TY  - JOUR
A1  - Teipel, Stefan
A1  - Heine, Christina
A1  - Hein, Albert
A1  - Krüger, Frank
A1  - Kutschke, Andreas
A1  - Kernebeck, Sven
A1  - Halek, Margareta
A1  - Bader, Sebastian
A1  - Kirste, Thomas
T1  - Multidimensional assessment of challenging behaviors in advanced stages of dementia in nursing homes—The insideDEM framework
JF  - Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring
N2  - IntroductionAssessment of challenging behaviors in dementia is important for intervention selection. Here, we describe the technical and experimental setup and the feasibility of long-term multidimensional behavior assessment of people with dementia living in nursing homes.MethodsWe conducted 4 weeks of multimodal sensor assessment together with real-time observation of 17 residents with moderate to very severe dementia in two nursing care units. Nursing staff received extensive training on device handling and measurement procedures. Behavior of a subsample of eight participants was further recorded by videotaping during 4 weeks during day hours. Sensors were mounted on the participants' wrist and ankle and measured motion, rotation, as well as surrounding loudness level, light level, and air pressure.ResultsParticipants were in moderate to severe stages of dementia. Almost 100% of participants exhibited relevant levels of challenging behaviors. Automated quality control detected 155 potential issues. But only 11% of the recordings have been influenced by noncompliance of the participants. Qualitative debriefing of staff members suggested that implementation of the technology and observation platform in the routine procedures of the nursing home units was feasible and identified a range of user- and hardware-related implementation and handling challenges.DiscussionOur results indicate that high-quality behavior data from real-world environments can be made available for the development of intelligent assistive systems and that the problem of noncompliance seems to be manageable. Currently, we train machine-learning algorithms to detect episodes of challenging behaviors in the recorded sensor data.
Y1  - 2017
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-173308
SN  - 2352-8729
VL  - 8
SP  - 36
EP  - 44
ER  - 
TY  - JOUR
A1  - Nitsche, Julia
A1  - Smetana, Jan
A1  - Kochanek, Tonja
A1  - Busse, Theresa Sophie
A1  - Kernebeck, Sven
A1  - Taetz-Harrer, Angelika
A1  - Zupanic, Michaela
A1  - Eulitz, Mona
A1  - Ehlers, Jan P.
T1  - Needs must when the devil drives - Migration of an entire university to digital teaching
JF  - Zeitschrift für Hochschulentwicklung
Y1  - 2021
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-173168
VL  - 16
IS  - 3
ER  - 
TY  - JOUR
A1  - Nitsche, Julia
A1  - Busse, Theresa Sophie
A1  - Kernebeck, Sven
A1  - Ehlers, Jan P.
T1  - Virtual Classrooms and Their Challenge of Interaction—An Evaluation of Chat Activities and Logs in an Online Course about Digital Medicine with Heterogeneous Participants
JF  - International Journal of Environmental Research and Public Health
N2  - Learning digital competencies can be successful if the information is also tried out immediately using interactive elements. However, interactive teaching poses a particular challenge, especially in large group formats. Various strategies are used to promote interaction, but there is little known about the results. This article shows different strategies and evaluates their influence on the interaction rate in a large group course over two terms that teaches digital medicine. Log files and participation in surveys as well as participation in chat were quantitatively evaluated. In addition, the chat messages themselves were evaluated qualitatively. For the evaluation, relation to the total number of participants was particularly relevant in order to be able to determine an interaction rate in the individual course sessions. A maximum average interaction rate of 90.97% could be determined over the entire term while the participants wrote an average of 3.96 comments during a session in the chat. In summary, this research could show that interactive elements should be well planned and used at regular intervals in order to reap the benefits.
Y1  - 2022
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-173083
SN  - 1661-7827
VL  - 19
SP  - 10184
ER  - 
TY  - JOUR
A1  - Meyer, Dorothee
A1  - Kernebeck, Sven
A1  - Busse, Theresa Sophie
A1  - Ehlers, Jan
A1  - Wager, Julia
A1  - Zernikow, Boris
A1  - Dreier, Larissa Alice
T1  - Electronic Health Records in Specialized Pediatric Palliative Care: A Qualitative Needs Assessment among Professionals Experienced and Inexperienced in Electronic Documentation
JF  - Children
N2  - Background: Currently, to the best of our knowledge, no findings exist concerning the needs of professionals in specialized pediatric palliative care (PPC) regarding electronic health records (EHRs). Several studies have highlighted benefits concerning the use of EHRs in pediatrics. However, usability is strongly affected by the degree of adaptivity to the context of application. The aim of this study is to examine the needs of professionals concerning an EHR in the specialized PPC inpatient and outpatient settings. Methods: A qualitative research design was chosen to address the complex aspects of user demands. Focus group interviews and semi-structured one-on-one interviews were conducted with PPC professionals. N = 23 participants from inpatient and N = 11 participants from outpatient settings of specialized PPC representing various professions took part in the study. Results: The findings could be grouped into four categories: (1) attitude towards the current methods of documentation, (2) attitude towards electronic documentation in general, (3) general requirements for an EHR, and (4) content requirements for an EHR. Conclusions: Professionals in specialized PPC expect and experience many benefits of using electronic documentation. Their requirements for an EHR for inpatient and outpatient settings of PPC are largely consistent with EHRs for pediatrics. However, individual specifications and adaptations are necessary for this particular setting.
Y1  - 2021
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-173265
SN  - 2227-9067
VL  - 8
SP  - 249
ER  - 
TY  - JOUR
A1  - Kostorz, Peter
A1  - Kernebeck, Sven
T1  - 20 Jahre soziale Pflegeversicherung - Bilanz und Ausblick
JF  - Wege zur Sozialversicherung
Y1  - 2015
U6  - http://dx.doi.org/10.37307/j.2191-7345.2015.02.03
SN  - 0043-2059
SP  - 35
EP  - 41
ER  - 
TY  - JOUR
A1  - Kostorz, Peter
A1  - Kernebeck, Sven
T1  - Unterrichtsentwurf: Demographie und Pflege
JF  - Unterricht Pflege
Y1  - 2015
SN  - 1615-1046
IS  - 1
SP  - 8
EP  - 15
ER  - 
TY  - JOUR
A1  - Korn, Sandra
A1  - Böttcher, Maximilian David
A1  - Busse, Theresa Sophie
A1  - Kernebeck, Sven
A1  - Breucha, Michael
A1  - Ehlers, Jan
A1  - Kahlert, Christoph
A1  - Weitz, Jürgen
A1  - Bork, Ulrich
T1  - Use and Perception of Digital Health Technologies by Surgical Patients in Germany in the Pre–COVID-19 Era: Survey Study
JF  - JMIR Formative Research
N2  - This survey study investigates surgical patients’ use and perception of digital health technologies in Germany in the pre–COVID-19 era. The objective of this study was to relate surgical patients’ characteristics to the use and perception of several digital health technologies. In this single-center, cross-sectional survey study in the outpatient department of a university hospital in Germany, 406 patients completed a questionnaire with the following three domains: general information and use of the internet, smartphones, and general digital health aspects. Analyses were stratified by age group and highest education level achieved. We found significant age-based differences in most of the evaluated aspects. Younger patients were more open to using new technologies in private and medical settings but had more security concerns. Although searching for information on illnesses on the web was common, the overall acceptance of and trust in web-based consultations were rather low, with <50% of patients in each age group reporting acceptance and trust. More people with academic qualifications than without academic qualifications searched for information on the web before visiting physicians (73/121, 60.3% and 100/240, 41.7%, respectively). Patients with academic degrees were also more engaged in health-related information and communication technology use. These results support the need for eHealth literacy, health literacy, and available digital devices and internet access to support the active, meaningful use of information and communication technologies in health care. Uncertainties and a lack of knowledge exist, especially regarding telemedicine and the use of medical and health apps. This is especially pronounced among older patients and patients with a low education status.
Y1  - 2022
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-173046
VL  - 6
SP  - e33985
ER  - 
TY  - JOUR
A1  - Kernebeck, Sven
A1  - Scheibe, Madlen
A1  - Sinha, Monika
A1  - Fischer, Florian
A1  - Knapp, Andreas
A1  - Timpel, Patrick
A1  - Harst, Lorenz
A1  - Reininghaus, Ulrich
A1  - Vollmar, Horst Christian
T1  - Digitale Gesundheitsinterventionen entwickeln, evaluieren und implementieren Teil II – Diskussionspapier der Arbeitsgruppe Digital Health des Deutschen Netzwerk Versorgungsforschung (DNVF)
JF  - Das Gesundheitswesen
N2  - Abstract The methodological challenges of evaluating digital interventions (DI) for health services research are omnipresent. The Digital Health Working Group of the German Network for Health Services Research (DNVF) presented and discussed these challenges in a two-part discussion paper. The first part addressed challenges in definition, development and evaluation of DI. In this paper, which represents the second part, the definition of outcomes, reporting of results, synthesis of evidence, and implementation are addressed as methodological challenges of DI. Potential solutions are presented and the need to address these challenges in future research are discussed.
Y1  - 2022
U6  - http://dx.doi.org/10.1055/a-1915-4371
SN  - 0941-3790
VL  - 85
SP  - 65
EP  - 70
ER  - 
TY  - JOUR
A1  - Kernebeck, Sven
A1  - Scheibe, Madlen
A1  - Sinha, Monika
A1  - Fischer, Florian
A1  - Knapp, Andreas
A1  - Timpel, Patrick
A1  - Harst, Lorenz
A1  - Reininghaus, Ulrich
A1  - Vollmar, Horst Christian
T1  - Digitale Gesundheitsinterventionen entwickeln, evaluieren und implementieren (Teil I) – Diskussionspapier der Arbeitsgruppe Digital Health des Deutschen Netzwerk Versorgungsforschung (DNVF)
JF  - Das Gesundheitswesen
N2  - Abstract The development and application of digital interventions in health-related topics are gaining momentum in health service research. Digital interventions are often complex and need to be evaluated and implemented in complex settings. Due to their characteristics, this poses methodological challenges for health services research that have to be identified and addressed. Hence, the Working Group on Digital Health of the German Network for Health Services Research (DNVF) has prepared a discussion paper. This paper discusses methodological, practical and theoretical challenges associated with the development and evaluation of digital interventions from the perspective of health services research. Possible solutions are suggested and future research needs to address these methodological challenges are identified.
Y1  - 2022
U6  - http://dx.doi.org/10.1055/a-1933-2779
SN  - 0941-3790
VL  - 85
SP  - 58
EP  - 64
ER  - 
TY  - JOUR
A1  - Kernebeck, Sven
A1  - Raasch, Dominik
A1  - Ostermann, Rüdiger
T1  - [Certification of fitness and health apps - a critical acknowledgment. Available for free, commercial or research oriented].
JF  - Pflege Zeitschrift
Y1  - 2014
SN  - 0945-1129
VL  - 67
SP  - 136
EP  - 9
ER  - 
TY  - JOUR
A1  - Kernebeck, Sven
A1  - Kramer, Ursula
A1  - Redaelli, Marcus
A1  - Vollmar, Horst Christian
T1  - Bewerten, aber wie? – Kriterien für die Evaluation und das Reporting von Studien zu Gesundheits- und Medizin-Apps
JF  - Monitor Versorgungsforschung
Y1  - 2021
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-173256
VL  - 14
IS  - 2
ER  - 
TY  - JOUR
A1  - Kernebeck, Sven
A1  - Kostorz, Peter
T1  - Die Reformagenda der sozialen Pflegeversicherung - Herausforderungen für Politik und Gesellschaft
JF  - Pflegezeitschrift
Y1  - 2015
SN  - 0945-1129
IS  - 12
SP  - 710
EP  - 714
ER  - 
TY  - JOUR
A1  - Kernebeck, Sven
A1  - Jux, Chantal
A1  - Busse, Theresa Sophie
A1  - Meyer, Dorothee
A1  - Dreier, Larissa Alice
A1  - Zenz, Daniel
A1  - Zernikow, Boris
A1  - Ehlers, Jan Peter
T1  - Participatory Design of a Medication Module in an Electronic Medical Record for Paediatric Palliative Care: A Think-Aloud Approach with Nurses and Physicians
JF  - Children
N2  - Background: Electronic medical records (EMRs) play a key role in improving documentation and quality of care in paediatric palliative care (PPC). Inadequate EMR design can cause incorrect prescription and administration of medications. Due to the fact of complex diseases and the resulting high level of medical complexity, patients in PPC are vulnerable to medication errors. Consequently, involving users in the development process is important. Therefore, the aim of this study was to evaluate the acceptance of a medication module from the perspective of potential users in PPC and to involve them in the development process. Methods: A qualitative observational study was conducted with 10 nurses and four physicians using a concurrent think-aloud protocol and semi-structured qualitative interviews. A qualitative content analysis was applied based on a unified theory of acceptance and use of technology. Results: Requirements from the user’s perspective could be identified as possible influences on acceptance and actual use. Requirements were grouped into the categories “performance expectancies” and “effort expectancies”. Conclusions: The results serve as a basis for further development. Attention should be given to the reduction of display fragmentation, as it decreases cognitive load. Further approaches to evaluation should be taken.
Y1  - 2022
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-173146
SN  - 2227-9067
VL  - 9
SP  - 82
ER  - 
TY  - JOUR
A1  - Kernebeck, Sven
A1  - Jux, Chantal
A1  - Busse, Theresa Sophie
A1  - Meyer, Dorothee
A1  - Dreier, Larissa Alice
A1  - Zenz, Daniel
A1  - Zernikow, Boris
A1  - Ehlers, Jan Peter
T1  - Participatory Design of a Medication Module in an Electronic Medical Record for Paediatric Palliative Care: A Think-Aloud Approach with Nurses and Physicians
JF  - Children
N2  - Background: Electronic medical records (EMRs) play a key role in improving documentation and quality of care in paediatric palliative care (PPC). Inadequate EMR design can cause incorrect prescription and administration of medications. Due to the fact of complex diseases and the resulting high level of medical complexity, patients in PPC are vulnerable to medication errors. Consequently, involving users in the development process is important. Therefore, the aim of this study was to evaluate the acceptance of a medication module from the perspective of potential users in PPC and to involve them in the development process. Methods: A qualitative observational study was conducted with 10 nurses and four physicians using a concurrent think-aloud protocol and semi-structured qualitative interviews. A qualitative content analysis was applied based on a unified theory of acceptance and use of technology. Results: Requirements from the user’s perspective could be identified as possible influences on acceptance and actual use. Requirements were grouped into the categories “performance expectancies” and “effort expectancies”. Conclusions: The results serve as a basis for further development. Attention should be given to the reduction of display fragmentation, as it decreases cognitive load. Further approaches to evaluation should be taken.
Y1  - 2022
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-173158
SN  - 2227-9067
VL  - 9
SP  - 82
ER  - 
TY  - JOUR
A1  - Kernebeck, Sven
A1  - Holle, Daniela
A1  - Pogscheba, Patrick
A1  - Jordan, Felix
A1  - Mertl, Fabian
A1  - Huldtgren, Alina
A1  - Bader, Sebastian
A1  - Kirste, Thomas
A1  - Teipel, Stefan
A1  - Holle, Bernhard
A1  - Halek, Margareta
T1  - A Tablet App– and Sensor-Based Assistive Technology Intervention for Informal Caregivers to Manage the Challenging Behavior of People With Dementia (the insideDEM Study): Protocol for a Feasibility Study (Preprint)
JF  - JMIR Res Protoc
N2  - BACKGROUND Despite the enormous number of assistive technologies (ATs) in dementia care, the management of challenging behavior (CB) of persons with dementia (PwD) by informal caregivers in home care is widely disregarded. The first-line strategy to manage CB is to support the understanding of the underlying causes of CB to formulate individualized nonpharmacological interventions. App- and sensor-based approaches combining multimodal sensors (actimetry and other modalities) and caregiver information are innovative ways to support the understanding of CB for family caregivers. OBJECTIVE The main aim of this study is to describe the design of a feasibility study consisting of an outcome and a process evaluation of a newly developed app- and sensor-based intervention to manage CB of PwD for family caregivers at home. METHODS In this feasibility study, we perform an outcome and a process evaluation with a pre-post descriptive design over an 8-week intervention period. The Medical Research Council framework guides the design of this feasibility study. The data on 20 dyads (primary caregiver and PwD) are gathered through standardized questionnaires, protocols, and log files as well as semistructured qualitative interviews. The outcome measures (neuropsychiatric inventory and Cohen-Mansfield agitation inventory) are analyzed by using descriptive statistics and statistical tests relevant to the individual assessments (eg, chi-square test and Wilcoxon signed-rank test). For the analysis of the process data, the Unified Theory of Acceptance and Use of Technology is used. Log files are analyzed by using descriptive statistics, protocols are analyzed by using documentary analysis, and semistructured interviews are analyzed deductively using content analysis. RESULTS The newly developed app- and sensor-based AT has been developed and was evaluated until July in 2018. The recruitment of dyads started in September 2017 and was concluded in March 2018. The data collection was completed at the end of July 2018. CONCLUSIONS This study presents the protocol of the first feasibility study to encompass an outcome and process evaluation to assess a complex app- and sensor-based AT combining multimodal actimetry sensors for informal caregivers to manage CB. The feasibility study will provide in-depth information about the study procedure and on how to optimize the design of the intervention and its delivery. INTERNATIONAL REGISTERED REPOR DERR1-10.2196/11630
Y1  - 2019
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-173061
VL  - 8
IS  - 2
ER  - 
TY  - JOUR
A1  - Kernebeck, Sven
A1  - Holle, Daniela
A1  - Pogscheba, Patrick
A1  - Jordan, Felix
A1  - Mertl, Fabian
A1  - Huldtgren, Alina
A1  - Bader, Sebastian
A1  - Kirste, Thomas
A1  - Teipel, Stefan
A1  - Holle, Bernhard
A1  - Halek, Margareta
T1  - A Tablet App– and Sensor-Based Assistive Technology Intervention for Informal Caregivers to Manage the Challenging Behavior of People With Dementia (the insideDEM Study): Protocol for a Feasibility Study
JF  - JMIR Research Protocols
N2  - Despite the enormous number of assistive technologies (ATs) in dementia care, the management of challenging behavior (CB) of persons with dementia (PwD) by informal caregivers in home care is widely disregarded. The first-line strategy to manage CB is to support the understanding of the underlying causes of CB to formulate individualized nonpharmacological interventions. App- and sensor-based approaches combining multimodal sensors (actimetry and other modalities) and caregiver information are innovative ways to support the understanding of CB for family caregivers. The main aim of this study is to describe the design of a feasibility study consisting of an outcome and a process evaluation of a newly developed app- and sensor-based intervention to manage CB of PwD for family caregivers at home. In this feasibility study, we perform an outcome and a process evaluation with a pre-post descriptive design over an 8-week intervention period. The Medical Research Council framework guides the design of this feasibility study. The data on 20 dyads (primary caregiver and PwD) are gathered through standardized questionnaires, protocols, and log files as well as semistructured qualitative interviews. The outcome measures (neuropsychiatric inventory and Cohen-Mansfield agitation inventory) are analyzed by using descriptive statistics and statistical tests relevant to the individual assessments (eg, chi-square test and Wilcoxon signed-rank test). For the analysis of the process data, the Unified Theory of Acceptance and Use of Technology is used. Log files are analyzed by using descriptive statistics, protocols are analyzed by using documentary analysis, and semistructured interviews are analyzed deductively using content analysis. The newly developed app- and sensor-based AT has been developed and was evaluated until July in 2018. The recruitment of dyads started in September 2017 and was concluded in March 2018. The data collection was completed at the end of July 2018. This study presents the protocol of the first feasibility study to encompass an outcome and process evaluation to assess a complex app- and sensor-based AT combining multimodal actimetry sensors for informal caregivers to manage CB. The feasibility study will provide in-depth information about the study procedure and on how to optimize the design of the intervention and its delivery. DERR1-10.2196/11630
Y1  - 2019
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-173274
SN  - 1929-0748
VL  - 8
SP  - e11630
ER  - 
TY  - JOUR
A1  - Kernebeck, Sven
A1  - Busse, Theresa Sophie
A1  - Jux, Chantal
A1  - Meyer, Dorothee
A1  - Dreier, Larissa Alice
A1  - Zenz, Daniel
A1  - Zernikow, Boris
A1  - Ehlers, Jan Peter
T1  - Participatory Design of an Electronic Medical Record for Paediatric Palliative Care: A Think-Aloud Study with Nurses and Physicians
JF  - Children
N2  - Background: Electronic medical records (EMRs) offer a promising approach to mapping and documenting the complex information gathered in paediatric palliative care (PPC). However, if they are not well developed, poorly implemented EMRs have unintended consequences that may cause harm to patients. One approach to preventing such harm is the involvement of users in the participatory design to ensure user acceptance and patient safety. Therefore, the aim of this study is to evaluate the acceptance of a novel patient chart module (PCM) as part of an EMR from the perspective of potential users in PPC and to involve these professionals in the design process. Methods: A qualitative observational study with N = 16 PPC professionals (n = 10 nurses, n = 6 physicians) was conducted, including concurrent think aloud (CTA) and semi-structured interviews. A structured content analysis based on the Unified Theory of Acceptance and Use of Technology was applied. Results: The results can be summarized in terms of general observations, performance expectancy, effort expectancy and facilitating conditions, all of which are likely to have a positive influence on acceptance of the PCM from the user perspective in the context of PPC. Conclusions: The involvement of users in the development of EMRs is important for meeting the requirements in PPC. Further software adaptations are necessary to implement these requirements.
Y1  - 2021
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-173219
SN  - 2227-9067
VL  - 8
SP  - 695
ER  - 
TY  - JOUR
A1  - Kernebeck, Sven
A1  - Busse, Theresa Sophie
A1  - Jux, Chantal
A1  - Dreier, Larissa Alice
A1  - Meyer, Dorothee
A1  - Zenz, Daniel
A1  - Zernikow, Boris
A1  - Ehlers, Jan Peter
T1  - Evaluation of an Electronic Medical Record Module for Nursing Documentation in Paediatric Palliative Care: Involvement of Nurses with a Think-Aloud Approach
JF  - International Journal of Environmental Research and Public Health
N2  - Background: Paediatric palliative care (PPC) is a noncurative approach to the care of children and adolescents with life-limiting and life-threatening illnesses. Electronic medical records (EMRs) play an important role in documenting such complex processes. Despite their benefits, they can introduce unintended consequences if future users are not involved in their development. Aim: The aim of this study was to evaluate the acceptance of a novel module for nursing documentation by nurses working in the context of PPC. Methods: An observational study employing concurrent think-aloud and semi-structured qualitative interviews were conducted with 11 nurses working in PPC. Based on the main determinants of the unified theory of acceptance and use of technology (UTAUT), data were analysed using qualitative content analysis. Results: The main determinants of UTAUT were found to potentially influence acceptance of the novel module. Participants perceived the module to be self-explanatory and intuitive. Some adaptations, such as the reduction of fragmentation in the display, the optimization of confusing mouseover fields, and the use of familiar nursing terminology, are reasonable ways of increasing software adoption. Conclusions: After adaptation of the modules based on the results, further evaluation with the participation of future users is required.
Y1  - 2022
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-173137
SN  - 1661-7827
VL  - 19
SP  - 3637
ER  - 
TY  - JOUR
A1  - Kernebeck, Sven
A1  - Busse, Theresa Sophie
A1  - Jux, Chantal
A1  - Bork, Ulrich
A1  - Ehlers, Jan P.
T1  - Electronic Medical Records for (Visceral) Medicine: An Overview of the Current Status and Prospects
JF  - Visceral Medicine
N2  - Background: Electronic medical records (EMRs) offer key advantages over analog documentation in healthcare. In addition to providing details about current and past treatments, EMRs enable clear and traceable documentation regardless of the location. This supports evidence-based, multi-professional treatment and leads to more efficient healthcare. However, there are still several challenges regarding the use of EMRs. Understanding these challenges is essential to improve healthcare. The aim of this article is to provide an overview of the current state of EMRs in the field of visceral medicine, to describe the future prospects in this field, and to highlight some of the challenges that need to be faced. Summary: The benefits of EMRs are manifold and particularly pronounced in the area of quality assurance and improvement of communication not only between different healthcare professionals but also between physicians and patients. Besides the danger of medical errors, the health consequences for the users (cognitive load) arise from poor usability or a system that does not fit into the real world. Involving users in the development of EMRs in the sense of participatory design can be helpful here. The use of EMRs in practice together with patients should be accompanied by training to ensure optimal outcomes in terms of shared decision-making. Key Message: EMRs offer a variety of benefits. However, it is critical to consider user involvement, setting specificity, and user training during development, implementation, and use in order to minimize unintended consequences.
Y1  - 2021
U6  - http://dx.doi.org/10.1159/000519254
SN  - 2297-4725
VL  - 37
SP  - 476
EP  - 481
ER  - 
TY  - JOUR
A1  - Kernebeck, Sven
A1  - Busse, Theresa Sophie
A1  - Fischer, Florian
A1  - Ehlers, Jan P.
T1  - Partizipatives Design im Kontext gesundheitsbezogener Technologien – Herausforderungen und Handlungserfordernisse aus Perspektive der Versorgungsforschung
JF  - Das Gesundheitswesen
N2  - Partizipatives Design (PD) ermöglicht den Einbezug von Nutzer:innen in den Entwicklungsprozess digitaler Technologien im Gesundheitswesen. Der Einsatz von PD birgt jedoch Hürden, da theoretische und methodische Entscheidungen zu treffen sind. Oftmals werden diese in Forschungsarbeiten in der Versorgungsforschung nicht hinreichend dargestellt oder begründet. Dies kann zu einer eingeschränkten Bewertbarkeit und Nachvollziehbarkeit der Ergebnisse führen. Der vorliegende Beitrag thematisiert drei Schwerpunkte: Erstens wird ein Überblick über die wesentlichen theoretischen und methodischen Entscheidungen gegeben, die im Rahmen des PD aus Perspektive der Versorgungsforschung getroffen werden müssen. Zweitens werden die damit einhergehenden Herausforderungen aufgezeigt und drittens Erfordernisse für die zukünftige Anwendung und (Weiter-)Entwicklung des PD in der Versorgungsforschung beschrieben.
Y1  - 2024
U6  - http://dx.doi.org/10.1055/a-2184-5731
SN  - 0941-3790
SP  - 1
EP  - 6
ER  -