Ursula Hübner
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View article: Trust in Artificial Intelligence in Wound Care: Perspectives of Healthcare Professionals and Patients in Germany
Trust in Artificial Intelligence in Wound Care: Perspectives of Healthcare Professionals and Patients in Germany Open
Artificial intelligence (AI) is increasingly integrated into healthcare, changing processes and structures, and thus the practice of healthcare professionals and potentially the role of patients and the healthcare professional-patient rela…
View article: Can Digital Smart Workflows in a Hospital Free Staff from Documentation and Administrative Work?
Can Digital Smart Workflows in a Hospital Free Staff from Documentation and Administrative Work? Open
This study investigates the impact of implementing smart, digitally supported workflows on administrative efficiency in a large German hospital network through the ScanProCare! project. The primary aim was to assess whether the introductio…
View article: Pathways to Utilisation: Structural Equation Models Comparing Intranet Guidelines and a CDSS
Pathways to Utilisation: Structural Equation Models Comparing Intranet Guidelines and a CDSS Open
The implementation of evidence-based practice continues to pose significant challenges across healthcare settings. This study investigated how factors influencing the use of an intranet folder system (IFS) providing evidence-based guidelin…
View article: Machine learning model to classify chronic leg wounds and identify pyoderma gangrenosum
Machine learning model to classify chronic leg wounds and identify pyoderma gangrenosum Open
Study objectives Chronic wounds represent a significant economic and personal burden. For their successful treatment, the causes must be known and treated. Wounds caused by pyoderma gangrenosum (PG), a rare inflammatory skin disease, are o…
View article: Is the Implementation Research Logic Modell Suitable for Describing the Context and Implementation in a Real World Project for a Patient Portal?
Is the Implementation Research Logic Modell Suitable for Describing the Context and Implementation in a Real World Project for a Patient Portal? Open
The Implementation Research Logic Model (IRLM) visualizes and systematizes the interconnection of determinants, clinical interventions, implementation strategies, mechanisms and outcomes and aims at highlighting the context of complex clin…
View article: Understanding Evidence Based Nursing: Validating the Factor Structure in a Binational Multicentre Study
Understanding Evidence Based Nursing: Validating the Factor Structure in a Binational Multicentre Study Open
A better understanding of evidence-based nursing (EBN), which builds on the principles of evidence-based medicine (EBM), could serve as a good preparation for handling Clinical Decision Support Systems (CDSS) in nursing and improving EBN p…
View article: Research Trends and Focus of Trust in Healthcare-Based AI: A Co-Occurrence Analysis and Modified Scoping Review
Research Trends and Focus of Trust in Healthcare-Based AI: A Co-Occurrence Analysis and Modified Scoping Review Open
Background: As the potential of artificial intelligence (AI) in healthcare (HC) grows, so too does the number of potential risks, which has contributed to the development of regulations at national and international level that specifically…
View article: Diagnostic accuracy differences in detecting wound maceration between humans and artificial intelligence: the role of human expertise revisited
Diagnostic accuracy differences in detecting wound maceration between humans and artificial intelligence: the role of human expertise revisited Open
Objective This study aims to compare the diagnostic abilities of humans in wound image assessment with those of an AI-based model, examine how “expertise” affects clinicians’ diagnostic performance, and investigate the heterogeneity in cli…
View article: IT-Report Healthcare: Measuring the Long Run to Information Continuity Across Settings
IT-Report Healthcare: Measuring the Long Run to Information Continuity Across Settings Open
Background: IT-Report Healthcare has analyzed the digitalization status of German hospitals over years, focusing on IT adoption, process support, and user satisfaction. Objectives: This study aims at presenting the current state of informa…
View article: Chronic Wounds and Employment: Assessing Occupation‐Related Burden of Patients With Chronic Wounds—Results of a Pilot Study
Chronic Wounds and Employment: Assessing Occupation‐Related Burden of Patients With Chronic Wounds—Results of a Pilot Study Open
Chronic wounds can impact the quality of life of working‐age individuals. However, the specific challenges and burdens these patients face in the workplace remain understudied. This study aimed to 1) investigate how chronic wounds affect w…
View article: Concepts and Implementation of Digital Problem-Based Learning in Health- Related Study Programmes: A Scoping Review
Concepts and Implementation of Digital Problem-Based Learning in Health- Related Study Programmes: A Scoping Review Open
Problem-based learning (PBL) is currently a well-established and widely used teaching/learning method that follows a distinct structure, such as a seven-step approach. There is growing interest in providing PBL digitally. This scoping revi…
View article: What Determines the Use of Clinical Decision Support Systems in Nursing? Results of a Multiple Regression Analysis
What Determines the Use of Clinical Decision Support Systems in Nursing? Results of a Multiple Regression Analysis Open
Introduction: In nursing, professionals are expected to base their practice on evidence-based knowledge, however the successful implementation of this knowledge into nursing practice is not always assured. Clinical Decision Support Systems…
View article: Automation Bias in AI-Decision Support: Results from an Empirical Study
Automation Bias in AI-Decision Support: Results from an Empirical Study Open
Introduction: Automation bias poses a significant challenge to the effectiveness of Clinical Decision Support Systems (CDSS), potentially compromising diagnostic accuracy. Previous research highlights trust, self-confidence, and task diffi…
View article: Automatic Classification of Wound Images Showing Healing Complications: Towards an Optimised Approach for Detecting Maceration
Automatic Classification of Wound Images Showing Healing Complications: Towards an Optimised Approach for Detecting Maceration Open
This study aims to advance the field of digital wound care by developing and evaluating convolutional neural network (CNN) architectures for the automatic classification of maceration, a significant wound healing complication, in 458 annot…
View article: Health IT Adoption in German Hospitals: Could We See Any Changes Between 2017 and 2023?
Health IT Adoption in German Hospitals: Could We See Any Changes Between 2017 and 2023? Open
Introduction: Increase in health IT adoption is often driven by financial support through the state. In 2020, the German Hospital Future Law passed Parliament with a schedule to see potential effects in 2023. The research question of the p…
View article: Dimensions of Evidence-Based Practice in Nursing: Results of a Factor Analysis
Dimensions of Evidence-Based Practice in Nursing: Results of a Factor Analysis Open
Clinical decision support systems (CDSS) are capable of bridging evidence and practice. However, it is unclear what dimensions determine evidence-based practice under real world conditions. To answer this question, 126 registered nurses an…
View article: Information in Healthcare – From Data to Knowledge: Improving Data Literacy Competencies
Information in Healthcare – From Data to Knowledge: Improving Data Literacy Competencies Open
Digitalization in healthcare and the increasing availability of data demand data literacy competences of nurses and other healthcare professionals including technical, ethical and communication skills. The international Spring School 2023 …
View article: Recommended target audience, course content and learning arrangements for teaching health informatics competencies: A scoping review
Recommended target audience, course content and learning arrangements for teaching health informatics competencies: A scoping review Open
Background: As healthcare depends on health information technology, there is a growing need for Health Informatics competencies in daily practice. This review aimed to explore how the teaching of education in HI has been arranged. 28 publi…
View article: Discovering the importance of health informatics education competencies in healthcare practice. A focus group interview
Discovering the importance of health informatics education competencies in healthcare practice. A focus group interview Open
Despite working with digital tools daily, there is an urgent need to include health informatics competencies in the education of healthcare professionals. Competencies related to application in direct patient care, IT-background knowledge,…
View article: Differential effects of electronic patient record systems for wound care on hospital-acquired pressure injuries: Findings from a secondary analysis of German hospital data
Differential effects of electronic patient record systems for wound care on hospital-acquired pressure injuries: Findings from a secondary analysis of German hospital data Open
These findings point to a differential effect of system utilization on HAPI ratios depending on hospital ownership, and they demonstrate that those users who are satisfied with the system can act as catalysts for better care. The explained…
View article: Lessons Learned from an Interprofessional European Summer School in Health Informatics
Lessons Learned from an Interprofessional European Summer School in Health Informatics Open
The aim of this European interprofessional Health Informatics (HI) Summer School was (i) to make advanced healthcare students familiar with what HI can offer in terms of knowledge development for patient care and (ii) to give them an idea …
View article: Trust in Digitalization and AI: Findings from a Qualitative Study on Healthcare Professionals in Germany
Trust in Digitalization and AI: Findings from a Qualitative Study on Healthcare Professionals in Germany Open
The acceptance and use of digital technologies depend on the trustworthiness attributed to them. Experts were interviewed about how they assign trust to digital technologies or AI (N=12). The data were analyzed applying the focused qualita…
View article: Adoption and Determinants of Assistive Technologies in the Real World: Results from the VdK Study
Adoption and Determinants of Assistive Technologies in the Real World: Results from the VdK Study Open
Introduction: While there is growing evidence of the benefits of assistive technologies little is known about their adoption under real circumstances and prevalence for everyday use. Objective: The aim of this analysis therefore was (i) to…
View article: Design and Implementation of an ETL-Process to Transfer Wound-Related Data into a Standardized Common Data Model
Design and Implementation of an ETL-Process to Transfer Wound-Related Data into a Standardized Common Data Model Open
For observational studies, which are relevant especially for chronic conditions like chronic wounds, the Observational Medical Outcomes Partnership (OMOP) Common Data Model (CDM) offers a standardized database schema. In this study an ETL …
View article: Predilection sites of pyoderma gangrenosum: Retrospective study of 170 clearly diagnosed patients
Predilection sites of pyoderma gangrenosum: Retrospective study of 170 clearly diagnosed patients Open
Pyoderma gangrenosum (PG) is a non‐infectious, neutrophilic dermatosis that was difficult to diagnose in clinical practice. Today, the PARACELSUS score is a validated tool for diagnostics. Based on this score, patients with clearly diagnos…
View article: The Representation of Trust in Artificial Intelligence Healthcare Research
The Representation of Trust in Artificial Intelligence Healthcare Research Open
Artificial intelligence (AI) tends to emerge as a relevant component of medical care, previously reserved for medical experts. A key factor for the utilization of AI is the user’s trust in the AI itself, respectively the AIt’s decision pro…
View article: How Do User Participation and IT Self-Efficacy Influence User Attitudes Towards Smart Hospital Technology?
How Do User Participation and IT Self-Efficacy Influence User Attitudes Towards Smart Hospital Technology? Open
Smart hospitals aim to advance digitalization to provide better and safer care and increase user satisfaction by minimizing documentation burden. The aim of this study is to investigate the potential impact and its logic of user participat…
View article: Can Synthetic Images Improve CNN Performance in Wound Image Classification?
Can Synthetic Images Improve CNN Performance in Wound Image Classification? Open
For artificial intelligence (AI) based systems to become clinically relevant, they must perform well. Machine Learning (ML) based AI systems require a large amount of labelled training data to achieve this level. In cases of a shortage of …