Germann, B. J., Schaefer, H., Salg, G. A., Weigand, M. A., Schmitt, F. C., Dietrich, M., Mohr, S., Küllenberg, J., Ries, M., & Popp, E. (2025). Impact of a full-scale mass casualty exercise on hospital staff and implications for future preparedness - A pre-post study. Progress in Disaster Science, 28, 100478. https://doi.org/10.1016/j.pdisas.2025.100478

  • von der Forst M, Dietrich M, Schmitt FCF, Popp E, Ries M. Perennial disaster patterns in Central Europe since 2000 and implications for hospital preparedness planning - a cross-sectional analysis. Sci Rep. 2025 Jan 3;15(1):620. doi: 10.1038/s41598-024-84223-4.

    PubMed 39753701
  • Speicher C, Wurmb T, Schwarzmann G, Zech C, Jansen H, Weismann D, Anger F, Paul M, Munch A, Ohr M, Meybohm P, Kippnich M. [Evaluation of the hospital emergency plan based on an exercise for a mass casualty incident]. Anaesthesiologie. 2024 Dec;73(12):810-818. doi: 10.1007/s00101-024-01475-5. Epub 2024 Oct 21. German.

    PubMed 39433661
  • Sorensen, B. S., Zane, R. D., Wante, B. E., Rao, M. B., Bortolin, M., Brigham and Women's Hospital, Harvard Humanitarian Initiative, Harvard Medical School, Rockenschaub, G., & WHO Regional Office for Europe. (2011). Hospital emergency response checklist. In Hospital emergency response checklist (p. 6). https://www.who.int/docs/default-source/documents/publications/hospital-emergency-response-checklist.pdf

  • Schulz M, Oestmann JW, Schutz T. [Resilience of German clinics in amok and terrorist situations : Results of an online-based survey in German emergency departments]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2023 Oct;66(10):1146-1152. doi: 10.1007/s00103-023-03752-x. Epub 2023 Aug 21. German.

    PubMed 37603134
  • Schorscher N, Kippnich M, Meybohm P, Wurmb T. Lessons learned from terror attacks: thematic priorities and development since 2001-results from a systematic review. Eur J Trauma Emerg Surg. 2022 Aug;48(4):2613-2638. doi: 10.1007/s00068-021-01858-y. Epub 2022 Jan 13.

    PubMed 35024874
  • Rohde, A., Schmidbauer, W., Didion, N., Ritter, D., Demare, T., & Jänig, C. (2024). Medizinische Herausforderungen in der Starkregenkatastrophe im Ahrtal 2021. Notfall + Rettungsmedizin, 28(1), 1-8. https://doi.org/10.1007/s10049-024-01428-w

  • Ramshorn-Zimmer, A., Wurmb, T., Walcher, F., Werdehausen, R., Grashey, R., Drewitz, K., & Brod, T. (2025). Status quo der Krankenhausalarm- und -einsatzplanung in Deutschland. Notfall + Rettungsmedizin, 28(5), 344-351. https://doi.org/10.1007/s10049-025-01578-5

  • Künstliche Intelligenz im Krankenhaus - Fraunhofer IAIS. (n.d.). Fraunhofer-Institut Für Intelligente Analyse- Und Informationssysteme IAIS. https://www.iais.fraunhofer.de/de/publikationen/studien/2020/lotte.html

  • Imach S, Lefering R, Kolbel B, Wolf M, Hackenberg L, Bieler D. [Utilization of registers to create an evidence-based approach in catastrophes and civil defence]. Unfallchirurgie (Heidelb). 2024 Dec;127(12):855-860. doi: 10.1007/s00113-024-01487-1. Epub 2024 Oct 11. German.

    PubMed 39392474

Questions about this trial

What is this clinical trial studying?

An observational study of Disaster Planning and Emergency Medical Services, run by Lea Kölsch at 1 site in Germany.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 11 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Germany. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Maik von der Forst, Dr. med. (+49 6221-5632939, maik.forst@med.uni-heidelberg.de), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Maturity of Hospital Emergency Plans (time frame: Baseline). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07440329, which also lists 19 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Mar 2026.

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