A5046858780- Pressure Ulcer Prevention and Management
- Wound Healing and Treatments
- Intensive Care Unit Cognitive Disorders
- Anesthesia and Sedative Agents
- Family and Patient Care in Intensive Care Units
- Diabetic Foot Ulcer Assessment and Management
- Dermatology and Skin Diseases
- Social and Demographic Issues in Germany
- Nosocomial Infections in ICU
- Healthcare Decision-Making and Restraints
- Medicine and Dermatology Studies History
- Diagnosis and Treatment of Venous Diseases
- Balance, Gait, and Falls Prevention
- Sports Science and Education
- Flexible and Reconfigurable Manufacturing Systems
- Corporate Governance and Management
- Nursing Diagnosis and Documentation
- Pneumothorax, Barotrauma, Emphysema
- Psoriasis: Treatment and Pathogenesis
- Corporate Management and Leadership
- Neonatal skin health care
- Burn Injury Management and Outcomes
- Tracheal and airway disorders
- Cardiac, Anesthesia and Surgical Outcomes
- Respiratory Support and Mechanisms
Humboldt-Universität zu Berlin
2020-2025
Charité - Universitätsmedizin Berlin
2011-2025
Freie Universität Berlin
2020-2025
Berlin Institute of Health at Charité - Universitätsmedizin Berlin
2020
There is a high incidence of pressure ulcers in high‐risk settings such as intensive care. emerging evidence that the application dressings to ulcer predilection areas (sacrum and heels) improves prevention strategies. To determine whether preventive dressings, applied sacrum heels patients care units, addition standard prevention, reduces ulcers. Between June 2015 July 2018, randomized, controlled, two‐arm, superiority pragmatic study was performed with concealed 1 : allocation intervention...
Post-stroke delirium (POD) in patients on stroke units (SU) is associated with an increased risk for complications and poorer clinical outcome. The objective was to reduce the severity of POD by implementing interprofessional delirium-management.Multicentric quality-improvement project five SU a delirium-management pre/post-comparison. Primary outcome POD, assessed Nursing Delirium Screening Scale (Nu-DESC). Secondary parameters were incidence, duration, modified Rankin (mRS), length stay...
Presenting nursing-sensitive quality care indicators into actionable dashboards is essential for optimizing resource allocation in critical care. We developed a dashboard to support decision-making day-to-day by visualizing and summarizing disease severity metrics from intensive units.
Delirium is an acute disturbance characterized by fluctuating symptoms related to attention, awareness and recognition. Especially for elderly patients, delirium frequently associated with high hospital costs resource consumption, worse functional deterioration increased mortality rates. Early recognition of risk factors enables medical staff prevent or treat negative effects. Most studies examining screening instruments were conducted in intensive care units surgical wards, rarely general...
Abstract Pressure ulcer incidence is high in intensive care units. This causes a serious financial burden to healthcare systems. We evaluated the cost‐effectiveness of multi‐layered silicone foam dressings for prevention sacral and heel pressure ulcers addition standard high‐risk units patients. A randomised controlled trial assess efficacy prevent development on heels sacrum among 422 unit patients was conducted. Direct costs preventive intervention group treatment incident both groups were...
Introduction In patients with acute respiratory distress syndrome, prone positioning improves oxygenation and reduces mortality. Pressure injuries occur frequently because of prolonged in high-risk patients, preventive measures are limited. This article describes 2 who developed minimal pressure despite several positionings. Prevention strategies also described. Clinical Findings A 64-year-old man a 76-year-old woman were admitted to the hospital insufficiency. Due both intubated received...
Postoperative delirium (POD) is seen in approximately 15% of elderly patients and related to poorer outcomes. In 2017, the Federal Joint Committee (Gemeinsamer Bundesausschuss) introduced a 'quality contract' (QC) as new instrument improve healthcare Germany. One four areas for improvement in-patient care 'Prevention POD patients' (QC-POD), means reduce risk developing its complications.The Institute Quality Assurance Transparency Health Care identified gaps prevention, screening treatment...
Standardized fall risk scores have not proven to reliably predict falls in clinical settings. Machine Learning offers the potential increase accuracy of such predictions, possibly vastly improving care for patients at high risks. We developed a boosting algorithm both recurrent and severity injuries. The model was trained on dataset including extensive information events who had been admitted Charité - Universitätsmedizin Berlin between August 2016 July 2020. data were recorded according...
Comparative quality measurements and evaluations in nursing play significant roles. Quality measures are affected by systematic random error. Statistical Process Control (SPC) offers a method to take variation adequately into account. In this article, control charts introduced. Those graphical displays show over time. Attribute variables can be displayed p-, u- c-control charts. Special cause variations within the processes detected rules. If signs for special absent, process considered...
Zusammenfassung Hintergrund Das Delir ist ein neuropsychiatrisches Syndrom, welches häufig ältere Patient_innen betrifft und schwerwiegende Folgen haben kann. Oftmals wird es vom Gesundheitspersonal nicht erkannt. Der Wissensstand über das beim pflegerischen ärztlichen Personal unzureichend ausgeprägt. Zum aktuellen Zeitpunkt fehlt im deutschsprachigen Raum Fragebogen zur Erfassung des Wissensstands. Ziel Weiterentwicklung eines Fragenbogens Bewertung der Inhaltsvalidität. Methode Im Rahmen...
Dekubitalulzera sind immer ein unerwünschtes Ereignis und Dauerthema auf Intensiv- Intensivüberwachungsstationen. Es gibt jedoch geeignete qualitätssichernde Maßnahmen, um die Anzahl der den Stationen entstandenen <b>Dekubitalulzera</b> zu reduzieren. Dass dies bei kritisch kranken Patienten nicht immer, aber überwiegend machbar ist, zeigt das Beispiel anästhesiologischen Intensivüberwachungsstation Charité in Berlin.