Ursula Hertha Hübner

Ursula Hertha Hübner
Hochschule Osnabrück · Health Informatics Research Group,

PhD Professor

About

287
Publications
35,747
Reads
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846
Citations
Additional affiliations
February 1997 - present
Hochschule Osnabrück
Position
  • Professor (Full)
February 1997 - present
Hochschule Osnabrück
Position
  • Professor (Full)
Description
  • Health Informatics Nursing Informatics Research Methods Statistics and Quantitative Methods
February 1997 - January 2017
Hochschule Osnabrück
Position
  • Professor (Full)

Publications

Publications (287)
Article
Chronic wounds are ulcerations of the skin that fail to heal because of an underlying condition such as diabetes mellitus or venous insufficiency. The timely identification of this condition is crucial for healing. However, this identification requires expert knowledge unavailable in some care situations. Here, artificial intelligence technology ma...
Preprint
BACKGROUND The adoption of Health Information Technology (HIT) by healthcare providers is commonly believed to improve the quality of care. Policymakers follow this logic and deploy multi-billion dollar nationwide HIT adoption programs to fund hospital investments in digital technologies such as Electronic Health Records (EHR). Yet, scientific evid...
Chapter
This study describes the eHealth4all@eu course development pipeline that builds upon the TIGER educational recommendations and allows a systematic development grounded on scientific and field requirements of competencies, a case/problem-based pedagogical approach and finally results in the syllabus and the course content. The pipeline is exemplifie...
Chapter
Venous leg ulcers and diabetic foot ulcers are the most common chronic wounds. Their prevalence has been increasing significantly over the last years, consuming scarce care resources. This study aimed to explore the performance of detection and classification algorithms for these types of wounds in images. To this end, algorithms of the YoloV5 fami...
Chapter
Full-text available
With the start of the 21st century, patient safety as a topic of special interest has attracted increasing attention in both academia and clinical practice. As technology has continued to develop since then, questions and focal points surrounding the topic have also shifted. In particular, questions regarding the impact of digitalization on patient...
Chapter
Full-text available
Diabetic foot ulcer (DFU) is a chronic wound and a common diabetic complication as 2% – 6% of diabetic patients witness the onset thereof. The DFU can lead to severe health threats such as infection and lower leg amputations, Coordination of interdisciplinary wound care requires well-written but time-consuming wound documentation. Artificial intell...
Chapter
Full-text available
Communication deficits belong to the most frequent errors in patient handovers calling upon specialized training approaches to be implemented. This study aims to harness problem-based learning (PBL) methods in handover education and evaluated the learning process. A digitally enabled PBL course was developed and implemented at Klinikum Osnabrück fr...
Chapter
Full-text available
The diabetic foot ulcer, which 2% – 6% of diabetes patients experience, is a severe health threat. It is closely linked to the risk of lower extremity amputation (LEA). When a DFU is present, the chief imperative is to initiate tertiary preventive actions to avoid amputation. In this light, clinical decision support systems (CDSS) can guide clinici...
Article
Since 2017, the German Society for Medical Informatics, Biometry and Epidemiology e.V. (GMDS) offers the submission of full papers to the annual meetings, optional in Studies in Health Technologies and Informatics (Stud HIT) or in GMS Medical Informatics, Biometrics, and Epidemiology (MIBE). GMDS’ aim is to increase the attractiveness of the confer...
Article
Full-text available
Background Digital health technologies enable patients to make a personal contribution to the improvement of their health by enabling them to manage their health. In order to exploit the potential of digital health technologies, Internet-based networking between patients and health care providers is required. However, this networking and access to...
Article
Full-text available
Health information technology (IT) is a decisive factor for hospitals in optimizing the provision of healthcare services and many countries are interested in understanding, monitoring, and benchmarking the mechanisms of digital transformation on the national level. Part of this effort is the use of science-based maturity models to measure the level...
Article
Full-text available
Hinter dem populärwissenschaftlichen Begriff künstliche Intelligenz (KI) verbirgt sich eine Familie von unterschiedlichen technischen Verfahren, welche Daten – in Vielgestalt etwa aus Registern, Leitlinien, Erfahrungswissen oder Heuristiken – zum Zweck der Wissensgenerierung und -ableitung verarbeiten [1,2]. Im Kontext des Gesundheitswesens ergeben...
Chapter
Full-text available
Building on Rogers’ Diffusion of Innovation Theory, Bass models describe the diffusion processes distinguishing between innovation (p) and imitation (q). This study aimed at modelling the uptake of RIS, PACS and EHR systems in Germany and Finland. The Bass models revealed a quick and almost identical uptake process across all three systems for Finl...
Article
Full-text available
The PosiThera project focuses on the management of chronic wounds, which is multi-professional and multi-disciplinary. For this context, a software prototype was developed in the project, which is intended to support medical and nursing staff with the assistance of artificial intelligence. In accordance with the user-centred design, national worksh...
Chapter
Full-text available
Access to digital technologies depends on the availability of technical infrastructure, but this access is unequally distributed among social groups and newly summarized under the term digital divide. The aim is to analyze the perception of a tracing app to contain Covid-19 in Germany. The results showed that participants with the highest level of...
Article
Full-text available
Background: Contact tracing apps are potentially useful tools for supporting national COVID-19 containment strategies. Various national apps with different technical design features have been commissioned and issued by governments worldwide. Objective: Our goal was to develop and propose an item set that was suitable for describing and monitoring...
Article
Full-text available
Background: Large health organizations often struggle to build complex health information technology (HIT) solutions and are faced with ever-growing pressure to continuously innovate their information systems. Limited research has been conducted that explores the relationship between organizations’ innovative capabilities and HIT quality in the sen...
Preprint
BACKGROUND Contact tracing apps are a potentially useful pillar in national COVID-19 containment strategies. Various national apps with different technical design features have been commissioned and issued by governments worldwide. OBJECTIVE Our goal was to develop and propose an item set suitable for describing and monitoring nationally issued CO...
Preprint
Full-text available
Background: Chronic health conditions are on the rise and are putting high economic pressure on health systems as they require well-coordinated prevention and treatment. Among chronic conditions, chronic wounds such as cardiovascular leg ulcers have a high prevalence. The interdisciplinary and multiorganisational character of wound care demands int...
Article
Full-text available
Introduction: Handovers are a central process for ensuring information continuity in patient care and, therefore, possess a major influence on patient safety as errors due to poor handovers can lead to life-threatening events. Education to improve handovers and ensure safe patient care can be supported by using critical incident reporting systems (...
Chapter
This chapter provides examples of digital capability preparation for nurses across Europe, Australia and New Zealand through the inclusion of informatics in the nursing curriculum. Nurses have a unique role in health care, they are the health profession most in contact with the patient and as such collect, store and use patient data as a core funct...
Poster
Einleitung Informationskontinuität als Teil der Versorgungskontinuität [1] ist ein Thema, dem sich auch die deutsche Gesetzgebung und weitere Regelungen (z.B. §39, Abs. 1a SGB V, Rahmenvertrag Entlassmanagement) gewidmet haben. In diesen Regelungen wird der Expertenstandard „Entlassungsmanagement in der Pflege“ [2] benannt, der u.a. schriftliche En...
Article
Full-text available
IT-Standard für das pflegerische Entlassmanagement. Der von der Hochschule Osnabrück entwickelte „ePflegebericht“ kann die bisherigen unterschiedlichen papierbasierten Überleitungen ablösen, indem die entsprechenden IT-Systeme interoperabel Dokumente austauschen. Die Pflege erhält mit diesem IT-Standard erstmals einen möglichen Zugang zur Telematik...
Article
Full-text available
Background: Diabetes mellitus is a major global health issue with a growing prevalence. In this context, the number of diabetic complications is also on the rise, such as diabetic foot ulcers (DFU), which are closely linked to the risk of lower extremity amputation (LEA). Statistical prediction tools may support clinicians to initiate early tertia...
Preprint
BACKGROUND Large health organizations often struggle to build complex health information technology (HIT) solutions of high quality and are faced with ever growing pressure to continuously innovate their information systems. While achieving high quality HIT implementations requires change and, therefore, an innovative organization, innovation and c...
Article
Full-text available
Objective: The more people there are who use clinical information systems (CIS) beyond their traditional intramural confines, the more promising the benefits are, and the more daunting the risks will be. This review thus explores the areas of ethical debates prompted by CIS conceptualized as smart systems reaching out to patients and citizens. Furt...
Article
Full-text available
The access to data in healthcare is an enabler for the implementation of clinical decision support systems (CDSS) in practice. The usage of CDSS aims to be of efficient assistance to healthcare providers. The aim of the BMBF project "PosiThera", is to support the involved professions in the treatment process of chronic wounds. In this study we impl...
Article
Full-text available
Background Against the background of a steadily increasing degree of digitalization in health care, a professional information management (IM) is required to successfully plan, implement, and evaluate information technology (IT). At its core, IM has to ensure a high quality of health data and health information systems to support patient care. Obje...
Preprint
Full-text available
Background: Diabetes mellitus is a major global health issue with a growing prevalence. In this context, the number of diabetic complications is also on the rise, such as diabetic foot ulcers (DFU), which are closely linked to the risk of lower extremity amputation (LEA). Statistical prediction tools may support clinicians to initiate early tertiar...
Preprint
Full-text available
Background: Diabetes mellitus is a major global health issue with a growing prevalence. In this context, the number of diabetic complications is also on the rise, such as diabetic foot ulcers (DFU), which are closely linked to the risk of lower extremity amputation (LEA). Statistical prediction tools may support clinicians to initiate early tertiar...
Preprint
Full-text available
Background: Diabetes mellitus is a major global health issue with a growing prevalence. In this context, the number of diabetic complications is also on the rise, such as diabetic foot ulcers (DFU), which are closely linked to the risk of lower extremity amputation (LEA). Statistical prediction tools may support clinicians to initiate early tertiar...
Book
Full-text available
Die Digitalisierung des Gesundheitswesens ist in aller Munde. Themen rund um die Elektronische Patientenakte, KI und Forschungsfähigkeit durch IT haben sich mittlerweile zum zentralen Gegenstand der gegenwärtigen Gesundheitspolitik entwickelt. Viele innovative Ansätze für die Versorgung und Forschung werden zum Teil kontrovers diskutiert und Rufe n...
Article
Der Entwurf für das Krankenhauszukunftsgesetz (KHZG) sieht eine flächendeckende Erfassung des digitalen Reifegrades in Krankenhäusern vor – eine Chance für die Digitalisierung, schreiben unsere Autoren, wichtig für die Erhebung sei aber das richtige Modell. Ein Überblick.
Article
Background: While aiming for the same goal of building a national eHealth Infrastructure, Germany and the United States pursued different strategic approaches - particularly regarding the role of promoting the adoption and usage of hospital Electronic Health Records (EHR). Objective: To measure and model the diffusion dynamics of EHRs in German...
Article
Full-text available
Radiology has a reputation for having a high affinity to innovation - particularly with regard to information technologies. Designed for supporting the peculiarities of radiological diagnostic workflows, Radiology Information Systems (RIS) and Picture Archiving and Communication Systems (PACS) developed into widely used information systems in hospi...
Article
Full-text available
Emergency department (ED) care for frail elderly patients is associated with an increased use of resources due to their complex medical needs and frequently difficult psycho-social situation. To better target their needs with specially trained staff, it is vital to determine the times during which these particular patients present to the ED. Recent...
Article
Full-text available
Personal health records (PHR) are instruments to compile, store and present health and wellness related data digitally with proven effects on self-management of diseases. The aim of this study was to investigate whether there were differences in the intention to use (ITU) and perceived usefulness (PU) of two technologies allowing users to access th...
Article
Full-text available
Despite similar policy goals, the adoption of eHealth practices took different paths in Austria (AT), Switzerland (CH), and Germany (GER). We seek to provide a rigorous analysis of the current state of hospitals by focusing on three key eHealth areas: electronic patient records (EPR), health information exchange (HIE), electronic patient communicat...
Article
Full-text available
Although user participation may facilitate the realisation of IT innovations, various literature analyses show only minimal to moderate evidence for such effects possibly due to disregard of mediating factors. Against this background, this study examines the extent to which joint intrapreneurship of clinical leaders and IT leaders as well as a dist...
Article
Full-text available
This paper describes the methodology and developments towards the TIGER International Recommendation Framework of Core Competencies in Health Informatics 2.0. This Framework is meant to augment the scope from nursing towards a series of six other professional roles, i.e. direct patient care, health information management, executives, chief informat...
Preprint
Full-text available
Emergency department (ED) care for frail elderly patients is associated with an increased use of resources due to their complex medical needs and frequently difficult psycho-social situation. To better target their needs with specially trained staff, it is vital to determine the times during which these particular patients present to the ED. Recent...
Chapter
Das Ausmaß der Digitalisierung im Gesundheitswesen bemisst sich daran, wie gut die vorhandene IT Informationslogistik bedienen kann. Der IT-Report Gesundheitswesen ist eine Umfragereihe, die seit 16 Jahren den Digitalisierungsgrad in Krankenhäusern untersucht und eine Familie von Composite Scores bereitstellt, insbesondere den Workflow Composite Sc...
Article
Full-text available
Background: Crowding in emergency departments (ED) has a negative impact on quality of care and can be averted by allocating additional resources based on predictive crowding models. However, there is a lack in effective external overall predictors, particularly those representing public activity. Objectives: This study, therefore, examines publ...
Article
Health IT systems are employed to support continuity of care via information continuity, while management continuity is often neglected. This study aims at investigating issues of management continuity when developing a collaborative decision support system for chronic wounds. Thirty-three experts from a variety of professions and disciplines discu...
Conference Paper
Full-text available
Frequent users of emergency departments (ED) pose a significant challenge to hospital emergency services. Despite a wealth of studies in this field, it is hardly understood, what medical conditions lead to frequent attendance. We examine (1) what ambulatory care sensitive conditions (ACSC) are linked to frequent use, (2) how frequent users can be c...
Article
Full-text available
As health IT supports processes along the entire patient trajectory and involves different types of professional groups, eHealth is inter-professional by nature. The aim of this study, therefore, is to investigate which competencies are at the intersection of the individual groups of health professionals. 718 international experts provided relevanc...
Article
While Nursing Informatics competencies seem essential for the daily work of nurses, they are not formally integrated into nursing education in Austria, Germany and Switzerland, nor are there any national educational recommendations. The aim of this paper is to show how such recommendations can be developed, what competency areas are most relevant i...
Article
Full-text available
Background: While health informatics recommendations on competencies and education serve as highly desirable corridors for designing curricula and courses, they cannot show how the content should be situated in a specific and local context. Therefore, global and local perspectives need to be reconciled in a common framework. Objectives: The primary...
Conference Paper
Background: Diabetes mellitus is one of the most prominent examples of chronic conditions that requires an active patient self-management and a network of specialists. Objectives: The aim of this study was to analyze the user and legal requirements and develop a rough technology concept for a secure and patient-centered exchange platform Methods: T...
Article
Full-text available
Background: Medical ward rounds are critical focal points of inpatient care that call for uniquely flexible solutions to provide clinical information at the bedside. While this fact is undoubted, adoption rates of mobile IT solutions remain rather low. Objectives: Our goal was to investigate if and how mobile IT solutions influence successful in...
Conference Paper
Full-text available
Die Verbreitung von Informationstechnologien (IT) im Gesundheitswesen sowie deren Einflussgrößen sind Betrachtungsobjekt der Adoptions- und Diffusionsforschung. Neues Wissen aus diesen Studien wird dabei häufig als summative Umfrageergebnisse disseminiert. Mit dem in diesem Beitrag vorgestellten Web-Portal werden die individuellen Umfrageergebnisse...
Conference Paper
Full-text available
Das Informationsmanagement steht im Zentrum erfolgreicher eHealth-Innovationsprozesse von Krankenhäusern. Im Kontext komplexer, zum Teil tradierter Krankenhausstrukturen kann die Gestaltungsfähigkeit des Informationsmanagements durch eine ausgeprägte Intrapreneurship-Kultur erhöht werden, wovon vermutlich auch der Digitalisierungsgrad der Einrichtu...
Article
Full-text available
Current frameworks postulate the success of health IT innovations to be determined by the professionalism of the information management (PIM). Still, empirical knowledge about PIM is scarce up until today. This study seeks to answer three research questions: (1.) How can PIM be measured in a reliable and valid way, (2.) how pronounced is PIM in Ger...
Article
Background: IT is getting an increasing importance in hospitals. In this context, major IT decisions are often made by CEOs who are not necessarily IT experts. Objectives: Therefore, this study aimed at a) exploring different types of IT decision makers at CEO level, b) identifying hypotheses if trust exists between these different types of CEOs...
Article
Background: Diabetes mellitus is one of the most prominent examples of chronic conditions that requires an active patient self-management and a network of specialists. Objectives: The aim of this study was to analyze the user and legal requirements and develop a rough technology concept for a secure and patient-centered exchange platform. Metho...
Article
Full-text available
The establishment of successful clinical information logistics (CIL) within the care processes is one of the main objectives of strategic health IT management in hospitals. While technical realisations in terms of useful, usable and interoperable IT solutions are essential precursors of CIL, there is limited empirical research on what socio-organis...
Article
Full-text available
This prospective longitudinal study aims at better understanding eHealth success factors in different European nations, esp. the role of eHealth-legislation in Switzerland and Germany. Qualitative interviews with 39 matched experts from a large variety of institutions in both nations were conducted. The individual statements in the interviews and t...
Article
Frequent users of emergency departments (ED) pose a significant challenge to hospital emergency services. Despite a wealth of studies in this field, it is hardly understood, what medical conditions lead to frequent attendance. We examine (1) what ambulatory care sensitive conditions (ACSC) are linked to frequent use, (2) how frequent users can be c...
Article
Full-text available
The workflow-oriented dissemination of electronic patient data is a central goal of IT deployment in hospitals. Against this background, the present study examines two research questions: (1.) Are there differences in the availability of electronic patient data (AEPD) between different clinical workflows and data types and (2.) which structural and...