Magdalena Hoffmann

• PhD
• Medical University of Graz

Background The prevalence of delirium in intensive care units (ICUs) is high and has a major impact on patient outcomes. Aim To describe delirium assessment instruments, prevalence, interventions and barriers in delirium management in adult and paediatric ICUs; and to explore the association between delirium prevalence and reported interventions a...

Zusammenfassung Hintergrund Die Begleitung von Angehörigen auf der Intensivstation (Intensive Care Unit, ICU) stellt eine komplexe Aufgabe dar, insbesondere wenn es sich um vulnerable Menschen handelt wie beispielsweise Kinder, hochaltrige Menschen oder sozioökonomisch benachteiligte Personen. Sie sind besonderen physischen und psychischen Belastu...

Background Delirium is a common neuropsychiatric syndrome associated with an increased risk of mortality and length of stay. Current delirium prevalence, assessments and management practices of delirium in DACH countries are unknown. Objective To examine the delirium point prevalence, assessment, management practices in general wards, emergency de...

Durch umfangreiche Therapie und Pflege auf Intensivstationen kann das Leben vieler kritisch kranker Menschen gerettet werden. Für die meisten Überlebenden beginnt danach eine jahrelange Rehabilitation, da kritische Erkrankungen und intensivmedizinische Behandlungen zu physischen, kognitiven, psychischen und sozialen Beeinträchtigungen führen können...

Pflegefachpersonen aus Deutschland initiieren zusammen mit anderen Professionen Projekte, die wörtlich um die Welt gehen, erfolgreich sind und auch international Beachtung finden. Diese Projekte – fern geförderter Forschungsprojekte an Universitäten – entstanden meistens spontan im Gespräch mit Kollegen auf der Station oder innerhalb von Netzwerken...

Background To ensure a safe patient discharge from hospital it is necessary to transfer all relevant information in a discharge summary (DS). The aim of this study was to evaluate a bundle of measures to improve the DS for physicians, nurses and patients. Methods In a double-blind, randomized, controlled trial, four different versions of DS (2 ori...

Background Delirium is a common complication of older people in hospitals, rehabilitation and long-term facilities. Objective To assess the worldwide use of validated delirium assessment tools and the presence of delirium management protocols. Design Secondary analysis of a worldwide one-day point prevalence study on World Delirium Awareness Day,...

Background Falls are a major problem among adults over 60 years. Multiple preventive measures must be taken. Written information leaflets can support the knowledge transfer and positively influence recall of the information provided. Objective The aim was to ensure usefulness and understandability of the information leaflets on home fall preventio...

Background In hospital medication errors are common. Our aim was to investigate risks of the analogue and digitally-supported medication process and any potential solutions. Methods A mixed methods study including a structured literature search and online questionnaires based on the Delphi method was conducted. First, all risks were structured int...

Nydahl P, Brauchle M, Deffner T, Hillen A, Brinkmann A, Dehner S, Dubb R, Finkeldei S, Gatzweiler B, Hermes C, Heyd C, Hoffmann M, Jeitziner MM, Kaltwasser K, Kern T, Knochel K, Krüger L, Melching H, Michels G, Müller-Wolff T, Pelz S, Rudolph J, Schindele D, Seidlein AH, & Ufelmann M. (2023). Kids: Willkommen auf der ITS. Pflegezeitschrift, 76(12),...

Intensive care unit (ICU) hospitalization is challenging for the family members of the patients. Most family members report some level of anxiety and depression, sometimes even resulting in post-traumatic stress disorder (PTSD). An association has been reported between lack of information and PTSD. This study had three aims: to quantify the psychol...

Zusammenfassung In diesem Empfehlungspapier werden zentrale Vorschläge für den Besuch von Kindern auf Intensivstationen (Pädiatrie und Erwachsenenbereich), Intermediate-care-Stationen und in Notaufnahmen vorgestellt. Auf Intensivstationen und in Notaufnahmen im deutschsprachigen Raum werden die Besuchsregelungen für Kinder und Jugendliche sehr hete...

Kaum ein Thema wird so kontrovers diskutiert wie der Besuch von Kindern und Jugendlichen unter 18 Jahren auf einer Erwachsenenintensivstation. Beim medizinischen Fachpersonal werden oft Alter, potenzielle Traumatisierung beim Anblick der Patienten, hygienische Aspekte, Unerfahrenheit in Bezug auf kognitive und emotionale Entwicklung des Kindes, zus...

Brauchle, M., Deffner, T., Nydahl, P., Brinkmann, A., Dehner, S., Dubb, R., Finkeldei, S., Gatzweiler, B., Hermes, C., Heyd, C., Hoffmann, M., Jeitziner, M.-M., Kaltwasser, A., Kern, T., Knochel, K., Krüger, L., Melching, H., Michels, G., Müller-Wolff, T., … Ufelmann, M. (2023). Ten recommendations for child-friendly visiting policies in Critical C...

Background “Speaking up” is considered an important patient safety behaviour. The main idea is to voice patient safety concerns; however, several studies revealed that the organisational culture can be obstructive. In previous studies, we already identified barriers for doctors, nurses and medical students. In the current study, we explore how nurs...

Die nun vorliegenden Empfehlungen „Kinder als Angehörige und Besuchende“ haben zum Ziel, Mitarbeiter:innen aller Professionen, aber auch Eltern und Sorgeberechtigten eine Hilfestellung an die Hand zu geben, um einheitliche Regelungen für Intensivstationen zu entwickeln und zu implementieren.

Objectives This study assessed opinions and experiences of healthcare professionals, former patients and family members during the first wave of the COVID-19 pandemic and focuses on challenges in family-centred care for ICU patients and affected families. Research Methodology/Design A two-round modified Delphi process assessed the opinions and expe...

Kaum ein Thema wird so kontrovers diskutiert wie der Besuch von Kindern und Jugendlichen unter 18 Jahren auf einer Erwachsenenintensivstation. Beim medizinischen Fachpersonal werden oft Alter, potenzielle Traumatisierung beim Anblick der Patienten, hygienische Aspekte, Unerfahrenheit in Bezug auf kognitive und emotionale Entwicklung des Kindes, zus...

Background: Medication errors are common in hospitals. Our aim was to investigate risks of the analogue and digitally-supported medication use process and potential for solutions. Methods: A mixed-method study including a structured literature search, and questionnaires based on the Delphi method was conducted. To identify major risks, a literature...

Zusammenfassung Hintergrund Angehörige von kritisch Kranken auf der Intensivstation („intensive care unit“, ICU) sind in einer herausfordernden Situation: Sie befinden sich häufig in einer existenziellen Krise mit einer großen emotionalen Belastung, gleichzeitig sind sie oftmals aktiv in therapeutische Entscheidungen mit eingebunden. Die Besuchsre...

Please see: https://www.medmedia.at/univ-innere-medizin/intensivstation-kommunikation-mit-angehoerigen-trotz-restriktiver-besuchsregelung/

Was ist ein Methodenpapier?

Was sind die wesentlichen Schritte bei der Entwicklung von guten Gesundheitsinformationen?

Was ist Gesundheitskompetenz?

Warum braucht es ein Qualitätsmanagement?

Objectives To provide insights into visiting policies and family-centred care practices with a focus on children as visitors in Intensive Care Units (ICUs) in German-speaking countries. Methods/ Design Online-survey with a mixed approach were used. Leading clinicians (n=1,943) from German-speaking countries were invited to participate. Outcomes in...

Purpose of review: To summarize the recent evidence on the role of vitamin D deficiency in critically ill patients and emerging data claiming a role of vitamin D in COVID-19. Recent findings: Vitamin D is a strong predictor for worse outcomes in critically ill patients, and as well in COVID-19. The vitamin D content in typical nutrition regimes...

Background Low health literacy has been associated with poor health outcome and impaired use of healthcare services. The hospital discharge letter represents a key source of medical information for patients and can be used to address the problem of low health literacy. The aim of this project was to develop and evaluate a new, patient-directed, ver...

Introduction Morbidity and mortality conferences (M&MCs) are an instrument for learning from past complications, unexpected follow-ups and deaths in hospitals and are important for improving patient safety. However, there are currently no quantitative data on the implementation of M&MCs in Austria. The aim of the study was to determine the status q...

Rationale and objective The discharge summary (DS) is one of the most important instruments to transmit information to the treating general physician (GP). The objective of this study was to analyse important components of DS, structural characteristics as well as medical and general abbreviations. Method One hundred randomly selected DS from five...

Ob von Ihrer Ärztin oder Ihrem Arzt, aus Magazinen, aus dem Fernsehen, ob Tipps von Familienmitgliedern und Freunden oder aus dem Internet – überall sind Gesundheitsinformationen gegenwärtig. Nicht immer aber sind sie auf Anhieb verständlich und hilfreich. Dieser Praxisratgeber unterstützt Expert*innen im Gesundheitswesen dabei, Gesundheitsinformat...

Critically ill patients in the intensive care unit (ICU) have a high risk of developing malnutrition, and this is associated with poorer clinical outcomes. In clinical practice, nutrition, including enteral nutrition (EN), is often not prioritized. Resulting from this, risks and safety issues for patients and healthcare professionals can emerge. Th...

Part of the ICU-Families & Kids project

Part of the ICU-Families & Kids project.

Introduction Low health literacy has been associated with poor health outcome and impaired use of healthcare services. The hospital discharge letter represents a key source of medical information for patients and can be used to address the problem of low health literacy. The aim of this project was to develop and evaluate a new, patient-directed, v...

Der Vitamin D-Hype hat nach der ersten Publikation 2009 mit einem Letter im New England Journal of Medicine auch die Intensivstation (ICU) erfasst. Nach auf große Hoffnung folgender Ernüchterung durch rezente Hochdosis-Vitamin-Studien bei Kritisch Kranken (wie zuletzt "Marik-Gate" beim Critical Care Reviews Meeting in Belfast 2020) erscheint Skepsi...

Vitamin D testing and the use of vitamin D supplements have increased substantially in recent years. Currently, the role of vitamin D supplementation, and the optimal vitamin D dose and status, is a subject of debate, because large interventional studies have been unable to show a clear benefit (in mostly vitamin D replete populations). This may be...

The annual ESICM LIVES Congress has incorporated “Unplugged” sessions for the past several years. At these sessions, presenters are free to structure the 30-minute session to address topics they identify as relevant. Many presenters choose to speak to ongoing research or project work they are involved with. At the 32nd annual LIVES Congress in Berl...

Objectives The discharge summary (DS) represents one of the most important instruments to ensure a safe patient discharge from the hospital. They sometimes have poor quality in content and often include medical jargon, which the patient and their relatives cannot easily understand. Therefore, many risks for patient safety exist. This study investig...

Aim: Health care-associated infections along with antibiotic resistance are a leading risk for patient safety in intensive care units. Hygienic hand disinfection is still regarded as the most effective, simplest, and most cost-effective measure to reduce health care-associated infections. To improve hand hygiene compliance and to prevent health ca...

Background The medical discharge letter is an important communication tool between hospitals and other healthcare providers. Despite its high status, it often does not meet the desired requirements in everyday clinical practice. Occurring risks create barriers for patients and doctors. This present review summarizes risks of the medical discharge l...

Aims and objectives To test the method of self‐ and external assessment as a feedback system to decrease illegibility and incorrectness of handwritten prescriptions and to reduce additional workload for nursing staff. Background Illegibility and incorrectness of handwritten prescriptions occur very often and are the most crucial factors affecting...

Aims and objective To explore whether an iterative process of information and training paired with a feedback system to observed healthcare professionals and the respective management improves hand hygiene (HH) compliance. Background Healthcare‐associated infections are a major risk for patient safety, and adherence to the “My five moments” (M5M)...

A patient’s admission to an intensive care unit (ICU) has a significant impact on family members and other relatives. In order for them to be able to cope with such a stressful situation, the availability of appropriate understandable and accessible information is crucial. The information asymmetry between relatives and medical professionals may ad...

Background: Relatives of intensive care patients have a very high need for information. This is due to the acute and serious, often life-threatening illness of the patients and the very complex and technical environment of an intensive care unit (ICU). Unmet needs for information can increase anxiety, sleep disorders, stress, and depressive sympto...

Objective To analyze speaking up behavior and safety climate with a validated questionnaire for the first time in an Austrian university hospital. Design Survey amongst healthcare workers (HCW). Data were analyzed using descriptive statistics, Cronbach’s alpha was calculated as a measure of internal consistencies of scales. Analysis of variance...

Background In Austria several regulations were published in order to support initiatives to increase patient safety. Since then, many patient safety projects were implemented in Austrian hospitals; therefore, it was the aim of the current survey to examine the perceptions of Austrian citizens with respect to topics relevant to patient safety. Metho...