Publikationen

2018

• Proactive, Transdisciplinary Safer-System Redesign. A Field Report from the Hospital Frontline

  Podtschaske, B., Salazar, N., & Rao, M. B. (2018). Proactive, Transdisciplinary Safer-System Redesign. A Field Report from the Hospital Frontline. IISE Transactions on Occupational Ergonomics and Human Factors, 6(3-4), 192–199. http://doi.org/10.1080/24725838.2018.1450794 (Original work published Mai 2018)

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  Background: Today, most healthcare systems can be described as “compliant organizations”. However, as the patient safety movement continues to prosper, many scholars have proposed to evolve from a reactive approach toward a more proactive one that better addresses risks for preventable harm.
  Purpose: Proactive organizations aim to achieve resilience. Stanford Health Care is trailblazing by integrating safety science experts into clinical practice who work in tandem with clinicians to proactively design work systems for safer, more effective, patient-centered care.
  Methods: Adapting the human-centered design approach, a transdisciplinary team of engineers, physicians, and nurses utilizes an array of methods and tools to identify and analyze systems-related issues proactively and comprehensively, to search for and test a variety of solutions, to select the best options, implement solutions successfully, and to monitor sustainability of improvement.
  Results: The team-conducted projects, e.g., to improve blood administration and to standardize set-up and management of cerebrospinal fluid drainage systems. Our accomplishments so far, include the systematic examination and comprehensive description of clinical work systems, their components and interactions, successful collaboration with clinical and support services throughout the organization, and the redesign of IT systems, medical devices, and nursing procedures. The efforts also led to price reductions by 50% for a single medical device. Since the completion of the projects, we have had no related adverse patient event, no associated litigation, and the nursing and service-quality indicators are within the satisfactory target range.
  Conclusions: The SHC Advancing Patient Safety Program is a novel endeavor that analyzes systems issues in an organization-wide manner, executes improvement work in a comprehensive and integrated fashion, is a conduit for innovation, and is a medium for breaking through boundaries and silos thus fostering deeper collaboration among disciplines.

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    • Podtschaske, Beatrice

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    • Gesundheit und Life Sciences

  • Fachbereich

    • Fachbereich 4: Wirtschaft

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  • 2018
  • Journal Article
  • • Beatrice Podtschaske
    • Noraliza Salazar
    • Mitesh Rao

• Inertial Response Controller Design for a Variable Speed Wind Turbine

  Gloe, A., Jauch, C., Thiesen, H., & Viebeg, J. (2018). Inertial Response Controller Design for a Variable Speed Wind Turbine. WETI. http://doi.org/10.13140/RG.2.2.27846.57926 (Original work published März 2018)

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    • Gloe, Arne
    • Jauch, Clemens
    • Thiesen, Henning

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  • 2018
  • Report
  • • Arne Gloe
    • Prof. Dr. Clemens Jauch
    • Henning Thiesen
    • J. Viebeg
  • • WETI

• Critical Lessons From High-Value Oncology Practices

  Blayney, D., Simon, M., Podtschaske, B., Ramsey, S., Shyu, M., Lindquist, C., & Milstein, A. (2018). Critical Lessons From High-Value Oncology Practices. JAMA Oncology, 4, 164–171. http://doi.org/10.1001/jamaoncol.2017.3803 (Original work published Februar 2018)

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  Cancer care is expensive. Cancer care provided by practice organizations varies in total spending incurred by patients and payers during treatment episodes and in quality of care, and this unnecessary variation contributes to the high cost.To use the variation in total spending and quality of care to assess oncology practice attributes distinguishing “high value” that may be tested and adopted by others to produce similar results.“Positive deviance” was used in this exploratory mixed-methods (quantitative and qualitative) analysis of interview results. To quantify value, oncology practices located near the US Pacific Northwest and Midwest with low mean insurer-allowed spending were identified. Among those, practices with high quality were selected. A team then conducted site visits to interview practice personnel from June 2, 2015, through October 3, 2015, and to probe for attributes of high-value care. A qualitative analysis of their interview results was performed, and a panel of experienced oncologists was convened to review attributes occurring uniquely or frequently in low-spending practices for their contribution to value improvement and ease of implementation. Four positive deviant (ie, low-spending) oncology practices and 3 oncology practices that ranked near the middle of the spending distribution were studied.Thematic saturation in a qualitative analysis of high-value care attributes.From the 7 oncology practices studied, 13 attributes within the following 5 themes emerged: treatment planning and goal setting, services supporting the patient journey, technical support and physical layout, care team organization and function, and external context. Five attributes (ie, conservative use of imaging, early discussion of treatment limitations and consequences, single point of contact, maximal use of registered nurses for interventions, and a multicomponent health care system) most sharply distinguished the high-value practice sites. The expert oncologist panel judged 3 attributes (ie, early and normalized palliative care, ambulatory rapid response, and early discussion of treatment limitations and consequences) to carry the highest immediate potential for lowering spending without compromising the quality of care.Oncology practice attributes warranting further testing were identified that may lower total spending for high-quality oncology care.

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  • Personenseiten

    • Podtschaske, Beatrice

  • Profilbereich

    • Gesundheit und Life Sciences

  • Fachbereich

    • Fachbereich 4: Wirtschaft

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  • 2018
  • Journal Article
  • • Douglas Blayney
    • Melora Simon
    • Beatrice Podtschaske
    • Scott Ramsey
    • Margaret Shyu
    • Craig Lindquist
    • Arnold Milstein

• Towards Emancipatory Aspects of Women’s Entrepreneurship: An Alternative Model of Women’s Entrepreneurial Self-Efficacy in Patriarchal Societies

  Mikkelsen, K. (2018). Towards Emancipatory Aspects of Women’s Entrepreneurship: An Alternative Model of Women’s Entrepreneurial Self-Efficacy in Patriarchal Societies. In Women’s Entrepreneurship in Europe: Multidimensional Research and Case Study Insights (S. 83–103,). Cham: Springer International Publishing. http://doi.org/10.1007/978-3-319-96373-0_5 (Original work published Januar 2018)

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  This chapter considers societal gender mechanisms in an effort to shed light on the antecedents of women’s entrepreneurial self-efficacy (ESE). While numerous studies have repeatedly assessed the relevance of ESE for developing entrepreneurial intentions, making clear that women tend to express significantly lower levels of ESE, there are hardly any contributions dealing with the antecedents of ESE. Social mechanisms resulting from national cultural attitudes appear significant when it comes to this topic. By integrating gender as a category into this investigation, a major focus lies upon the analysis of societal processes of doing gender and its effect on the construction of women’s ESE. A better understanding of this construction process is an important step towards a more gender-sensitive entrepreneurial ecosystem that supports women. The following investigation of German and Danish women entrepreneurs showed that despite a higher rate of gender egalitarianism in their country, Danish women face obstacles similar to those found in Germany on their path towards becoming self-employed. In addition, founding their own business appears to be the result of an overall emancipatory process. The relation between societal processes and the construction of ESE is presented in the model of entrepreneurial self-efficacy in patriarchal structures.

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  • Abteilung/Einrichtung

    • Jackstädt-Zentrum Flensburg (JZF)

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  • 2018
  • Book Chapter
  • • Kirsten Mikkelsen

• Existenzgründung von Frauen im Care-Bereich – Effekte von Arbeitszeit, Arbeitsform und Einkommen auf die Arbeits- und Lebenszufriedenheit

  Ebbers, I., Mikkelsen, K., & Piper, A. (2018). Existenzgründung von Frauen im Care-Bereich – Effekte von Arbeitszeit, Arbeitsform und Einkommen auf die Arbeits- und Lebenszufriedenheit. In Entrepreneurship im Gesundheitswesen I: Unternehmensgründung – Geschäftsideen – Wertschöpfung (S. 201–219,). Wiesbaden: Springer Fachmedien Wiesbaden. http://doi.org/10.1007/978-3-658-14779-2_12 (Original work published Januar 2018)

  Abstract

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  Der Anteil von Unternehmensgründungen von Frauen im Gesundheitssektor ist in Relation zu anderen Branchen mit ca. 48 % relativ hoch. Es darf vermutet werden, dass ein Grund hierfür in dem ohnehin hohen Beschäftigungsanteil von Frauen in diesem Sektor liegt, welcher 87 % beträgt. Es darf jedoch auch angenommen werden, dass die Entscheidung für eine Gründung darin bestehen könnte, eine persönliche Verbesserung der Erwerbsarbeit zu erlangen. Diese Annahme führt zu der Frage, ob unternehmerisch selbstständige Frauen im Gesundheitssektor zufriedener mit ihrer Arbeits- und Lebenssituation sind als angestellt erwerbstätige Frauen. Auch interessiert die Frage vor dem Hintergrund eines Geschlechtervergleichs. Es wurden diesbezüglich Daten zu Arbeitszeit, Arbeitsform und Einkommen erhoben und deren Effekte auf Job- und Lebenszufriedenheit analysiert sowie abschließend diskutiert.

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  • Abteilung/Einrichtung

    • Jackstädt-Zentrum Flensburg (JZF)

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  • 2018
  • Book Chapter
  • • Ilona Ebbers
    • Kirsten Mikkelsen
    • Alan Piper

• An elementary simulation model for neck growth and shrinkage during solid phase sintering

  Thomsen, F., Hofmann, G., Ebel, T., & Willumeit-Römer, R. (2018). An elementary simulation model for neck growth and shrinkage during solid phase sintering. Materialia, 3, 9. http://doi.org/https://doi.org/10.1016/j.mtla.2018.08.031

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    • Thomsen, Fritz

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  • 2018
  • Journal Article
  • • Fritz Thomsen
    • Götz Hofmann
    • Thomas Ebel
    • Regine Willumeit-Römer

• Open Privacy: Anonymisiertes Live-Feedback für Vortragssituationen

  Nicolaisen, V., Dohse, F., Eickelmann, T., Goldgräbe, Y., Reinhold, S., & Teistler, M. (2018). Open Privacy: Anonymisiertes Live-Feedback für Vortragssituationen. In Mensch und Computer 2018 - Tagungsband. Bonn: Gesellschaft für Informatik e.V. http://doi.org/10.18420/muc2018-mci-0420

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  • Personenseiten

    • Teistler, Michael

  • Abteilung/Einrichtung

    • CIVU – Center for Interaction, Visualization and Usability

  • Fachbereich

    • Fachbereich 3: Information und Kommunikation

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  • 2018
  • Conference Paper
  • • Vera Nicolaisen
    • Friedemann Dohse
    • Tim Eickelmann
    • Yannik Goldgräbe
    • Sascha Reinhold
    • Michael Teistler

• Special Section on Measurement for Future Software Industry: Driving Value Creation

  Gencel, C., & Petersen, K. (2018). Special Section on Measurement for Future Software Industry: Driving Value Creation. Information and software technology, 215–215.

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  • Personenseiten

    • Petersen, Kai

  • Abteilung/Einrichtung

    • FLAIR - Flensburg Artificial Intelligence Research

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  • 2018
  • Journal Article
  • • Cigdem Gencel
    • Kai Petersen

• A Comparison of Mental and Physical Rotation Using Gaze-Based Measures

  Wetzel, S., & Bertel, S. (2018). A Comparison of Mental and Physical Rotation Using Gaze-Based Measures. Spatial Cognition XI. Tübingen. Germany: Springer International Publishing.

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  Over the past few years, a number of studies have reported on procedural similarities and differences between mental rotation and physical (i.e., manual) rotation of Shepard and Metzler-type stimuli. These similarities include comparable angular disparity effects and comparable final angular offsets in problem solving. This paper presents results from further comparisons based on gazed-derived measures obtained across the course of trials. In a within-subject design, participants solved the same tasks as mental and as physical rotation problems. We compare time courses of mean fixation duration and of saccade amplitude, and interpret these with respect to underlying mental processes and loads. The results point to additional specific procedural similarities and differences, which nicely complement the previous findings. The results are of additional, practical use for establishing how and when physical rotation can provide a useful proxy for mental rotation for purposes of process analysis, of ability assessment, and of training.

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  • Personenseiten

    • Bertel, Sven

  • Abteilung/Einrichtung

    • CIVU – Center for Interaction, Visualization and Usability

  • Fachbereich

    • Fachbereich 3: Information und Kommunikation

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  • 2018
  • Conference Proceedings
  • • Stefanie Wetzel
    • Sven Bertel

• Molecular Networking-Based Metabolome and Bioactivity Analyses of Marine-Adapted Fungi Co-cultivated With Phytopathogens

  E., O.-D., Parrot, D., Blümel, M., Labes, A., & Tasdemir, D. (2018). Molecular Networking-Based Metabolome and Bioactivity Analyses of Marine-Adapted Fungi Co-cultivated With Phytopathogens. Frontiers in Microbiology, 9, 2072.

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  • 2018
  • Journal Article
  • • Oppong-Danquah E.
    • D. Parrot
    • M. Blümel
    • Antje Labes
    • D. Tasdemir