Browsing Bergen Open Research Archive by Author "Harthug, Stig"
Now showing items 1-20 of 29
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Adverse events and in-hospital mortality: An analysis of all deaths in a Norwegian health trust during 2011
Flaatten, Hans; Brattebø, Guttorm; Alme, Bjørn Arild; Berge, Kjersti; Rosland, Jan Henrik; Viste, Asgaut; Bertelsen, Bjørn; Harthug, Stig; Aardal, Sidsel (Peer reviewed; Journal article, 2017-07-06)Background: The estimated number of in-hospitals deaths due to adverse events is often different when using data from deceased patients compared with that of a population experiencing adverse events. Methods: The study was ... -
Antimicrobial resistance predicts death in Tanzanian children with bloodstream infections: a prospective cohort study
Blomberg, Bjørn; Manji, Karim P.; Urassa, Willy K.; Tamim, Bushir S.; Mwakagile, Davis S. M.; Jureen, Roland; Msangi, Viola; Tellevik, Marit Gjerde; Holberg-Petersen, Mona; Harthug, Stig; Maselle, Samwel Y.; Langeland, Nina (Peer reviewed; Journal article, 2007-05-22)Background: Bloodstream infection is a common cause of hospitalization, morbidity and death in children. The impact of antimicrobial resistance and HIV infection on outcome is not firmly established. Methods: We assessed ... -
The association between adherence to national antibiotic guidelines and mortality, readmission and length of stay in hospital inpatients: results from a Norwegian multicentre, observational cohort study
Wathne, Jannicke Slettli; Harthug, Stig; Kleppe, Lars Kåre Selland; Blix, Hege Salvesen; Nilsen, Roy Miodini; Charani, Esmita; Smith, Ingrid (Peer reviewed; Journal article, 2019-04-15)Background: Clinical antibiotic prescribing guidelines are essential in defining responsible use in the local context. Our objective was to investigate the association between adherence to national antibiotic prescribing ... -
Burden of bloodstream infection in an area of Mid-Norway 2002-2013: A prospective population-based observational study
Mehl, Arne; Åsvold, Bjørn Olav; Lydersen, Stian; Paulsen, Julie; Solligård, Erik; Damås, Jan Kristian; Harthug, Stig; Edna, Tom-Harald (Peer reviewed; Journal article, 2017-03-11)Background: Studies from several countries indicate that the incidence and mortality of bloodstream infection (BSI) have been increasing over time. Methods: We studied the burden of disease and death related to BSI in a ... -
Causal Analysis of World Health Organization's Surgical Safety Checklist Implementation Quality and Impact on Care Processes and Patient Outcomes: Secondary Analysis From a Large Stepped Wedge Cluster Randomized Controlled Trial in Norway
Haugen, Arvid Steinar; Wæhle, Hilde Valen; Almeland, Stian Kreken; Harthug, Stig; Sevdalis, Nick; Eide, Geir Egil; Nortvedt, Monica Wammen; Smith, Ingrid; Softeland, Eirik (Peer reviewed; Journal article, 2019)Objective: We hypothesize that high-quality implementation of the World Health Organization's Surgical Safety Checklist (SSC) will lead to improved care processes and subsequently reduction of peri- and postoperative ... -
Discharge care quality in hospitalised elderly patients: Extended validation of the Discharge Care Experiences Survey
Boge, Ranveig Marie; Haugen, Arvid Steinar; Nilsen, Roy Miodini; Bruvik, Frøydis Kristine; Harthug, Stig (Peer reviewed; Journal article, 2019)Background: The Discharge Care Experiences Survey (DICARES) was previously developed to measure quality of discharge care in elderly patients (≥ 65 years). The objective of this study was to test the factorial validity of ... -
Early diagnosis of sepsis in emergency departments, time to treatment, and association with mortality: An observational study
Husabø, Gunnar; Nilsen, Roy Miodini; Flaatten, Hans; Solligård, Erik; Frich, Jan C; Bondevik, Gunnar Tschudi; Braut, Geir Sverre; Walshe, Kieran; Harthug, Stig; Hovlid, Einar (Peer reviewed; Journal article, 2020-01-22)Background: Early recognition of sepsis is critical for timely initiation of treatment. The first objective of this study was to assess the timeliness of diagnostic procedures for recognizing sepsis in emergency departments. ... -
The effect of antibiotic stewardship interventions with stakeholder involvement in hospital settings: A multicentre, cluster randomized controlled intervention study
Wathne, Jannicke Slettli; Kleppe, Lars Kåre Selland; Harthug, Stig; Blix, Hege Salvesen; Nilsen, Roy Miodini; Charani, Esmita; Smith, Ingrid (Peer reviewed; Journal article, 2018-09-10)Background: There is limited evidence from multicenter, randomized controlled studies to inform planning and implementation of antibiotic stewardship interventions in hospitals. Methods: A cluster randomized, controlled, ... -
Effect of the World Health Organization Checklist on Patient Outcomes: A Stepped Wedge Cluster Randomized Controlled Trial
Haugen, Arvid Steinar; Søfteland, Eirik; Almeland, Stian Kreken; Sevdalis, Nick; Vonen, Barthold; Eide, Geir Egil; Nortvedt, Monica Wammen; Harthug, Stig (Peer reviewed; Journal article, 2015-05)Objectives: We hypothesized reduction of 30 days’ in-hospital morbidity, mortality, and length of stay postimplementation of the World Health Organization’s Surgical Safety Checklist (SSC). Background: Reductions of morbidity ... -
Effects of external inspection on sepsis detection and treatment: a study protocol for a quasiexperimental study with a stepped-wedge design
Hovlid, Einar; Frich, Jan C; Walshe, Kieran; Nilsen, Roy Miodini; Flaatten, Hans; Braut, Geir Sverre; Helgeland, Jon; Teig, Inger Lise; Harthug, Stig (Peer reviewed; Journal article, 2017)Introduction: 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 ... -
Effects of external inspections on sepsis detection and treatment: a stepped-wedge study With cluster-level randomisation
Husabø, Gunnar; Nilsen, Roy Miodini; Solligård, Erik; Flaatten, Hans; Walshe, Kieran; Frich, Jan C; Bondevik, Gunnar Tschudi; Braut, Geir Sverre; Helgeland, Jon; Harthug, Stig; Hovlid, Einar (Journal article; Peer reviewed, 2020)Objective To evaluate the effects of external inspections on (1) hospital emergency departments’ clinical processes for detecting and treating sepsis and (2) length of hospital stay and 30-day mortality. Design Incomplete ... -
Elderly patients’ (≥65 years) experiences associated with discharge; Development, validity and reliability of the Discharge Care Experiences Survey
Boge, Ranveig Marie; Haugen, Arvid Steinar; Nilsen, Roy Miodini; Harthug, Stig (Peer reviewed; Journal article, 2018-11-07)Background: A review of the literature reveals a lack of validated instruments that particularly measure quality in the hospital discharge process. This study aims to develop and validate a survey instrument feasible for ... -
Factors influencing the development of evidence-based practice among nurses: a self-report survey
Dalheim, Anne; Harthug, Stig; Nilsen, Roy Miodini; Nortvedt, Monica Wammen (Peer reviewed; Journal article, 2012-10-24)Background: Health authorities in several countries have decided that the health care services should be evidence-based. Recent research indicates that evidence-based practice may be more successfully implemented if the ... -
How does the WHO Surgical Safety Checklist fit with existing perioperative risk management strategies? An ethnographic study across surgical specialties
Wæhle, Hilde Valen; Haugen, Arvid Steinar; Wiig, Siri; Softeland, Eirik; Sevdalis, Nick; Harthug, Stig (Journal article; Peer reviewed, 2020)Background The World Health Organization (WHO) Surgical Safety Checklist (SSC) has demonstrated beneficial impacts on a range of patient- and team outcomes, though variation in SSC implementation and staffʼs perception ... -
Identifying targets for antibiotic stewardship interventions through analysis of the antibiotic prescribing process in hospitals - a multicentre observational cohort study
Wathne, Jannicke Slettli; Skodvin, Brita; Charani, Esmita; Harthug, Stig; Blix, Hege Salvesen; Nilsen, Roy Miodini; Kleppe, Lars Kåre Selland; Vukovic, Marta; Smith, Ingrid (Journal article; Peer reviewed, 2020)Background: In order to change antibiotic prescribing behaviour, we need to understand the prescribing process. The aim of this study was to identify targets for antibiotic stewardship interventions in hospitals through ... -
Impact of the Norwegian National Patient Safety Program on implementation of the WHO Surgical Safety Checklist and on perioperative safety culture
Haugen, Arvid Steinar; Søfteland, Eirik Wigtil; Sevdalis, Nick; Eide, Geir Egil; Nortvedt, Monica Wammen; Vincent, Charles; Harthug, Stig (Journal article; Peer reviewed, 2020)Objectives Our primary objective was to study the impact of the Norwegian National Patient Safety Campaign and Program on Surgical Safety Checklist (SSC) implementation and on safety culture. Secondary objective was ... -
Impact of the World Health Organization’s Surgical Safety Checklist on safety culture in the operating theatre: a controlled intervention study
Haugen, Arvid Steinar; Søfteland, Eirik; Eide, Geir Egil; Sevdalis, Nick; Vincent, Charles A.; Nortvedt, Monica Wammen; Harthug, Stig (Peer reviewed; Journal article, 2013-05)Background: Positive changes in safety culture have been hypothesized to be one of the mechanisms behind the reduction in mortality and morbidity after the introduction of the World Health Organization’s Surgical Safety ... -
Investigating the use of patient involvement and patient experience in quality improvement in Norway: rhetoric or reality?
Wiig, Siri; Storm, Marianne; Aase, Karina; Gjestsen, Martha T; Solheim, Marit; Harthug, Stig; Robert, Glenn; Fulop, Naomi; QUASER team (Peer reviewed; Journal article, 2013-06-06)Background: Patient involvement in health care decision making is part of a wider trend towards a more bottomup approach to service planning and provision, and patient experience is increasingly conceptualized as a core ... -
Investigation of perioperative work processes in provision of antibiotic prophylaxis: a prospective descriptive qualitative study across surgical specialties in Norway
Harthug, Stig; Søfteland, Eirik; Haugen, Arvid Steinar; Sevdalis, Nick; Smith, Ingrid; Wiig, Siri; Aase, Karina; Wæhle, Hilde Valen (Peer reviewed; Journal article, 2019)Abstract Objective: Surgical site infections are known postoperative complications, yet the most preventable of healthcare-associated infections. Correct provision of surgical antibiotic prophylaxis (SAP) is crucial. Use ... -
Measuring discharge quality based on elderly patients’ experiences with discharge conversation: a cross-sectional study
Boge, Ranveig Marie; Haugen, Arvid Steinar; Nilsen, Roy Miodini; Bruvik, Frøydis Kristine; Harthug, Stig (Peer reviewed; Journal article, 2019)Background: Discharge conversation is an essential part of preparing patients for the period after hospitalisation. Successful communication during such conversations is associated with improved health outcomes for patients. ...