Browsing Bergen Open Research Archive by Author "Hovlid, Einar"
Now showing items 1-15 of 15
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Can systematic implementation support improve programme fdelity by improving care providers’ perceptions of implementation factors? A cluster randomized trial
Hartveit, Miriam; Hovlid, Einar; Øvretveit, John; Assmus, Jörg; Bond, Gary; Joa, Inge; Heiervang, Kristin Sverdvik; Stensrud, Bjørn; Høifødt, Tordis Sørensen; Biringer, Eva Aaker; Ruud, Torleif (Journal article; Peer reviewed, 2022)Background Investigations of implementation factors (e.g., collegial support and sense of coherence) are recommended to better understand and address inadequate implementation outcomes. Little is known about the relationship ... -
Contextual factors of external inspections and mechanisms for improvement in healthcare organizations: a realist evaluation
Hovlid, Einar; Husabø, Gunnar; Teig, Inger Lise; Halvorsen, Kjersti; Frich, Jan C (Journal article; Peer reviewed, 2022)External inspections constitute a key element of healthcare regulation. Improved quality of care is one of the important goals of inspections but the mechanisms of how inspections might contribute to quality improvement ... -
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. ... -
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 ... -
Inspecting teams' and organisations' expectations regarding external inspections in health care: a qualitative study
Hovlid, Einar; Teig, Inger Lise; Halvorsen, Kjersti; Frich, Jan C (Journal article; Peer reviewed, 2020)Background There is a gap in the literature regarding what takes place between the announcement of a regulatory intervention, such as an external inspection of a health care organisation, and the inspecting body’s site ... -
Learning team-based quality improvement in a virtual setting: a qualitative study
Hovlid, Einar; Husabø, Gunnar; Valestrand, Eivind Alexander; Hartveit, Miriam (Journal article; Peer reviewed, 2022)Objective The objective was to explore students’ perceptions of learning quality improvement (QI) in a virtual setting and identify factors that promote or inhibit virtual learning. Design We used an exploratory ... -
Measuring implementation: development of the implementation process assessment tool (IPAT)
Hartveit, Miriam; Hovlid, Einar; Nordin, Håkan; Øvretveit, John; Bond, Gary R.; Biringer, Eva Aaker; Assmus, Jörg; Mariniusson, Gerd Haugen; Ruud, Torleif (Peer reviewed; Journal article, 2019-10-21)Background Implementation science comprises a large set of theories suggesting interacting factors at different organisational levels. Development of literature syntheses and frameworks for implementation have contributed ... -
Mediators of change in healthcare organisations subject to external assessment: a systematic review with narrative synthesis
Hovlid, Einar; Braut, Geir Sverre; Hannsidal, Einar; Walshe, Kieran; Bukve, Oddbjørn; Flottorp, Signe Agnes; Stensland, Per Steinar; Frich, Jan C (Journal article; Peer reviewed, 2020)Objectives: External inspections are widely used to improve the quality of care. The effects of inspections remain unclear and little is known about how they may work. We conducted a narrative synthesis of research literature ... -
A new pathway for elective surgery to reduce cancellation rates
Hovlid, Einar; Bukve, Oddbjørn; Haug, Kjell; Aslaksen, Aslak; Plessen, Christian von (Peer reviewed; Journal article, 2012-06-11)Background: The cancellation of planned surgeries causes prolonged wait times, harm to patients, and is a waste of scarce resources. To reduce high cancellation rates in a Norwegian general hospital, the pathway for elective ... -
Patient experiences with interventions to reduce surgery cancellations: a qualitative study
Hovlid, Einar; Plessen, Christian von; Haug, Kjell; Aslaksen, Aslak; Bukve, Oddbjørn (Peer reviewed; Journal article, 2013-08-08)Background: The cancellation of planned surgery harms patients, increases waiting times and wastes scarce health resources. Previous studies have evaluated interventions to reduce cancellations from medical and management ... -
Promoting leadership and quality improvement through external inspections of management of sepsis in Norwegian hospitals: a focus group study
Husabø, Gunnar; Teig, Inger Lise; Frich, Jan C; Bondevik, Gunnar Tschudi; Hovlid, Einar (Journal article; Peer reviewed, 2020)Objective Inspections and other forms of external assessment may contribute to positive changes in the health services, but the mechanisms of such change remain unclear. We did a study to explore how external inspections ... -
Reducing cancellations of planned operations. A case study of improving the quality of care at a district general hospital
Hovlid, Einar (Doctoral thesis, 2013-05-15)Background: Cancellations of planned surgeries are a well-recognized quality problem in healthcare. They harm patients and waste resources, leading to increased healthcare costs and undermining patient-centered care that ... -
Sustainability of healthcare improvement: what can we learn from learning theory?
Hovlid, Einar; Bukve, Oddbjørn; Haug, Kjell; Aslaksen, Aslak; Plessen, Christian von (Peer reviewed; Journal article, 2012-08-03)Background Changes that improve the quality of health care should be sustained. Falling back to old, unsatisfactory ways of working is a waste of resources and can in the worst case increase resistance to later initiatives ... -
What Might Be Required for Inspections to Be Considered Fair? Comment on “What Lies Behind Successful Regulation? A Qualitative Evaluation of Pilot Implementation of Kenya’s Health Facility Inspection Reforms”
Husabø, Gunnar; Hovlid, Einar (Journal article; Peer reviewed, 2022)Tama et al offer us an interesting analysis of a piloted regulatory reform that introduced a Joint Health Inspections (JHIs) system in three Kenyan counties. The study highlights key factors facilitating or hindering the ...