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dc.contributor.authorHovlid, Einaren_US
dc.contributor.authorFrich, Jan Cen_US
dc.contributor.authorWalshe, Kieranen_US
dc.contributor.authorNilsen, Roy Miodinien_US
dc.contributor.authorFlaatten, Hansen_US
dc.contributor.authorBraut, Geir Sverreen_US
dc.contributor.authorHelgeland, Jonen_US
dc.contributor.authorTeig, Inger Liseen_US
dc.contributor.authorHarthug, Stigen_US
dc.date.accessioned2017-09-19T13:38:15Z
dc.date.available2017-09-19T13:38:15Z
dc.date.issued2017
dc.PublishedHovlid E, Frich JC, Walshe K, Nilsen RM, Flaatten H, Braut GS, Helgeland J, Teig IL, Harthug S. Effects of external inspection on sepsis detection and treatment: a study protocol for a quasiexperimental study with a stepped-wedge design. BMJ Open. 2017;7:e016213eng
dc.identifier.issn2044-6055
dc.identifier.urihttps://hdl.handle.net/1956/16674
dc.description.abstractIntroduction: Inspections are widely used in health care as a means to improve the health services delivered to patients. Despite their widespread use, there is little evidence of their effect. The mechanisms for how inspections can promote change are poorly understood. In this study, we use a national inspection campaign of sepsis detection and initial treatment in hospitals as case to: (1) Explore how inspections affect the involved organizations. (2) Evaluate what effect external inspections have on the process of delivering care to patients, measured by change in indicators reflecting how sepsis detection and treatment is carried out. (3) Evaluate whether external inspections affect patient outcomes, measured as change in the 30-day mortality rate and length of hospital stay. Methods and analysis: The intervention that we study is inspections of sepsis detection and treatment in hospitals. The intervention will be rolled out sequentially during 12 months to 24 hospitals. Our effect measures are change on indicators related to the detection and treatment of sepsis, the 30-day mortality rate and length of hospital stay. We collect data from patient records at baseline, before the inspections, and at 8 and 14 months after the inspections. We use logistic regression models and linear regression models to compare the various effect measurements between the intervention and control periods. All the models will include time as a covariate to adjust for potential secular changes in the effect measurements during the study period. We collect qualitative data before and after the inspections, and we will conduct a thematic content analysis to explore how inspections affect the involved organisations.en_US
dc.language.isoengeng
dc.publisherBMJeng
dc.relation.urihttp://bmjopen.bmj.com/content/bmjopen/7/9/e016213.full.pdf
dc.rightsAttribution CC BY-NCeng
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/eng
dc.titleEffects of external inspection on sepsis detection and treatment: a study protocol for a quasiexperimental study with a stepped-wedge designen_US
dc.typePeer reviewed
dc.typeJournal article
dc.date.updated2017-09-06T13:21:01Z
dc.description.versionpublishedVersionen_US
dc.rights.holderCopyright 2017 The Author(s)
dc.identifier.doihttps://doi.org/10.1136/bmjopen-2017-016213
dc.identifier.cristin1491459
dc.source.journalBMJ Open


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