M. Kletecka-Pulker

The Austrian recommendations for the management of extremely preterm infants at the border of viability were last updated in 2017 and initially recommended a primarily palliative approach in gestational week 220–6 due to extremely low survival rates. Since then data from various countries and institutions have shown significantly improved survival...

Background: Current clinical guidelines support family-centered care in Neonatal Intensive Care Units (NICUs). This implies parents should also be involved in the most critical patient safety measures. Hand hygiene is the single most important tool to prevent healthcare-associated infections and related long-term effects. Although often studied in...

Objectives Telemedical applications are solutions to challenges in the healthcare system. However, it is unclear what intensive care unit healthcare professionals expect from such solutions. This study investigated the expectations and concerns of nurses and physicians when implementing telemedicine tools in intensive care units (tele-ICU). Method...

Adverse drug reactions continue to be not only one of the most urgent problems in clinical medicine, but also a social problem. The aim of this study was a bibliometric analysis of the use of digital technologies to prevent adverse drug reactions and an overview of their main applications to improve the safety of pharmacotherapy. The search was con...

Introduction: Language barriers within clinical settings pose a threat to patient safety. As a potential impediment to understanding, they hinder the process of obtaining informed consent. This study investigates the impact of the current use of interpreters, with a particular focus on the efficacy of engaging laypersons as interpreters, rather tha...

Digital health technologies have been in use for many years in a wide spectrum of healthcare scenarios. This narrative review outlines the current use and the future strategies and significance of digital health technologies in modern healthcare applications. It covers the current state of the scientific field (delineating major strengths, limitati...

Objective To describe characteristics of suspected child abuse and neglect (CAN) cases associated with the decision of paediatric departments (PDs) in Vienna, Austria, to involve services of a regional tertiary child protection service programme (Forensische Kinder- und JugendUntersuchungsStelle, FOKUS). Design Retrospective cohort analysis of a r...

Objectives Continuous non-invasive monitoring of blood pressure is one of the main factors in ensuring the safety of the patient’s condition in anesthesiology, intensive care, surgery, and other areas of medicine. The purpose of this work was to analyze the current patent situation and identify directions and trends in the application of non-invasi...

Google Trends data have been used to investigate various themes on online information seeking. It was unclear if the population from different parts of the world shared the same amount of attention to different mask types during the COVID-19 pandemic. This study aimed to reveal which types of masks were frequently searched by the public in differen...

Objective: This study provided a content analysis of English and Chinese YouTube videos related to dental radiation safety. Method: The search string, entered in English and Chinese respectively, was: (dental x-ray safe). The searches were performed and exported with Apify YouTube scraper. By screening the resultant videos and their related vide...

Introduction Multiple studies have shown how valuable Twitter hashtags can be for promoting content related to different themes in the online community. This arena has grown into a rich data source for public health observation and understanding key trends in healthcare on a global scale. In the field of mental health in particular, it would be of...

Objectives: Digital pills are new technologies that aim to improve healthcare by increasing medication adherence. The aim of the work was a bibliometric analysis of clinical studies of digital pills and an assessment of the level of evidence of their effectiveness, safety, and prospects for the future. Materials and Methods: The studies were conduc...

Introduction Since becoming available, vaccines against COVID-19 have been a focus of public debate. This is particularly relevant among healthcare and social workers, who interact with vulnerable patients and clients on a daily basis. With employers implementing educational programs and offering incentives to raise vaccine willingness among their...

After the Austrian constitutional court decided to legalise assisted suicide, we conducted this cross-sectional survey study to assess how persons living in Austria viewed the decision, and whether their views associated with religious and/or moral beliefs. We found that persons claiming to be religious were significantly less likely to approve of...

As the COVID-19 pandemic continues to disrupt health systems worldwide, conducting Rapid Antigen Testing (RAT) at specified intervals has become an essential part of many people’s lives around the world. We identified and analyzed the academic literature on COVID-19 RAT. The Web of Science electronic database was queried on 6 July 2022 to find rele...

Background: Crowdsourcing is a low-cost, adaptable, and innovative method to collect ideas from numerous contributors with diverse backgrounds. Crowdsourcing from social media like Twitter can be used for generating ideas in a noticeably brief time based on contributions from globally distributed users. The world has been challenged by the COVID-19...

The modern healthcare system is directly related to the development of digital health tools and solutions. Pills with digital sensors represent a highly innovative class of new pharmaceuticals. The aim of this work was to analyze the patent landscape and to systematize the main trends in patent protection of digital pills with ingestible sensors wo...

Background Artificial intelligence (AI) has the potential to reshape medical practice and the delivery of healthcare. Online discussions surrounding AI's utility in these domains are increasingly emerging, likely due to considerable interest from healthcare practitioners, medical technology developers, and other relevant stakeholders. However, many...

SETTING: The COVID-19 pandemic has impacted all of us in many areas of life due to mitigation measures, delays in medical care, or the disease itself. When it concerns issues as complex and universal as COVID-19, the public should also have a say in how to deal with managing its impact. DESIGN: In a widely distributed online questionnaire, members...

Background: On January 30, 2020, the World Health Organization (WHO) Emergency Committee declared the rapid worldwide spread of Coronavirus Disease 2019 (COVID-19) a global health emergency. By December 2020, the safety and efficacy of the first COVID-19 vaccines had been demonstrated. However, international vaccination coverage rates have remaine...

Objective: The aim of the study was to quantitatively analyze the scientific literature landscape covering legal regulations of patient safety. Methods: This retrospective bibliometric analysis queried Web of Science database to identify relevant publications. The identified scientific literature was quantitatively evaluated to reveal prevailing...

Background: Digital technology uses in cardiology have become a popular research focus in recent years. However, there has been no published bibliometric report that analyzed the corresponding academic literature in order to derive key publishing trends and characteristics of this scientific area. Objective: We used a bibliometric approach to ident...

Background Digital teaching in medical education has grown in popularity in the recent years. However, to the best of our knowledge, no bibliometric report to date has been published that analyzes this important literature set to reveal prevailing topics and trends and their impacts reflected in citation counts. Objective We used a bibliometric ap...

BACKGROUND Digital technology uses in cardiology have become a popular research focus in recent years. However, there has been no published bibliometric report that analyzed the corresponding academic literature in order to derive key publishing trends and characteristics of this scientific area. OBJECTIVE We used a bibliometric approach to identi...

Due to its high lethality among older people, the safety of nursing homes has been of central importance during the COVID-19 pandemic. With test procedures and vaccines becoming available at scale, nursing homes might relax prohibitory measures while controlling the spread of infections. By control we mean that each index case infects less than one...

Aim Centring on nursing homes, we analysed the implementation process of a tablet- and videoconferencing-based telemedicine application from the perspectives of management, nursing staff and physicians. Design We used a qualitative design based on interviews to explore diverse perspectives on the implementation of telemedicine. Methods We conduct...

BACKGROUND On January 30, 2020, the World Health Organization (WHO) Emergency Committee declared the rapid worldwide spread of Coronavirus Disease 2019 (COVID-19) a global health emergency. By December 2020, the safety and efficacy of the first COVID-19 vaccines had been demonstrated. However, global vaccination coverage rates have remained below e...

Background: Online information on COVID-19 vaccination may influence people's perception and willingness to be vaccinated. Official websites of vaccination programs have not been systematically assessed before. Objective: This study aimed to assess and compare the readability and content quality of Web-based information on COVID-19 vaccination p...

BACKGROUND Online information on COVID-19 vaccination may influence people’s perception and willingness to be vaccinated. Official websites of vaccination programs have not been systematically assessed before. OBJECTIVE This study aims to assess and compare the readability and content quality of web-based information on COVID-19 vaccination posted...

BACKGROUND Digital teaching in medical education has grown in popularity in the recent years. However, to the best of our knowledge, no bibliometric report to date has been published that analyzes this important literature set to reveal prevailing topics and trends and their impacts reflected in citation counts. OBJECTIVE We used a bibliometric ap...

Background Patient and public involvement (PPI) in research is well-established in the UK. However, it can be challenging to introduce PPI to research communities where there is limited prior knowledge, experience or appreciation of PPI. We aimed to explore current PPI practices, experiences and ethical and operational challenges with PPI within ou...

Background: Twitter, representing a big social media network, is broadly used for the communication of health-related information. In this work, we aimed to identify and analyze the scientific literature on Twitter use in context of health by utilizing a bibliometric approach, in order to obtain quantitative information on dominant research topics,...

In December 2019, the People's Republic of China and the World Health Organization first reported on a cluster of pneumonia with an unknown cause. Nine months later more than 1.4 million people have died from COVID 19. In this work, the effects of the COVID 19 pandemic on five nursing homes in Austria, which cared for 889 residents in the first hal...

The open innovation hub Digital Health and Patient Safety Platform (DHPSP) was recently established with the purpose to invigorate collaborative scientific research and the development of new digital products and personalized solutions aiming to improve human health and patient safety. In this study, we evaluated the effectiveness of a Twitter-base...

Background: On the 30th of January 2020, the WHO's Emergency Committee declared the rapid worldwide spread of COVID-19, a global health emergency. Since then tireless efforts have been made to mitigate the spread of the disease and its impact, mostly relying on non-pharmaceutical interventions. By December 2020, the safety and efficacy of the firs...

BACKGROUND On January 30, 2020, the World Health Organization’s Emergency Committee declared the rapid, worldwide spread of COVID-19 a global health emergency. Since then, tireless efforts have been made to mitigate the spread of the disease and its impact, and these efforts have mostly relied on nonpharmaceutical interventions. By December 2020, t...

Introduction: With the spread of Coronavirus disease 2019 (COVID-19), the world has been experiencing an extraordinary state of emergency. As patients entering a doctor's practice can potentially infect medical staff and other patients, using digital alternatives wherever possible is a potential solution to avoiding face-to-face encounters. In the...

Background Social media has been extensively used for the communication of health-related information and consecutively for the potential spread of medical misinformation. Conventional systematic reviews have been published on this topic to identify original articles and to summarize their methodological approaches and themes. A bibliometric study...

BACKGROUND Social media has been extensively used for the communication of health-related information and consecutively for the potential spread of medical misinformation. Conventional systematic reviews have been published on this topic to identify original articles and to summarize their methodological approaches and themes. A bibliometric study...

Background Virtual reality (VR) and augmented reality (AR) have recently become popular research themes. However, there are no published bibliometric reports that have analyzed the corresponding scientific literature in relation to the application of these technologies in medicine. Objective We used a bibliometric approach to identify and analyze...

Professional interpretation and translation are key issues in the improvement of public health and patient safety in an area of increased migration and multicultural healthcare system needs. Patient safety requires clear and reliable communication to avoid errors in diagnosis, treatment, and neglect of informed consent. Due to the range of language...

Open innovation in medical and pharmaceutical research has grown steadily over the last decade. However, the performance of the published literature in terms of the scientific impact and gaining social media attention remains largely unexplored. The scientific literature of open innovation was examined by means of bibliometric analyses to identify...

Due to its high lethality amongst the elderly, nursing homes are in the eye of the COVID-19 storm. Emerging new test procedures, such as antigen or RT-LAMP tests, might enable us to protect nursing home residents by means of preventive screening strategies. Here, we develop a novel agent-based epidemiological model for the spread of SARS-CoV-2 in n...

BACKGROUND Virtual reality (VR) and augmented reality (AR) have recently become popular research themes. However, there are no published bibliometric reports that have analyzed the corresponding scientific literature in relation to the application of these technologies in medicine. OBJECTIVE We used a bibliometric approach to identify and analyze...

Objective: Medical errors represent a leading cause of patient morbidity and mortality. The aim of this study was to quantitatively analyze the existing scientific literature on medical errors in order to gain new insights in this important medical research area. Study Design: Web of Science database was used to identify relevant publications, and...

Die Betreuung von Migranten und Flüchtlingen erfordert auch in Gesundheitsberufen das Wissen um sowohl medizinische, wie auch ethische und menschenrechtliche Standards, die oft nicht ausreichend bekannt sind, und zurzeit zunehmend weniger Berücksichtigung finden. Diese sind besonders unter Berücksichtigung der besonderen Vulnerabilität vieler Patie...

Background: Psychological sequels to criminal violence can be long lasting and severe. They are in many countries not sufficiently considered in court cases as an important circumstance that could be used to assess the severity of the crime, also guiding redress, compensation, and rehabilitation of the victim, and—in children—child custody consider...

The present, fast-moving process of globalisation, culture change, increased mobility and forced migration has led to a global challenge for mental health services, particularly psychotherapy. The significant cultural differences lead to a situation where the training in this specific field of healthcare must be substantially reconsidered. We under...

Zusammenfassung Die medizinische und psychiatrische Betreuung von Flüchtlingen ist zu einer globalen Herausforderung geworden. Spezielle Behandlung, Unterstützung und Schutz sind aufgrund der Gewalterfahrungen und den daraus resultierenden psychischen Folgen bei vielen Betroffenengruppen erforderlich. Folterüberlebende sind dabei aufgrund der oft s...

The quality of services for migrants and refugees depends to a substantial part on the quality of communication. Particularly in refugees, who usually have no realistic opportunity to acquire the language of the host country before their flight and might be distressed or traumatised, experienced interpreters are required. However, these are frequen...

Sprachbarrieren mit nichtdeutschsprachigen Patienten sind für Angehörige von Gesundheitsberufen sowie Krankenhausträger nicht nur aus medizinischer Sicht eine große Herausforderung, sondern stellen auch ein großes Haftungsrisiko dar. Neben der im Regelfall ungeeigneten Verwendung von Laiendolmetschen und dem Einsatz von oftmals nur schwer verfügbar...

Die immensen Fortschritte der neonatologischen Intensivmedizin in den letzten Jahrzehnten haben ein Überleben von extrem unreifen Frühgeborenen ermöglicht. Dieser Erfolg ist mitunter mit einer beträchtlichen Langzeitmorbidität für ehemalige Frühgeborene verbunden, was potenziell schweres Leid für das Kind und seine Familie mit sich bringen kann. De...

Transkulturelle Aspekte spielen eine wesentliche Rolle in der Diagnostik, im Verständnis und in der Behandlung von Menschen, die als Migranten oder Flüchtlinge nach Europa kommen. Unterschiede beziehen sich auf die Formen der Belastungen, die kulturabhängigen Reaktionen und Belastungsverarbeitung sowie auf die Behandlung. In der Kulturanthropologie...

BACKGROUND Palliative sedation therapy (PST) is an important and ethically accepted therapy in the care of selected palliative care patients with otherwise unbearable suffering from refractory distress. PST is increasingly used in end-of-life care. Austria does not have a standardized ethical guideline for this exceptional practice near end of life...

Die immensen Fortschritte der neonatologischen Intensivmedizin in den letzten Jahrzehnten haben ein Überleben von extrem unreifen Frühgeborenen ermöglicht. Dieser Erfolg ist mitunter mit einer beträchtlichen Langzeitmorbidität für ehemalige Frühgeborene verbunden, was potenziell schweres Leid für das Kind und seine Familie mit sich bringen kann. De...

Die forensische Arbeit mit Kindern und Jugendlichen stellt Angehörige der Gesundheitsberufe vor eine besondere Herausforderung. Eine der wesentlichen Voraussetzungen für ein gutes Behandlungsbzw. Betreuungssetting ist das Vertrauensverhältnis zwischen dem Kind bzw. Jugendlichen1 und seinem Behandler bzw. Betreuer. Aus diesem Grund enthält die öster...

Zum 2. Mal fand heuer (April 2013) unter der Organisation des Instituts für Spezifische Prophylaxe und Tropenmedizin der MedUniWien, dem Institut für Ethik und Recht in der Medizin der Universität Wien und in Kooperation mit der Wiener Ärztekammer und der Österreichischen Gesellschaft für Tropenmedizin, Parasitologie und Migrationsmedizin (ÖGTPM),...

Doctors are not allowed to withhold first aid in case of impending danger of live. Akin to other areas of medicine and nursing, the patient's will has to be taken into account. If we are dealing with reanimation, normally, it is a medical emergency, in which the patient is unable to consent (or decline treatment). To what extent can the wish of the...

Gerade im medizinischen Bereich ist die Zusammenarbeit mehrerer Berufsgruppen unabdingbar und erfordert eine komplexe und arbeitsteilige Organisation. Häufig stellen sich daher insbesondere Fragen hinsichtlich der Zusammenarbeit zwischen ärztlichen und nicht ärztlichen Gesundheitsberufen. Es handelt sich dabei überwiegend um Fragen der Abgrenzung e...

Gerade im medizinischen Bereich ist die Zusammenarbeit mehrerer Berufsgruppen unabdingbar und erfordert eine komplexe und arbeitsteilige Organisation. Häufig stellen sich daher insbesondere Fragen hinsichtlich der Zusammenarbeit zwischen ärztlichen und nicht ärztlichen Gesundheitsberufen. Es handelt sich dabei überwiegend um Fragen der Abgrenzung e...

Eine medizinische Maßnahme darf grundsätzlich nur mit wirksamer Zustimmung des einsichts- und urteilsfähigen Patienten vorgenommen werden. Folgender Beitrag beschäftigt sich mit der Frage, ob dem Willen des Patienten im medizinischen Bereich grenzenlos Rechnung getragen werden muss. Kann ein Patient z.B. aus religiösen Gründen eine lebensnotwendige...

Viele Patienten, aber auch Ärzte und Pflegekräfte erkennen zunehmend die Bedeutung von Religion und Spiritualität im Gesundheitswesen. Empirische Studien legen einen Zusammenhang zwischen individueller Spiritualität und Krankheitsverlauf nahe. Am 16. und 17. Oktober 2008 veranstaltete das Institut für Ethik und Recht in der Medizin der Universität...

The advanced directive law (PatVG), which regulates the conditions and effectiveness of living wills, has been in force since 1 June 2006. A living will is a declaration of will with which a patient refuses certain medical treatment for the case that he is no longer able to understand the situation, make ajudgement or to express himself. In contras...

Mit 1. 6. 2006 ist das Bundesgesetz über Patientenverfügungen (Patientenverfügungs-Gesetz — PatVG) in Kraft getreten.1 Dieses Gesetz regelt die Voraussetzungen und die Wirksamkeit von Patientenverfügungen. Im Folgenden wird ein Überblick über den Regelungsinhalt dieses Gesetzes gegeben und auf einzelne ausgewählte Fragen näher eingegangen.