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Prof. Dr. med. Rainer Röhrig

Geschäftsstelle

David Saß / Imke Garten

+49 (0)441 798-2772

Postanschrift

Carl von Ossietzky Universität Oldenburg
Fakultät VI - Medizin und Gesundheitswissenschaften
Abteilung Medizinische Informatik
Ammerländer Heerstr. 114-118
26129 Oldenburg

Besucheranschrift

Campus Haarentor, Gebäude V04
Ammerländer Heerstraße 140
26129 Oldenburg

Literaturverzeichnis

  • [article] bibtex
    R. Röhrig, F. Hoffmann, und M. Lipprandt, "Patientensicherheit ist in einem soziotechnischem System eine gemeinsame Aufgabe," Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen, vol. 125, pp. 1-2, 2017.
    @article{Rohrig.2017,
      author = {R{\"o}hrig, Rainer and Hoffmann, Falk and Lipprandt, Myriam},
      year = {2017},
      title = {Patientensicherheit ist in einem soziotechnischem System eine gemeinsame Aufgabe},
      pages = {1--2},
      volume = {125},
      issn = {2212-0289},
      journal = {Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen},
      doi = {10.1016/j.zefq.2017.07.002} }
  • [article] bibtex
    D. Brammen, H. Dewenter, K. Heitmann, V. Thiemann, R. W. Majeed, F. Walcher, R. Röhrig, und S. Thun, "Mapping Equivalence of German Emergency Department Medical Record Concepts with SNOMED CT After Implementation with HL7 CDA," Studies in health technology and informatics, vol. 243, pp. 175-179, 2017.
    @article{Brammen.2017, abstract = {INTRODUCTION The German Emergency Department Medical Record (GEDMR) was created by medical domain experts and healthcare providers providing a dataset as well as a form. The trauma module of GEDMR was syntactically standardized using HL7 CDA and semantically standardized using different terminologies including SNOMED CT, LOINC and proprietary coding systems. This study depicts the mapping accuracy with aforementioned syntactical and semantical standards in general and especially the content coverage of SNOMED CT. METHODS The specification of GEDMR (V2015.1) concepts with eHealth-standards HL7-CDA, LOINC, SNOMED CT was analyzed. A content coverage assessment was made using the ISO TR 12300 rating scheme, following descriptive analysis. RESULTS The trauma module of GEDMR contains 489 concepts, with 202 concepts expressed via HL7 CDA structure. It is possible to code 89 {\%} of the remaining concepts via SNOMED CT. 79 {\%} provide an advanced level of semantic interoperability, as they represent the source information either lexically or as an approved synonym. DISCUSSION The terminology binding problem is relevant when combining different standards for syntactic and semantic interoperability with best practice documents and reference specifications providing guidance. A national license and extension for SNOMED CT in Germany as well as an ongoing effort in contributing to the International Version of SNOMED CT would be necessary to gain full coverage for concepts in German Emergency Medicine and to leverage the associated standardization process.},
      author = {Brammen, Dominik and Dewenter, Heike and Heitmann, Kai and Thiemann, Volker and Majeed, Raphael W. and Walcher, Felix and R{\"o}hrig, Rainer and Thun, Sylvia},
      year = {2017},
      title = {Mapping Equivalence of German Emergency Department Medical Record Concepts with SNOMED CT After Implementation with HL7 CDA},
      pages = {175--179},
      volume = {243},
      issn = {0926-9630},
      journal = {Studies in health technology and informatics},
      doi = {10.3233/978-1-61499-808-2-175} }
  • [article] bibtex
    D. Brammen, H. Dewenter, V. Thiemann, R. W. Majeed, T. Xu, K. Heitmann, F. Walcher, S. Thun, und R. Röhrig, "Disseminating a Standard for Medical Records in Emergency Departments Among Different Software Vendors Using HL7 CDA," Studies in health technology and informatics, vol. 243, pp. 132-136, 2017.
    @article{Brammen.2017b, abstract = {A standardized medical record for the emergency department (GEDMR) was released in Germany, but only sparsely and randomly implemented by emergency department (ED) electronic health record (EHR) vendors. A reason for this may be a lacking common language between the medical and the Health Information Technology (HIT) domain. HL7 clinical document architecture (CDA) may leverage this communication gap. This paper reports on the effects of a professional medical association record standard on EHR vendors and the German ED-EHR market. Standard records and data standards are developed and published by different institutions either on governmental, healthcare agency or medical association level. There are some standard records, especially by US cardiology associations, transformed into HL7 C-CDA. GEDMR was modeled as HL7 CDA with the use of interoperable terminologies like LOINC and SNOMED CT. Being part of an emergency department data registry development project, local deployment at 15 project hospitals receiving sufficient funding was performed. Two major ED-EHR vendors adapted GEDMR within their product including CDA export. 106,868 CDAs were produced in six hospitals until now. Four local implementations with four different ED-EHRs were developed, producing 42,256 CDAs. Five additional vendors are adapting or developing an ED-EHR. The GEDMR-CDA implementation guide with funding for implementation in project hospitals had a significant impact on the German ED-EHR market. Within two years after release, a broadening and increasingly self-enforcing support by German ED-EHR vendors is notable.},
      author = {Brammen, Dominik and Dewenter, Heike and Thiemann, Volker and Majeed, Raphael W. and Xu, Tingyan and Heitmann, Kai and Walcher, Felix and Thun, Sylvia and R{\"o}hrig, Rainer},
      year = {2017},
      title = {Disseminating a Standard for Medical Records in Emergency Departments Among Different Software Vendors Using HL7 CDA},
      pages = {132--136},
      volume = {243},
      issn = {0926-9630},
      journal = {Studies in health technology and informatics},
      doi = {10.3233/978-1-61499-808-2-132} }
  • [article] bibtex
    B. R. Kux, R. W. Majeed, J. Ahlbrandt, und R. Röhrig, "Factors Influencing the Implementation and Distribution of Clinical Decision Support Systems (CDSS)," Studies in health technology and informatics, vol. 243, pp. 127-131, 2017.
    @article{Kux.2017, abstract = {Clinical Decision Support Systems (CDSS) can have positive effects on quality of care measures, yet have not gained widespread traction in healthcare. This study sought to determine and evaluate barriers and facilitators to CDSS implementation and distribution. Based on 768 systems identified in a literature review we conducted semi-structured telephone interviews with 54 system developers in 16 countries. Qualitative analysis led to the identification of 66 key factors influencing implementation. Central issues evolved around CDSS properties, quality and integration, as well as usability, user related factors, internal marketing, resource issues and collaborations with emphasis partly on topics differing from existing research. Additionally, evidence pointed to regional differences regarding implementation hurdles. Recent regulatory requirements were deemed less of a barrier to system adoption than expected, even though lacking expertise in this area was surprisingly common among interview partners.},
      author = {Kux, Benjamin R. and Majeed, Raphael W. and Ahlbrandt, Janko and R{\"o}hrig, Rainer},
      year = {2017},
      title = {Factors Influencing the Implementation and Distribution of Clinical Decision Support Systems (CDSS)},
      pages = {127--131},
      volume = {243},
      issn = {0926-9630},
      journal = {Studies in health technology and informatics},
      doi = {10.3233/978-1-61499-808-2-127} }
  • [article] bibtex
    T. P. Naziyok, C. Feeken, A. Zeleke, M. Dörks, und R. Röhrig, "Data Collection of Medication - Impact of Autocompletion in eCRFs on Efficiency and Data Quality," Studies in health technology and informatics, vol. 243, pp. 70-74, 2017.
    @article{Naziyok.2017, abstract = {OBJECTIVE Openclinica Input Completion (OIC) was developed to increase the efficiency to enter drugs in eCRF in OpenClinica{\circledR}. The aim of the study was to evaluate the impact on efficiency and data quality as well as usability. METHODS 20 participants were asked to input 15 drugs with the new tool and by hand. RESULTS The mean input time got decreased from 16:12m to 3:59m. 31 of 300 (10{\%}) of manual entered medication data sets had one or more errors versus 10 of 300 (3,3{\%}) data sets entered with OIC. CONCLUSION OIC was able to increase efficiency and data quality. We conclude that new additions to the graphical user interface in electronical Case-Report-Form (eCRF) systems should be validated before usage in research projects.},
      author = {Naziyok, Tolga Philipp and Feeken, Corinna and Zeleke, Atinkut and D{\"o}rks, Michael and R{\"o}hrig, Rainer},
      year = {2017},
      title = {Data Collection of Medication - Impact of Autocompletion in eCRFs on Efficiency and Data Quality},
      pages = {70--74},
      volume = {243},
      issn = {0926-9630},
      journal = {Studies in health technology and informatics},
      doi = {10.3233/978-1-61499-808-2-70} }
  • E. Schneck, C. Koch, M. Borgards, M. Reichert, A. Hecker, C. Heiß, W. Padberg, E. Alejandre Lafont, R. Röhrig, G. A. Krombach, M. Weigand, M. Bernhard, und F. C. Roller, "Impact of abdominal follow-up sonography in trauma patients without abdominal parenchymal organ lesion or free intraabdominal fluid in whole-body computed tomography: Nutzen einer abdominellen Verlaufs-Ultraschalluntersuchung bei Traumapatienten ohne Nachweis von Organverletzungen oder freier Flüssigkeit in der initialen Computertomografie," Röntgenfortschritt, vol. 189, iss. 2, pp. 128-136, 2017.
    @article{Schneck.2017,
      author = {Schneck, Emanuel and Koch, Christian and Borgards, Mara and Reichert, Martin and Hecker, Andreas and Hei{\ss},
      Christian and Padberg, Winfried and Alejandre Lafont, Enrique and R{\"o}hrig, Rainer and Krombach, Gabriele Anja and Weigand, Markus and Bernhard, Michael and Roller, Fritz Christian},
      year = {2017},
      title = {Impact of abdominal follow-up sonography in trauma patients without abdominal parenchymal organ lesion or free intraabdominal fluid in whole-body computed tomography: Nutzen einer abdominellen Verlaufs-Ultraschalluntersuchung bei Traumapatienten ohne Nachweis von Organverletzungen oder freier Fl{\"u}ssigkeit in der initialen Computertomografie},
      url = {https://doi.org/10.1055/s-0042-120844},
      pages = {128--136},
      volume = {189},
      number = {2},
      journal = {R{\"o}ntgenfortschritt},
      doi = {10.1055/s-0042-120844} }
  • [article] bibtex
    I. Seeger, A. Zeleke, M. Freitag, und R. Röhrig, "IT Infrastructure for Biomedical Research in North-West Germany," Studies in health technology and informatics, vol. 243, pp. 65-69, 2017.
    @article{Seeger.2017, abstract = {The efficient use of routine data for biomedical research presupposes an IT infrastructure designed for health care facilities. The objective of this study was to analyse which IT infrastructure is used in hospitals and by general practitioners' (GP) practices in the region Oldenburg-Bremen and to examine how well this supports research projects. To this end, IT managers and GPs were interviewed. The usage of hospital information systems (HIS) and data warehouse systems (DWS) in hospitals is of major importance for the study. Over 90 {\%} use DWS for administration, 42 {\%} for clinical research. None of the hospitals implemented consent for the use of routine data for research. Only a third of the GPs have participated in studies. The GPs' offices based EHR systems in use offer virtually no support for research projects. The study results demonstrate that technical and organisational measures are required for the further usage of routine data in the region.},
      author = {Seeger, Insa and Zeleke, Atinkut and Freitag, Michael and R{\"o}hrig, Rainer},
      year = {2017},
      title = {IT Infrastructure for Biomedical Research in North-West Germany},
      pages = {65--69},
      volume = {243},
      issn = {0926-9630},
      journal = {Studies in health technology and informatics},
      doi = {10.3233/978-1-61499-808-2-65} }
  • [article] bibtex
    M. Wilken, D. Hüske-Kraus, A. Klausen, C. Koch, W. Schlauch, und R. Röhrig, "Alarm Fatigue: Causes and Effects," Studies in health technology and informatics, vol. 243, pp. 107-111, 2017.
    @article{Wilken.2017, abstract = {The term {\dq}Alarm fatigue{\dq} is commonly used to describe the effect which a high number of alarms can have on caregivers: Frequent alarms, many of which are avoidable, can lead to inadequate responses, severely impacting patient safety. In the first step of a long-term effort to address this problem, both the direct and indirect impact of alarms, as well as possible causes of unnecessary alarms were focused. Models of these causes and impacts were developed using a scoping review which included guided interviews with experts from medical informatics, clinicians and medical device manufacturers. These models can provide the methodical grounds for the definition of targeted interventions and the assessment of their effects.},
      author = {Wilken, Marc and H{\"u}ske-Kraus, Dirk and Klausen, Andreas and Koch, Christian and Schlauch, Wolfgang and R{\"o}hrig, Rainer},
      year = {2017},
      title = {Alarm Fatigue: Causes and Effects},
      pages = {107--111},
      volume = {243},
      issn = {0926-9630},
      journal = {Studies in health technology and informatics},
      doi = {10.3233/978-1-61499-808-2-107} }
  • [article] bibtex
    J. Defosse, M. Schieren, T. Loop, C. Arndt, R. Röhrig, E. Stoelben, C. Ludwig, A. Schleppers, F. Wappler, M. Gerbershagen, und A. Lopez-Pastorini, "Deutsches Thoraxregister -- Implementierung eines etablierten Werkzeugs der perioperativen Versorgungsforschung," Zentralblatt fur Chirurgie, vol. 142, iss. 3, pp. 330-336, 2017.
    @article{Defosse.2017, abstract = {The collection of clinical treatment data in registry databases is an important aspect of health services research. It allows for a critical evaluation of the safety, efficacy and cost-effectiveness of clinical treatment concepts in large patient populations. The findings of registry research represent real-world patients and treatment structures as they are not limited by strict inclusion criteria or unrealistic conditions as applied in prospective clinical trials. The implementation of the German Thorax Registry has enabled the collection and analysis of data on the interdisciplinary care (thoracic surgery, anaesthesiology, intensive care, pain management) of patients undergoing thoracic surgery. Under the auspices of the German Society of Anaesthesiology and Intensive Care Medicine and the German Society of Thoracic Surgery, a registry of the Hospital of the University Witten/Herdecke-Cologne, purely surgical at first, was expanded in close cooperation with the University Hospital of Freiburg. After a comprehensive data protection concept was drafted and a test phase completed, the German Thorax Registry was officially launched in January 2016. Most notably, participating hospitals profit from the registry's {\dq}benchmarking{\dq} services. {\dq}Benchmarking{\dq},
      i.e. the comparison of treatment quality between different hospitals, enables participants to identify individual profiles, strengths and weaknesses on a nation-wide level and follow their own progress over the course of several years. An online database for data entry and benchmarking is always accessible (www.thoraxregister.de). In October 2016, the spectrum of participants was expanded to include all hospitals performing at least 50 thoracic operations a year. Die Erhebung klinischer Behandlungsdaten in Registerdatenbanken hat seit Jahren einen hohen Stellenwert in der Versorgungsforschung. Hierdurch kann bspw. eine kritische Pr{\"u}fung der Sicherheit, Wirksamkeit und Wirtschaftlichkeit klinischer Behandlungskonzepte an gro{\ss}en Untersuchungskollektiven erfolgen. Die erhobenen Erkenntnisse aus der Registerforschung entsprechen der tats{\"a}chlichen Patientenklientel und dem Versorgungsalltag der teilnehmenden Kliniken. Sie sind nicht durch strenge Einschlusskriterien oder realit{\"a}tsferne Rahmenbedingungen klinischer prospektiver Studien beschr{\"a}nkt. Durch die Implementierung des Deutschen Thoraxregisters wurde erstmalig die M{\"o}glichkeit geschaffen, die interdisziplin{\"a}re Betreuung (Thoraxchirurgie, An{\"a}sthesiologie, Intensivmedizin, Schmerztherapie) von Patienten mit operativen Eingriffen am Thorax ganzheitlich in einer Datenbank zu erfassen und auszuwerten. Unter der Schirmherrschaft der Deutschen Gesellschaft f{\"u}r An{\"a}sthesiologie und Intensivmedizin (DGAI) und der Deutschen Gesellschaft f{\"u}r Thoraxchirurgie (DGT) wurde ein urspr{\"u}nglich rein thoraxchirurgisches Register des Klinikums der Universit{\"a}t Witten/Herdecke-K{\"o}ln in enger Kooperation mit dem Universit{\"a}tsklinikum Freiburg erweitert. Nach Ausarbeitung eines umfangreichen Datenschutzkonzepts und Abschluss der Pilotphase wurde das Deutsche Thoraxregister als erstes perioperatives, interdisziplin{\"a}res Behandlungsregister im Januar 2016 offiziell implementiert. Neben der reinen Registerforschung, profitieren die teilnehmenden Kliniken vor allem durch die {\glqq}benchmarking{\grqq}-Funktionen. Das {\glqq}benchmarking{\grqq},
      also der Vergleich der Behandlungsqualit{\"a}t verschiedener Kliniken, erlaubt es, individuelle Profile, St{\"a}rken und Schw{\"a}chen im nationalen Vergleich zu identifizieren und eigene Fortschritte {\"u}ber mehrere Jahre zu verfolgen. Das Eingabe- und Benchmarkportal ist jederzeit online verf{\"u}gbar (www.thoraxregister.de). Seit Oktober 2016 wurde das Teilnehmerspektrum erweitert, sodass s{\"a}mtliche Kliniken mit mindestens 50 thoraxchirurgischen Eingriffen im Jahr teilnahmeberechtigt sind.},
      author = {Defosse, J{\'e}r{\^o}me and Schieren, Mark and Loop, Torsten and Arndt, Cerstin and R{\"o}hrig, Rainer and Stoelben, Erich and Ludwig, Corinna and Schleppers, Alexander and Wappler, Frank and Gerbershagen, Mark and Lopez-Pastorini, Alberto},
      year = {2017},
      title = {Deutsches Thoraxregister -- Implementierung eines etablierten Werkzeugs der perioperativen Versorgungsforschung},
      pages = {330--336},
      volume = {142},
      number = {3},
      issn = {1438-9592},
      journal = {Zentralblatt fur Chirurgie},
      doi = {10.1055/s-0043-104770} }
  • [article] bibtex
    S. Dubler, M. Laun, C. Koch, A. Hecker, S. Weiterer, B. H. Siegler, R. Röhrig, M. Weigand, und C. Lichtenstern, "The impact of real life treatment strategies for Candida peritonitis-A retrospective analysis," Mycoses, vol. 60, iss. 7, pp. 440-446, 2017.
    @article{Dubler.2017, abstract = {Candida species are commonly detected isolates from abdominal foci. The question remains as to who would benefit from early empiric treatment in cases of Candida peritonitis. This study collected real-life data on critically ill patients with Candida peritonitis to estimate the relevance of the chosen treatment strategy on the outcome of these patients. One hundred and thirty-seven surgical intensive care unit (ICU) patients with intra-abdominal invasive Candidiasis were included in the study. Fifty-six patients did not get any antifungal agent. Twenty-nine patients were empirically treated, and 52 patients were specifically treated. In the group without, with empiric and with specific antifungal treatment, the 30-day mortality rate was 33.9, 48.3 and 44.2 respectively. Candida albicans was the most frequently found species. Seven patients in the specific treatment group and one patient in the empiric treatment group emerged with candidaemia. Age, leucocyte count, APACHE II Score and acute liver failure were independent predictors of 30-day mortality in patients with Candida peritonitis. Not all patients with Candida peritonitis received antifungal treatment in real clinical practice. Patients with higher morbidity more often got antifungals. Early empirical therapy has not been associated with a better 30-day mortality.},
      author = {Dubler, S. and Laun, M. and Koch, Christian and Hecker, Andreas and Weiterer, S. and Siegler, B. H. and R{\"o}hrig, Rainer and Weigand, Markus and Lichtenstern, Christoph},
      year = {2017},
      title = {The impact of real life treatment strategies for Candida peritonitis-A retrospective analysis},
      pages = {440--446},
      volume = {60},
      number = {7},
      issn = {1439-0507},
      journal = {Mycoses},
      doi = {10.1111/myc.12615} }
  • [article] bibtex
    N. Lenz, M. Hirschburger, R. Röhrig, T. Menges, M. Mueller, W. Padberg, und V. Mann, "Application of Continuous Wound-Infusion Catheters in Lung Transplantation: A Retrospective Data Analysis," The Thoracic and cardiovascular surgeon, vol. 65, iss. 5, pp. 403-409, 2017.
    @article{Lenz.2017, abstract = {Background Lung transplantation is the only treatment option for many patients with end-stage pulmonary disease. Therefore, postthoracotomy pain therapy is of vital interest. Thoracic epidural analgesia (EPI) is the {\dq}gold standard{\dq} for postthoracotomy pain, but especially in lung transplantation contraindications, and potential infectious complications limit its advantages. Under these circumstances surgically placed postthoracotomy catheter-assisted continuous paravertebral intercostal nerve block (PVB) could be of advantage. Methods We performed a retrospective cohort study of patients who underwent lung transplantation between 2005 and 2012. Groups were defined according to the type of postoperative pain therapy: PVB, EPI, and SYS (systemic analgesia). Total 44 patients were eligible. Results Postoperative opioid requirement of the PVB and EPI group was comparable and less than that of the SYS group. Patients of the PVB group were weaned earlier from mechanical ventilation after lung transplantation. Conclusion The potency of postoperative pain therapy of EPI and PVB seemed to be comparable and superior to SYS. Considering the risks and benefits, PVB could be a better choice than EPI for postthoracotomy pain therapy, especially in lung transplantation.},
      author = {Lenz, Nils and Hirschburger, Markus and R{\"o}hrig, Rainer and Menges, Thilo and Mueller, Matthias and Padberg, Winfried and Mann, Valesco},
      year = {2017},
      title = {Application of Continuous Wound-Infusion Catheters in Lung Transplantation: A Retrospective Data Analysis},
      keywords = {Analgesia, Epidural/adverse effects;Analgesics, Opioid/administration {\&} dosage;Anesthetics, Local/administration {\&} dosage/adverse effects;Catheters, Indwelling;Humans;Intercostal Nerves;Lung Transplantation/adverse effects/methods;Nerve Block/adverse effects/instrumentation/methods;Pain Measurement;Pain, Postoperative/diagnosis/etiology/prevention {\&} control;Patient Selection;Retrospective Studies;Risk Factors;Thoracotomy/adverse effects;Time Factors;Treatment Outcome;Ventilator Weaning},
      pages = {403--409},
      volume = {65},
      number = {5},
      issn = {1439-1902},
      journal = {The Thoracic and cardiovascular surgeon},
      doi = {10.1055/s-0036-1580621} }
  • [article] bibtex
    T. P. Naziyok, A. Zeleke, und R. Röhrig, "Contactless Patient Monitoring for General Wards: A Systematic Technology Review," Studies in health technology and informatics, vol. 228, pp. 707-711, 2016.
    @article{Naziyok.2016, abstract = {INTRODUCTION Sudden, serious life-threatening situations happen even on general wards. Current technologies are working with sensors which are attached to every patient, which is a source of failures and false alarms. The goal of this review was to assess the state of the art of potential techniques for contactless patient monitoring in general wards. METHODS The MEDLINE database was used for literature retrieval. RESULTS 453 unique references screened, 34 research articles met inclusion criteria. Ballistocardiography, Radar and Thermography technologies are the most widely tested techniques. The Majority of the studies are done in a laboratory setting. No study shows the feasibility of one contactless monitoring technology over the distance required for monitoring rooms. CONCLUSION Today no technology is feasible. A combination of technologies may become feasible in 10 or more years, until then we have to think about ethical and privacy issues of these pervasive technologies.},
      author = {Naziyok, Tolga Philipp and Zeleke, Atinkut and R{\"o}hrig, Rainer},
      year = {2016},
      title = {Contactless Patient Monitoring for General Wards: A Systematic Technology Review},
      pages = {707--711},
      volume = {228},
      issn = {0926-9630},
      journal = {Studies in health technology and informatics} }
  • R. Röhrig, R. Boldt, und M. Lipprandt, "Keine Wirkung ohne Nebenwirkung," eHealth.com, vol. 10, iss. 2/3, pp. 60-63, 2016.
    @article{Rohrig.2016,
      author = {R{\"o}hrig, Rainer and Boldt, Ralf and Lipprandt, Myriam},
      year = {2016},
      title = {Keine Wirkung ohne Nebenwirkung},
      url = {http://e-health-com.de/epaper/},
      pages = {60--63},
      volume = {10},
      number = {2/3},
      journal = {eHealth.com} }
  • D. Brammen, V. H. Rickert, T. Esser, F. Prätsch, R. Röhrig, T. Hachenberg, und U. Ebmeyer, "Identifikation und ökonomische Bewertung von anästhesiologischen Nebendiagnosen auf Basis von intraoperativen Medikamentengaben," Der Anästhesist, vol. 65, iss. 5, pp. 430-437, 2016.
    @article{Brammen.2016,
      author = {Brammen, Dominik and Rickert, Volker H. and Esser, T. and Pr{\"a}tsch, Florian and R{\"o}hrig, Rainer and Hachenberg, Thomas and Ebmeyer, U.},
      year = {2016},
      title = {Identifikation und {\"o}konomische Bewertung von an{\"a}sthesiologischen Nebendiagnosen auf Basis von intraoperativen Medikamentengaben},
      url = {https://doi.org/10.1007/s00101-016-0172-5},
      pages = {430--437},
      volume = {65},
      number = {5},
      journal = {Der An{\"a}sthesist},
      doi = {10.1007/s00101-016-0172-5} }
  • M. O. Kulla, D. Brammen, F. Greiner, A. Hörster, R. Lefering, R. Somasundaram, C. Wrede, R. Röhrig, B. R. Erdmann, und F. Walcher, "Vom Protokoll zum Register: Entwicklungen für ein bundesweites Qualitätsmanagement in deutschen Notaufnahmen," DIVI, vol. 7, iss. 1, pp. 12-19, 2016.
    @article{Kulla.2016,
      author = {Kulla, Martin Oliver and Brammen, Dominik and Greiner, Felix and H{\"o}rster, Anna and Lefering, Rolf and Somasundaram, Rajan and Wrede, Christian and R{\"o}hrig, Rainer and Erdmann, Bernadett Regina and Walcher, Felix},
      year = {2016},
      title = {Vom Protokoll zum Register: Entwicklungen f{\"u}r ein bundesweites Qualit{\"a}tsmanagement in deutschen Notaufnahmen},
      url = {http://dx.doi.org/10.3238/DIVI.2016.0012-0020},
      pages = {12--19},
      volume = {7},
      number = {1},
      journal = {DIVI},
      doi = {10.3238/DIVI.2016.0012-0020} }
  • I. Seeger, P. Rupp, T. P. Naziyok, L. Rölker-Denker, R. Röhrig, und A. Hein, "Ambulante Versorgung in ZNA und Bereitschaftsdienstpraxis: Eine deskriptive Sekundärdatenanalyse in einer ländlichen Klinik," Medizinische Klinik - Intensivmedizin und Notfallmedizin, vol. 112, iss. 6, pp. 510-518, 2016.
    @article{Seeger.2016,
      author = {Seeger, Insa and Rupp, Peter and Naziyok, Tolga Philipp and R{\"o}lker-Denker, Lars and R{\"o}hrig, Rainer and Hein, Andreas},
      year = {2016},
      title = {Ambulante Versorgung in ZNA und Bereitschaftsdienstpraxis: Eine deskriptive Sekund{\"a}rdatenanalyse in einer l{\"a}ndlichen Klinik},
      url = {https://doi.org/10.1007/s00063-016-0233-1},
      pages = {510--518},
      volume = {112},
      number = {6},
      journal = {Medizinische Klinik - Intensivmedizin und Notfallmedizin},
      doi = {10.1007/s00063-016-0233-1} }
  • [article] bibtex
    E. Swart, E. Bitzer, H. Gothe, M. Harling, F. Hoffmann, D. Horenkamp-Sonntag, B. Maier, S. March, T. Petzold, R. Röhrig, A. Rommel, T. Schink, C. Wagner, S. Wobbe, und J. Schmitt, "STandardisierte BerichtsROutine für Sekundärdaten Analysen (STROSA) -- ein konsentierter Berichtsstandard für Deutschland, Version 2: Erratum," Das Gesundheitswesen, vol. 78, iss. S 01, p. 161, 2016.
    @article{Swart.2016,
      author = {Swart, Enno and Bitzer, E. and Gothe, Holger and Harling, Melanie and Hoffmann, Falk and Horenkamp-Sonntag, D. and Maier, B. and March, Stefanie and Petzold, Thomas and R{\"o}hrig, Rainer and Rommel, A. and Schink, T. and Wagner, C. and Wobbe, S. and Schmitt, J.},
      year = {2016},
      title = {STandardisierte BerichtsROutine f{\"u}r Sekund{\"a}rdaten Analysen (STROSA) -- ein konsentierter Berichtsstandard f{\"u}r Deutschland, Version 2: Erratum},
      pages = {e161},
      volume = {78},
      number = {S 01},
      issn = {0941-3790},
      journal = {Das Gesundheitswesen},
      doi = {10.1055/s-0042-112008} }
  • [article] bibtex
    E. Borycki, J. W. Dexheimer, C. Hullin Lucay Cossio, Y. Gong, S. Jensen, J. Kaipio, S. Kennebeck, E. Kirkendall, A. W. Kushniruk, C. Kuziemsky, R. Marcilly, R. Röhrig, K. Saranto, Y. Senathirajah, J. Weber, und H. Takeda, "Methods for Addressing Technology-induced Errors: The Current State," Yearbook of medical informatics, iss. 1, pp. 30-40, 2016.
    @article{Borycki.2016, abstract = {OBJECTIVES The objectives of this paper are to review and discuss the methods that are being used internationally to report on, mitigate, and eliminate technology-induced errors. METHODS The IMIA Working Group for Health Informatics for Patient Safety worked together to review and synthesize some of the main methods and approaches associated with technology- induced error reporting, reduction, and mitigation. The work involved a review of the evidence-based literature as well as guideline publications specific to health informatics. RESULTS The paper presents a rich overview of current approaches, issues, and methods associated with: (1) safe HIT design, (2) safe HIT implementation, (3) reporting on technology-induced errors, (4) technology-induced error analysis, and (5) health information technology (HIT) risk management. The work is based on research from around the world. CONCLUSIONS Internationally, researchers have been developing methods that can be used to identify, report on, mitigate, and eliminate technology-induced errors. Although there remain issues and challenges associated with the methodologies, they have been shown to improve the quality and safety of HIT. Since the first publications documenting technology-induced errors in healthcare in 2005, we have seen in a short 10 years researchers develop ways of identifying and addressing these types of errors. We have also seen organizations begin to use these approaches. Knowledge has been translated into practice in a short ten years whereas the norm for other research areas is of 20 years.},
      author = {Borycki, E. and Dexheimer, J. W. and {Hullin Lucay Cossio, C} and Gong, Y. and Jensen, S. and Kaipio, J. and Kennebeck, S. and Kirkendall, E. and Kushniruk, A. W. and Kuziemsky, C. and Marcilly, R. and R{\"o}hrig, Rainer and Saranto, K. and Senathirajah, Y. and Weber, J. and Takeda, H.},
      year = {2016},
      title = {Methods for Addressing Technology-induced Errors: The Current State},
      keywords = {Electronic Health Records;Health Information Systems/organization {\&} administration;Humans;Medical Informatics;Patient Safety;Risk Management;Technology Assessment, Biomedical},
      pages = {30--40},
      number = {1},
      issn = {2364-0502},
      journal = {Yearbook of medical informatics},
      doi = {10.15265/IY-2016-029} }
  • [article] bibtex
    S. Funcke, M. Sander, M. S. Goepfert, H. Groesdonk, M. Heringlake, J. Hirsch, S. Kluge, C. Krenn, M. Maggiorini, P. Meybohm, C. Salzwedel, B. Saugel, G. Wagenpfeil, S. Wagenpfeil, und D. A. Reuter, "Practice of hemodynamic monitoring and management in German, Austrian, and Swiss intensive care units: the multicenter cross-sectional ICU-CardioMan Study," Annals of intensive care, vol. 6, iss. 1, p. 49, 2016.
    @article{Funcke.2016, abstract = {BACKGROUND Hemodynamic instability is frequent and outcome-relevant in critical illness. The understanding of complex hemodynamic disturbances and their monitoring and management plays an important role in treatment of intensive care patients. An increasing number of treatment recommendations and guidelines in intensive care medicine emphasize hemodynamic goals, which go beyond the measurement of blood pressures. Yet, it is not known to which extent the infrastructural prerequisites for extended hemodynamic monitoring are given in intensive care units (ICUs) and how hemodynamic management is performed in clinical practice. Further, it is still unclear which factors trigger the use of extended hemodynamic monitoring. METHODS In this multicenter, 1-day (November 7, 2013, and the preceding 24~h) cross-sectional study, we retrieved data on patient monitoring from ICUs in Germany, Austria, and Switzerland by means of a web-based case report form. One hundred and sixty-one intensive care units contributed detailed information on availability of hemodynamic monitoring. In addition, detailed information on hemodynamic monitoring of 1789 patients that were treated on due date was collected, and independent factors triggering the use of extended hemodynamic monitoring were identified by multivariate analysis. RESULTS Besides basic monitoring with electrocardiography (ECG), pulse oximetry, and blood pressure monitoring, the majority of patients received invasive arterial (77.9~{\%}) and central venous catheterization (55.2~{\%}). All over, additional extended hemodynamic monitoring for assessment of cardiac output was only performed in 12.3~{\%} of patients, while echocardiographic examination was used in only 1.9~{\%}. The strongest independent predictors for the use of extended hemodynamic monitoring of any kind were mechanical ventilation, the need for catecholamine therapy, and treatment backed by protocols. In 71.6~{\%} of patients in whom extended hemodynamic monitoring was added during the study period, this extension led to changes in treatment. CONCLUSIONS Extended hemodynamic monitoring, which goes beyond the measurement of blood pressures, to date plays a minor role in the surveillance of critically ill patients in German, Austrian, and Swiss ICUs. This includes also consensus-based recommended diagnostic and monitoring applications, such as echocardiography and cardiac output monitoring. Mechanical ventilation, the use of catecholamines, and treatment backed by protocol could be identified as factors independently associated with higher use of extended hemodynamic monitoring.},
      author = {Funcke, Sandra and Sander, Michael and Goepfert, Matthias S. and Groesdonk, Heinrich and Heringlake, Matthias and Hirsch, Jan and Kluge, Stefan and Krenn, Claus and Maggiorini, Marco and Meybohm, Patrick and Salzwedel, Cornelie and Saugel, Bernd and Wagenpfeil, Gudrun and Wagenpfeil, Stefan and Reuter, Daniel A.},
      year = {2016},
      title = {Practice of hemodynamic monitoring and management in German, Austrian, and Swiss intensive care units: the multicenter cross-sectional ICU-CardioMan Study},
      pages = {49},
      volume = {6},
      number = {1},
      issn = {2110-5820},
      journal = {Annals of intensive care},
      doi = {10.1186/s13613-016-0148-2} }
  • [article] bibtex
    U. Sax, M. Lipprandt, und R. Röhrig, "The Rising Frequency of IT Blackouts Indicates the Increasing Relevance of IT Emergency Concepts to Ensure Patient Safety," Yearbook of medical informatics, iss. 1, pp. 130-137, 2016.
    @article{Sax.2016, abstract = {INTRODUCTION As many medical workflows depend vastly on IT support, great demands are placed on the availability and accuracy of the applications involved. The cases of IT failure through ransomware at the beginning of 2016 are impressive examples of the dependence of clinical processes on IT. Although IT risk management attempts to reduce the risk of IT blackouts, the probability of partial/total data loss, or even worse, data falsification, is not zero. The objective of this paper is to present the state of the art with respect to strategies, processes, and governance to deal with the failure of IT systems. METHODS This article is conducted as a narrative review. RESULTS Worst case scenarios are needed, dealing with methods as to how to survive the downtime of clinical systems, for example through alternative workflows. These workflows have to be trained regularly. We categorize the most important types of IT system failure, assess the usefulness of classic counter measures, and state that most risk management approaches fall short on exactly this matter. CONCLUSION To ensure that continuous, evidence-based improvements to the recommendations for IT emergency concepts are made, it is essential that IT blackouts and IT disasters are reported, analyzed, and critically discussed. This requires changing from a culture of shame and blame to one of error and safety in healthcare IT. This change is finding its way into other disciplines in medicine. In addition, systematically planned and analyzed simulations of IT disaster may assist in IT emergency concept development.},
      author = {Sax, Ulrich and Lipprandt, Myriam and R{\"o}hrig, Rainer},
      year = {2016},
      title = {The Rising Frequency of IT Blackouts Indicates the Increasing Relevance of IT Emergency Concepts to Ensure Patient Safety},
      keywords = {Electronic Health Records;Equipment Failure;Humans;Information Systems;Patient Safety;Risk Management;Workflow},
      pages = {130--137},
      number = {1},
      issn = {2364-0502},
      journal = {Yearbook of medical informatics},
      doi = {10.15265/IY-2016-038} }
  • [article] bibtex
    E. Swart, E. M. Bitzer, H. Gothe, M. Harling, F. Hoffmann, D. Horenkamp-Sonntag, B. Maier, S. March, T. Petzold, R. Röhrig, A. Rommel, T. Schink, C. Wagner, S. Wobbe, und J. M. Schmitt, "STandardisierte BerichtsROutine für SekundärdatenAnalysen (STROSA): Ein konsentierter Berichtsstandard für Deutschland, Version 2," Das Gesundheitswesen, vol. 78, iss. S1, p. e145-e160, 2016.
    @article{Swart.2016b,
      author = {Swart, Enno and Bitzer, Eva Maria and Gothe, Holger and Harling, Melanie and Hoffmann, Falk and Horenkamp-Sonntag, D. and Maier, B. and March, Stefanie and Petzold, Thomas and R{\"o}hrig, Rainer and Rommel, A. and Schink, T. and Wagner, C. and Wobbe, S. and Schmitt, Jochen Maximilian},
      year = {2016},
      title = {STandardisierte BerichtsROutine f{\"u}r Sekund{\"a}rdatenAnalysen (STROSA): Ein konsentierter Berichtsstandard f{\"u}r Deutschland, Version 2},
      keywords = {Institut f{\"u}r Sozialmedizin und Gesundheits{\"o}konomie ;Swart, Enno / ISMG;March, Stefanie / ISMG;Abstract},
      pages = {e145-e160},
      volume = {78},
      number = {S1},
      issn = {0941-3790},
      journal = {Das Gesundheitswesen},
      doi = {10.1055/s-0042-108647} }
  • [inproceedings] bibtex | Dokument aufrufen Dokument aufrufen
    A. Klausen, R. Röhrig, und M. Lipprandt, "Feasibility of eyetracking in critical care environments: A systematic review," in Proc. Exploring complexity in health : an interdisciplinary systems approach : proceedings of MIE2016 at HEC2016, Amsterdam, 2016, pp. 604-608.
    @inproceedings{Klausen.2016,
      author = {Klausen, Andreas and R{\"o}hrig, Rainer and Lipprandt, Myriam},
      title = {Feasibility of eyetracking in critical care environments: A systematic review},
      url = {https://doi.org/10.3233/978-1-61499-678-1-604},
      pages = {604--608},
      publisher = {IOS Press},
      isbn = {978-1-61499-678-1},
      editor = {{Deutsche Gesellschaft f{\"u}r Medizinische Informatik, Biometrie und Epidemiologie}},
      booktitle = {Exploring complexity in health : an interdisciplinary systems approach : proceedings of MIE2016 at HEC2016},
      year = {2016},
      address = {Amsterdam},
      doi = {10.3233/978-1-61499-678-1-604} }
  • R. Röhrig, M. Lipprandt, J. Ahlbrandt, M. Weigand, und C. Neuhaus, "Nutzen und Risiken der IT in der Medizin," E-health-compass / Intensiv- und Notfallmedizin, vol. 4 (2015), pp. 4-7, 2015.
    @article{Rohrig.2015d,
      author = {R{\"o}hrig, Rainer and Lipprandt, Myriam and Ahlbrandt, Janko and Weigand, Markus and Neuhaus, Christopher},
      year = {2015},
      title = {Nutzen und Risiken der IT in der Medizin},
      url = {http://docplayer.org/25194436-Ehealthc-mpass-intensiv-und-notfallmedizin-vernetzte-medizintechnik.html},
      pages = {4--7},
      volume = {4 (2015)},
      journal = {E-health-compass / Intensiv- und Notfallmedizin} }
  • R. Röhrig, "Get the right balance - lessons learned from the first Ebola infected patient in Dallas," Methods Inf Med, vol. 54, pp. 200-202, 2015.
    @article{Rohrig.2015,
      author = {R{\"o}hrig, Rainer},
      year = {2015},
      title = {Get the right balance - lessons learned from the first Ebola infected patient in Dallas},
      url = {http://dx.doi.org/10.3414/ME15-15-0002},
      pages = {200--202},
      volume = {54},
      journal = {Methods Inf Med},
      doi = {10.3414/ME15-15-0002} }
  • [article] bibtex
    A. Hecker, E. Schneck, R. Röhrig, F. Roller, B. Hecker, J. Holler, C. Koch, M. Hecker, M. Reichert, C. Lichtenstern, G. A. Krombach, W. Padberg, und M. Weigand, "The impact of early surgical intervention in free intestinal perforation: a time-to-intervention pilot study," World journal of emergency surgery : WJES, vol. 10, p. 54, 2015.
    @article{Hecker.2015, abstract = {PURPOSES An abdominal inflammatory focus is the second most often source of sepsis with a high risk of death in surgical intensive care units. By establishing evidence-based bundled strategies the surviving sepsis campaign provided an optimized rapid and continuous treatment of these emergency patients. Hereby the hospital mortality decreased from 35 to 30~{\%}. Sepsis treatment is based on three major therapeutic elements: surgical treatment (source control), antiinfective treatment, and supportive care. The international guidelines of the surviving sepsis campaign were updated recently and recommend rapid diagnosis of the infection and source control within the first 12~h after the diagnosis (grade 1c). Interestingly this recommendation is mainly based on studies on soft tissue infections. METHODS In this retrospective analysis 76 septic patients with an intraabdominal inflammatory focus were included. All patients underwent surgery at different time-points after diagnosis. RESULTS With 80~{\%} patients of the early intervention group had an improved overall survival (vs. 73~{\%} in the late intervention group). CONCLUSIONS Literature on the time dependency of early source control is rare and in part contradicting. Results of this pilot study reveal that immediate surgical intervention might be of advantage for septic emergency patients. Further multi-center approaches will be necessary to evaluate, whether the TTI has any impact on the outcome of septic patients with intestinal perforation.},
      author = {Hecker, Andreas and Schneck, Emanuel and R{\"o}hrig, Rainer and Roller, F. and Hecker, B. and Holler, J. and Koch, Christian and Hecker, M. and Reichert, M. and Lichtenstern, Christoph and Krombach, Gabriele Anja and Padberg, Winfried and Weigand, Markus},
      year = {2015},
      title = {The impact of early surgical intervention in free intestinal perforation: a time-to-intervention pilot study},
      pages = {54},
      volume = {10},
      issn = {1749-7922},
      journal = {World journal of emergency surgery : WJES},
      doi = {10.1186/s13017-015-0047-0} }
  • V. Mann, S. T. Mann, N. Lenz, R. Röhrig, und M. Henrich, "Larynxmaske oder Larynxtubus: Welches Hilfsmittel zur extraglottischen Atemwegssicherung ist das richtige für den Rettungsdienst?," Notfall~Rettungsmedizin, vol. 18, iss. 5, pp. 370-376, 2015.
    @article{Mann.2015,
      author = {Mann, Valesco and Mann, S. T. and Lenz, Nils and R{\"o}hrig, Rainer and Henrich, Michael},
      year = {2015},
      title = {Larynxmaske oder Larynxtubus: Welches Hilfsmittel zur extraglottischen Atemwegssicherung ist das richtige f{\"u}r den Rettungsdienst?},
      url = {https://doi.org/10.1007/s10049-015-0015-y},
      pages = {370--376},
      volume = {18},
      number = {5},
      journal = {Notfall~Rettungsmedizin},
      doi = {10.1007/s10049-015-0015-y} }
  • [article] bibtex
    M. Merz, R. Röhrig, M. Weigand, und V. Mann, "Larynx-Maske (am Beispiel der LMA Supreme\texttrademark)," Notfallmedizin up2date, vol. 10, iss. 04, pp. 301-307, 2015.
    @article{Merz.2015,
      author = {Merz, Marius and R{\"o}hrig, Rainer and Weigand, Markus and Mann, Valesco},
      year = {2015},
      title = {Larynx-Maske (am Beispiel der LMA Supreme{\texttrademark})},
      pages = {301--307},
      volume = {10},
      number = {04},
      issn = {1611-6550},
      journal = {Notfallmedizin up2date},
      doi = {10.1055/s-0041-110894} }
  • C. Neuhaus, R. Röhrig, G. Hofmann, S. M. Klemm, S. Neuhaus, S. Hofer, M. Thalheimer, M. Weigand, und C. Lichtenstern, "Patientensicherheit in der Anästhesie: Multimodale Strategien für die perioperative Versorgung," Der Anästhesist, vol. 64, iss. 12, pp. 911-926, 2015.
    @article{Neuhaus.2015,
      author = {Neuhaus, Christopher and R{\"o}hrig, Rainer and Hofmann, G{\"o}tz-Ulrich and Klemm, Sascha Marian and Neuhaus, Sophie and Hofer, Stefan and Thalheimer, Markus and Weigand, Markus and Lichtenstern, Christoph},
      year = {2015},
      title = {Patientensicherheit in der An{\"a}sthesie: Multimodale Strategien f{\"u}r die perioperative Versorgung},
      url = {https://doi.org/10.1007/s00101-015-0115-6},
      pages = {911--926},
      volume = {64},
      number = {12},
      journal = {Der An{\"a}sthesist},
      doi = {10.1007/s00101-015-0115-6} }
  • R. Röhrig, "To be or not to be a medical device: Is the regulatory framework a safety rope or a fetter?," Methods Inf Med, vol. 54, iss. 3, pp. 291-292, 2015.
    @article{Rohrig.2015c,
      author = {R{\"o}hrig, Rainer},
      year = {2015},
      title = {To be or not to be a medical device: Is the regulatory framework a safety rope or a fetter?},
      url = {http://dx.doi.org/10.3414/ME15-05-0005},
      pages = {291--292},
      volume = {54},
      number = {3},
      journal = {Methods Inf Med},
      doi = {10.3414/ME15-05-0005} }
  • [inproceedings] bibtex
    D. Künkel, B. Bomsdorf, R. Röhrig, J. Ahlbrandt, und M. Weigand, "Participative development of touchless user interfaces: Elicitation and evaluation of contactless hand gestures for anesthesia," in Proc. Proceedings of the International Conferences on Interfaces and Human Computer Interaction 2015, Game and Entertainment Technologies 2015 and Computer Graphics, Visualization, Computer Vision and Image Processing 2015 : Las Palmas de Gran Canaria, Spain, July 22-24, 2015, [Lissabon?], 2015, pp. 43-50.
    @inproceedings{Kunkel.2015,
      author = {K{\"u}nkel, Daniel and Bomsdorf, Birgit and R{\"o}hrig, Rainer and Ahlbrandt, Janko and Weigand, Markus},
      title = {Participative development of touchless user interfaces: Elicitation and evaluation of contactless hand gestures for anesthesia},
      pages = {43--50},
      publisher = {IADIS Press},
      isbn = {978-989-8533-38-8},
      editor = {Kommers, P. and Isa{\'i}as, P. and Fernandez Betancort, H.},
      booktitle = {Proceedings of the International Conferences on Interfaces and Human Computer Interaction 2015, Game and Entertainment Technologies 2015 and Computer Graphics, Visualization, Computer Vision and Image Processing 2015 : Las Palmas de Gran Canaria, Spain, July 22-24, 2015},
      year = {2015},
      address = {[Lissabon?]} }
  • [article] bibtex
    R. Röhrig, "IRobot, MD-are we ready for the future becomes the present?," Methods of information in medicine, vol. 54, iss. 1, p. 110, 2015.
    @article{Rohrig.2015b,
      author = {R{\"o}hrig, Rainer},
      year = {2015},
      title = {iRobot, MD-are we ready for the future becomes the present?},
      keywords = {Decision Making/ethics;Robotic Surgical Procedures/ethics;Software},
      pages = {110},
      volume = {54},
      number = {1},
      issn = {2511-705X},
      journal = {Methods of information in medicine},
      doi = {10.3414/ME15-15-0001} }
  • [article] bibtex
    M. Dugas, K-H. Jöckel, T. Friede, O. Gefeller, M. Kieser, M. Marschollek, E. Ammenwerth, R. Röhrig, P. Knaup-Gregori, und H-U. Prokosch, "Memorandum \dqOpen Metadata\dq. Open Access to Documentation Forms and Item Catalogs in Healthcare," Methods of information in medicine, vol. 54, iss. 4, pp. 376-378, 2015.
    @article{Dugas.2015, abstract = {At present, most documentation forms and item catalogs in healthcare are not accessible to the public. This applies to assessment forms of routine patient care as well as case report forms (CRFs) of clinical and epidemiological studies. On behalf of the German chairs for Medical Informatics, Biometry and Epidemiology six recommendations to developers and users of documentation forms in healthcare were developed. Open access to medical documentation forms could substantially improve information systems in healthcare and medical research networks. Therefore these forms should be made available to the scientific community, their use should not be unduly restricted, they should be published in a sustainable way using international standards and sources of documentation forms should be referenced in scientific publications.},
      author = {Dugas, Martin and J{\"o}ckel, K-H and Friede, T. and Gefeller, O. and Kieser, M. and Marschollek, M. and Ammenwerth, E. and R{\"o}hrig, Rainer and Knaup-Gregori, P. and Prokosch, H-U},
      year = {2015},
      title = {Memorandum {\dq}Open Metadata{\dq}. Open Access to Documentation Forms and Item Catalogs in Healthcare},
      keywords = {Access to Information;Documentation;Information Systems;Metadata;Publications},
      pages = {376--378},
      volume = {54},
      number = {4},
      issn = {2511-705X},
      journal = {Methods of information in medicine},
      doi = {10.3414/ME15-05-0007} }
  • [article] bibtex
    C. Koch, R. Röhrig, T. Monz, A. Hecker, F. Uhle, E. Schneck, M. Weigand, und C. Lichtenstern, "Prospective evaluation of regional oxygen saturation to estimate central venous saturation in sepsis," Journal of clinical monitoring and computing, vol. 29, iss. 4, pp. 443-453, 2015.
    @article{Koch.2015, abstract = {Current treatment guidelines for sepsis claim an early goal-directed hemodynamic optimization including fluid resuscitation, use of vasopressors and inotropic agents. We investigated the correlation between the prominent treatment goal central venous saturation (ScvO2) and the frontal and the thenar regional oxygen saturation (rSO2) measured by near infrared spectroscopy. Secondary, we examined the value of ScvO2, lactate levels and rSO2 as surrogate markers of an impaired tissue oxygenation for outcome prediction in sepsis. This prospective, observational study was performed at the surgical intensive care unit of the University Hospital Giessen. A total of 50 patients with sepsis, severe sepsis or septic shock were included. ScvO2, rSO2 and lactate were measured at sepsis diagnosis (baseline), 24 and 48 h, thereafter. We investigated the predictive value of frontal and thenar rSO2 for a decreased SvcO2 under 70{\%}. For survivor and non-survivors ScvO2, rSO2 and lactate were analysed. Patients with ScvO2 >70{\%} showed a trend to higher levels of fontal rSO2 (62.81 $\pm$ 8.06 vs. 53.54 $\pm$ 15.48; p = 0.058). ROC-analysis revealed a minor prediction of a decreased ScvO2 by frontal rSO2 levels at baseline (AUC = 0.687; 95{\%} CI 0.511-0.863; p = 0.047). Combined measurements of lactate and ScvO2 showed significantly elevated mortality for patients with ScvO2 $\geq$70{\%} and lactate levels $\geq$2.5 mmol/l (log rank test p = 0.004). In the group with ScvO2 <70{\%} and lactate levels <2.5 mmol/l no patients died during the observation period. Frontal rSO2 correlates with ScvO2 but both frontal and thenar rSO2 do not exactly discriminate between patients with high or low ScvO2 in sepsis. The combination of elevated lactate >2.5 mmol/l and ScvO2 >70 {\%} is highly associated with poor outcome in ICU patients with sepsis, severe sepsis and septic shock.},
      author = {Koch, Christian and R{\"o}hrig, Rainer and Monz, Tobias and Hecker, Andreas and Uhle, Florian and Schneck, Emanuel and Weigand, Markus and Lichtenstern, Christoph},
      year = {2015},
      title = {Prospective evaluation of regional oxygen saturation to estimate central venous saturation in sepsis},
      keywords = {Aged;Area Under Curve;Blood Gas Analysis;Critical Care;Female;Hemodynamics;Humans;Intensive Care Units;Kaplan-Meier Estimate;Lactates/blood;Lactic Acid/blood;Male;Middle Aged;Monitoring, Physiologic/methods;Multivariate Analysis;Oxygen/blood/chemistry;Oxygen Consumption;Predictive Value of Tests;Prospective Studies;ROC Curve;Reproducibility of Results;Sensitivity and Specificity;Sepsis/blood/physiopathology;Shock, Septic/physiopathology;Spectroscopy, Near-Infrared;Treatment Outcome},
      pages = {443--453},
      volume = {29},
      number = {4},
      issn = {1573-2614},
      journal = {Journal of clinical monitoring and computing},
      doi = {10.1007/s10877-015-9683-x} }
  • [incollection] bibtex
    D. Brammen, F. Walcher, H. Dewenter, S. Thun, K. Heitmann, R. W. Majeed, R. Lefering, S. C. Semler, und R. Röhrig, "Entwicklung eines dezentralisierten Notaufnahmeregisters auf Basis von e-Health-Standards," in e-Health 2016, Duesberg, F., Ed., Solingen: Medical-Future-Verlag, pp. 29-33.
    @incollection{Brammen.,
      author = {Brammen, Dominik and Walcher, Felix and Dewenter, Heike and Thun, Sylvia and Heitmann, Kai and Majeed, Raphael W. and Lefering, Rolf and Semler, Sebastian Claudius and R{\"o}hrig, Rainer},
      title = {Entwicklung eines dezentralisierten Notaufnahmeregisters auf Basis von e-Health-Standards},
      pages = {29--33},
      publisher = {Medical-Future-Verlag},
      isbn = {978-3-9817097-0-4},
      editor = {Duesberg, Frank},
      booktitle = {e-Health 2016},
      address = {Solingen} }
  • [incollection] bibtex
    H. Dewenter, S. Thun, D. Brammen, F. Walcher, K. Heitmann, R. Lefering, S. C. Semler, und R. Röhrig, "Chancen einer Referenzterminologienutzung innerhalb des deutschen Gesundheitswesens: Erkenntnisse aus dem Forschungsprojekt AKTIN," in e-Health 2016, Duesberg, F., Ed., Solingen: Medical-Future-Verlag, pp. 88-91.
    @incollection{Dewenter.,
      author = {Dewenter, Heike and Thun, Sylvia and Brammen, Dominik and Walcher, Felix and Heitmann, Kai and Lefering, Rolf and Semler, Sebastian Claudius and R{\"o}hrig, Rainer},
      title = {Chancen einer Referenzterminologienutzung innerhalb des deutschen Gesundheitswesens: Erkenntnisse aus dem Forschungsprojekt AKTIN},
      pages = {88--91},
      publisher = {Medical-Future-Verlag},
      isbn = {978-3-9817097-0-4},
      editor = {Duesberg, Frank},
      booktitle = {e-Health 2016},
      address = {Solingen} }
  • [incollection] bibtex
    M. Merz, R. Röhrig, M. Weigand, und V. Mann, "Larynxmaske," in Notfalltechniken Schritt für Schritt, Bernhard, M. und Gräsner, J., Eds., Stuttgart and New York: Georg Thieme Verlag, pp. 57-71.
    @incollection{Merz.,
      author = {Merz, Marius and R{\"o}hrig, Rainer and Weigand, Markus and Mann, Valesco},
      title = {Larynxmaske},
      pages = {57--71},
      publisher = {Georg Thieme Verlag},
      isbn = {9783132060111},
      editor = {Bernhard, Michael and Gr{\"a}sner, Jan-Thorsten},
      booktitle = {Notfalltechniken Schritt f{\"u}r Schritt},
      address = {Stuttgart and New York} }
  • [incollection] bibtex
    R. Röhrig und A. Junger, "Allgemeine Einführung in die EDV," in Handbuch OP-Management : Strategien, Konzepte, Methoden, Diemer, M., Taube, C., Ansorg, J., Heberer, J., und Eiff, W., Eds., Berlin: Med. Wiss. Verl.-Ges, pp. 735-740.
    @incollection{Rohrig.,
      author = {R{\"o}hrig, Rainer and Junger, Axel},
      title = {Allgemeine Einf{\"u}hrung in die EDV},
      pages = {735--740},
      publisher = {Med. Wiss. Verl.-Ges},
      isbn = {978-3-95466-197-8},
      editor = {Diemer, M. and Taube, C. and Ansorg, J. and Heberer, J. and Eiff, W.},
      booktitle = {Handbuch OP-Management : Strategien, Konzepte, Methoden},
      address = {Berlin} }
  • [incollection] bibtex
    R. Röhrig und A. Junger, "Einsatzmöglichkeiten von IT im OP-Management," in Handbuch OP-Management : Strategien, Konzepte, Methoden, Diemer, M., Taube, C., Ansorg, J., Heberer, J., und Eiff, W., Eds., Berlin: Med. Wiss. Verl.-Ges, pp. 741-744.
    @incollection{Rohrig.b,
      author = {R{\"o}hrig, Rainer and Junger, Axel},
      title = {Einsatzm{\"o}glichkeiten von IT im OP-Management},
      pages = {741--744},
      publisher = {Med. Wiss. Verl.-Ges},
      isbn = {978-3-95466-197-8},
      editor = {Diemer, M. and Taube, C. and Ansorg, J. and Heberer, J. and Eiff, W.},
      booktitle = {Handbuch OP-Management : Strategien, Konzepte, Methoden},
      address = {Berlin} }
  • [incollection] bibtex
    R. Röhrig und A. Junger, "Vor- und Nachteile verschiedener IT-Lösungsarchitekturen," in Handbuch OP-Management : Strategien, Konzepte, Methoden, Diemer, M., Taube, C., Ansorg, J., Heberer, J., und Eiff, W., Eds., Berlin: Med. Wiss. Verl.-Ges, pp. 745-750.
    @incollection{Rohrig.c,
      author = {R{\"o}hrig, Rainer and Junger, Axel},
      title = {Vor- und Nachteile verschiedener IT-L{\"o}sungsarchitekturen},
      pages = {745--750},
      publisher = {Med. Wiss. Verl.-Ges},
      isbn = {978-3-95466-197-8},
      editor = {Diemer, M. and Taube, C. and Ansorg, J. and Heberer, J. and Eiff, W.},
      booktitle = {Handbuch OP-Management : Strategien, Konzepte, Methoden},
      address = {Berlin} }
  • [incollection] bibtex
    S. C. Semler und R. Röhrig, "LOINC - internationale Nomenklatur zur Kodierung von medizinischen Untersuchungen und Befunden," in Terminologien und Ordnungssysteme in der Medizin : Standortbestimmung und Handlungsbedarf in den deutschsprachigen Ländern, Rienhoff, O. und Semler, S. C., Eds., Berlin: MWV, Medizinisch Wissenschaftliche Verlagsgesellschaft, pp. 97-134.
    @incollection{Semler.,
      author = {Semler, Sebastian Claudius and R{\"o}hrig, Rainer},
      title = {LOINC - internationale Nomenklatur zur Kodierung von medizinischen Untersuchungen und Befunden},
      pages = {97--134},
      publisher = {MWV, Medizinisch Wissenschaftliche Verlagsgesellschaft},
      isbn = {978-3-95466-136-7},
      editor = {Rienhoff, Otto and Semler, Sebastian Claudius},
      booktitle = {Terminologien und Ordnungssysteme in der Medizin : Standortbestimmung und Handlungsbedarf in den deutschsprachigen L{\"a}ndern},
      address = {Berlin} }
  • [incollection] bibtex | Dokument aufrufen Dokument aufrufen
    M. Lipprandt und R. Röhrig, "Gebrauchstauglichkeit und Patientensicherheit in E-Health-Anwendungen," in E-Health-Ökonomie, Müller-Mielitz, S. und Lux, T., Eds., Wiesbaden: Springer Gabler, pp. 409-422.
    @incollection{Lipprandt.,
      author = {Lipprandt, Myriam and R{\"o}hrig, Rainer},
      title = {Gebrauchstauglichkeit und Patientensicherheit in E-Health-Anwendungen},
      url = {https://doi.org/10.1007/978-3-658-10788-8_21},
      pages = {409--422},
      publisher = {Springer Gabler},
      isbn = {978-3-658-10788-8},
      editor = {M{\"u}ller-Mielitz, Stefan and Lux, Thomas},
      booktitle = {E-Health-{\"O}konomie},
      address = {Wiesbaden},
      doi = {10.1007/978-3-658-10788-8_21} }
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