• Adherence to prescription guidelines and achievement of treatment goals among persons with coronary heart disease in Tromsø 7 

      Pedersen, Elisabeth; Garcia, Beate Hennie; Halvorsen, Kjell H.; Eggen, Anne Elise; Schirmer, Henrik; Waaseth, Marit (Journal article; Tidsskriftartikkel; Peer reviewed, 2021-01-21)
      Background - Adherence to clinical practice guidelines for coronary heart disease (CHD) reduces morbidity, mortality and treatment costs. We aimed to describe and compare adherence to prescription guidelines for persons with CHD, and explore its association with treatment goal achievement.<p> <p>Method - We included all participants reporting myocardial infarction, angina, percutaneous coronary ...
    • Assessing Potentially Inappropriate Medications in Nursing Home Residents by NORGEP-NH Criteria 

      Halvorsen, Kjell H.; Kucukcelik, Sinan; Garcia, Beate Hennie; Svendsen, Kristian (Journal article; Tidsskriftartikkel; Peer reviewed, 2019-03-05)
      <p><i>Background</i>: Nursing home residents often have several conditions that necessitate the use of multiple medicines. This study investigates the prevalence of potentially inappropriate medications (PIMs) and its associations with sex, age, number of medicines, and study location (rural/urban).</p> <p><i>Methods:</i> A cross-sectional study of long-term care residents from six nursing ...
    • An audit and feedback intervention study increased adherence to antibiotic prescribing guidelines at a Norwegian hospital 

      Høgli, June Utnes; Garcia, Beate Hennie; Skjold, frode; Skogen, Vegard; Småbrekke, Lars (Journal article; Tidsskriftartikkel; Peer reviewed, 2016-02-27)
      Background:<br> Appropriate antibiotic prescribing is associated with favourable levels of antimicrobial resistance (AMR) and clinical outcomes. Most intervention studies on antibiotic prescribing originate from settings with high level of AMR. In a Norwegian hospital setting with low level of AMR, the literature on interventions for promoting guideline-recommended antibiotic prescribing in ...
    • Empirical prescribing of penicillin G/V reduces risk of readmission of hospitalized patients with community-acquired pneumonia in Norway: a retrospective observational study 

      Høgli, June Utnes; Garcia, Beate Hennie; Svendsen, Kristian; Skogen, Vegard; Småbrekke, Lars (Journal article; Tidsskriftartikkel; Peer reviewed, 2020-06-15)
      <i>Background</i> - Norwegian guideline recommendations on first-line empirical antibiotic prescribing in hospitalised patients with community-acquired pneumonia (CAP) are penicillin G/V in monotherapy, or penicillin G in combination with gentamicin (or cefotaxime) in severely ill patients. The aim of this study was to explore how different empirical antibiotic treatments impact on length of hospital ...
    • Integrating the clinical pharmacist into the emergency department interdisciplinary team: A study protocol for a multicentre trial applying a non-randomised stepped-wedge study design 

      Vesela, Renata; Elenjord, Renate; Lehnbom, Elin; Ofstad, Eirik Hugaas; Johnsgård, Tine; Zahl-Holmstad, Birgitte; Risør, Torsten; Wisløff, Torbjørn; Røslie, Lars; Filseth, Ole Magnus; Valle, Per Christian; Svendsen, Kristian; Frøyshov, Hanne Mathilde; Garcia, Beate Hennie (Journal article; Tidsskriftartikkel; Peer reviewed, 2021-11-25)
      Introduction: The ‘emergency department (ED) pharmacist’ is an integrated part of the ED interdisciplinary team in many countries, which have shown to improve medication safety and reduce costs related to hospitalisations. In Norway, few EDs are equipped with ED pharmacists, and research describing effects on patients has not been conducted. The aim of this study is to investigate the impact ...
    • Integrating the clinical pharmacist into the emergency department interdisciplinary team: a study protocol for a multicentre trial applying a non-randomised stepped-wedge study design 

      Vesala, Renata; Elenjord, Renate; Lehnbom, Elin; Ofstad, Eirik Hugaas; Johnsgård, Tine; Zahl-Holmstad, Birgitte; Risør, Torstein; Wisløff, Torbjørn; Røslie, Lars; Filseth, Ole Magnus; Valle, Per Christian; Svendsen, Kristian; Frøyshov, Hanne Mathilde; Garcia, Beate Hennie (Journal article; Tidsskriftartikkel; Peer reviewed, 2021-11-25)
      Introduction - The ‘emergency department (ED) pharmacist’ is an integrated part of the ED interdisciplinary team in many countries, which have shown to improve medication safety and reduce costs related to hospitalisations. In Norway, few EDs are equipped with ED pharmacists, and research describing effects on patients has not been conducted. The aim of this study is to investigate the impact of ...
    • Interdisciplinary collaboration across secondary and primary care to improve medication safety in the elderly (The IMMENSE study) – a randomized controlled trial 

      Johansen, Jeanette Schultz; Halvorsen, Kjell H.; Svendsen, Kristian; Havnes, Kjerstin; Robinson, Eirin Guldsten; Wetting, Hilde Ljones; Haustreis, Stine; Småbrekke, Lars; Kamycheva, Elena; Garcia, Beate Hennie (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-10-26)
      <b><p>Background</b> Suboptimal medication use contributes to a substantial proportion of hospitalizations and emergency department visits in older adults. We designed a clinical pharmacist intervention to optimize medication therapy in older hospitalized patients. Based on the integrated medicine management (IMM) model, the 5-step IMMENSE intervention comprise medication reconciliation, medication ...
    • Interdisciplinary collaboration across secondary and primary care to improve medication safety in the elderly (IMMENSE study): study protocol for a randomised controlled trial 

      Johansen, Jeanette Schultz; Havnes, Kjerstin; Halvorsen, Kjell H.; Haustreis, Stine-Mari; Skaue, Lillann Wilsgård; Kamycheva, Elena; Mathiesen, Liv; Viktil, Kirsten Kilvik; Granås, Anne Gerd; Garcia, Beate Hennie (Journal article; Tidsskriftartikkel; Peer reviewed, 2018-01-23)
      <p><i>Introduction:</i> Drug-related problems (DRPs) are common in the elderly, leading to suboptimal therapy, hospitalisations and increased mortality. The integrated medicines management (IMM) model is a multifactorial interdisciplinary methodology aiming to optimise individual medication therapy throughout the hospital stay. IMM has been shown to reduce readmissions and drug-related hospital ...
    • Interdisciplinary collaboration across secondary and primary care to improve medication safety in the elderly (The IMMENSE study) – a randomized controlled trial 

      Johansen, Jeanette Schultz; Halvorsen, Kjell H.; Svendsen, Kristian; Havnes, Kjerstin; Robinson, Eirin Guldsten; Ljones Wetting, Hilde; Haustreis, Stine; Småbrekke, Lars; Kamycheva, Elena; Garcia, Beate Hennie (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-10-26)
      Background - Suboptimal medication use contributes to a substantial proportion of hospitalizations and emergency department visits in older adults. We designed a clinical pharmacist intervention to optimize medication therapy in older hospitalized patients. Based on the integrated medicine management (IMM) model, the 5-step IMMENSE intervention comprise medication reconciliation, medication review, ...
    • Intervention fidelity and process outcomes of the IMMENSE study, a pharmacist-led interdisciplinary intervention to improve medication safety in older hospitalized patients 

      Johansen, Jeanette Schultz; Halvorsen, Kjell H.; Havnes, Kjerstin; Wetting, Hilde Ljones; Svendsen, Kristian; Garcia, Beate Hennie (Journal article; Tidsskriftartikkel; Peer reviewed, 2021-12-21)
      What is known and Objective - The majority of hospitalized older patients experience medication-related problems (MRPs), and there is a call for interventions to solve MRPs and improve clinical outcomes like medical visits. The IMMENSE study is a randomized controlled trial investigating the impact of a pharmacist-led interdisciplinary intervention on emergency medical visits. Its multistep intervention ...
    • Knowledge and need for information about non-prescription analgesics - A cross-sectional study among pharmacy customers 

      Knutsen, Vera S.; Oland, Oda; Eriksen, Karoline; Holst, Lone; Garcia, Beate Hennie; Waaseth, Marit (Conference object; Konferansebidrag, 2019)
      <p>Pain is among the most common causes for seeking drug treatment. There is widespread use of non-prescription analgesics, and previous studies suggest that the level of knowledge about these drugs is low. <p>The aim of the study was to describe the level of knowledge about nonprescription analgesics among pharmacy customers, thereby identifying population groups in high need of information. ...
    • Knowledge of antibiotics and antibiotic resistance among Norwegian pharmacy customers – a cross-sectional study 

      Waaseth, Marit; Adan, Abdifatah; Røen, Ingrid L.; Eriksen, Karoline; Stanojevic, Tijana; Halvorsen, Kjell H.; Garcia, Beate Hennie; Holst, Lone; Ulshagen, Karen Marie; Blix, Hege Salvesen; Ariansen, Hilde Louise; Nordeng, Hedvig Marie Egeland (Journal article; Tidsskriftartikkel; Peer reviewed, 2019-01-15)
      <p><i>Background</i>: Antibiotic resistance is a global health threat. Public knowledge is considered a prerequisite for appropriate use of antibiotics and limited spread of antibiotic resistance. Our aim was to examine the level of knowledge of antibiotics and antibiotic resistance among Norwegian pharmacy customers, and to assess to which degree beliefs, attitudes and sociodemographic factors are ...
    • Medication adherence among persons with coronary heart disease and associations with blood pressure and low-density-lipoprotein-cholesterol 

      Pedersen, Elisabeth; Primicerio, Raul; Halvorsen, Kjell H.; Eggen, Anne Elise; Garcia, Beate Hennie; Schirmer, Henrik; Waaseth, Marit (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-01-21)
      Purpose - To describe medication adherence to lipid-lowering drugs (LLDs), antihypertensive drugs, and acetylsalicylic acid (ASA) among persons with coronary heart disease (CHD) and explore its association with low-density-lipoprotein (LDL)-cholesterol, and systolic and diastolic blood pressure.<p> <p>Methods - Based on record linkage between the seventh wave of the Tromsø Study and the Norwegian ...
    • Patient perceptions and experiences with medication-related activities in the emergency department: a qualitative study 

      Zahl-Holmstad, Birgitte; Garcia, Beate Hennie; Johnsgård, Tine; Ofstad, Eirik Hugaas; Lehnbom, Elin; Svendsen, Kristian; Risør, Torsten; Vesela, Renata; Elenjord, Renate (Journal article; Tidsskriftartikkel; Peer reviewed, 2023-05-22)
      Background - Emergency department (ED) pharmacists reduce medication errors and improve quality of medication use. Patient perceptions and experiences with ED pharmacists have not been studied. The aim of this study was to explore patients’ perceptions of and experiences with medication-related activities in the ED, with and without an ED pharmacist present.<p> <p>Methods - We conducted 24 ...
    • A pharmacist-led follow-up program for patients with coronary heart disease in North Norway-a qualitative study exploring patient experiences 

      Garcia, Beate Hennie; Storli, Sissel Lisa; Småbrekke, Lars (Journal article; Tidsskriftartikkel; Peer reviewed, 2014)
    • A pharmacist-led follow-up program for patients with established coronary heart disease in North Norway – A randomized controlled trial [Programa farmacéutico de seguimiento para pacientes con enfermedad coronaria establecida en El Norte de Noruega – Ensayo controlado aleatorizado] 

      Garcia, Beate Hennie; Giverhaug, Trude; Høgli, June U.; Skjold, Frode; Småbrekke, Lars (Journal article; Tidsskriftartikkel; Peer reviewed, 2015-06)
      OBJECTIVES: The aim of the study was twofold; 1) to develop a clinical pharmacist-led 12 month lasting follow-up program for patients with established coronary heart disease (CHD) discharged from the University Hospital of North Norway, and 2) to explore the impact of the program with regards to adherence to a medication assessment tool for secondary prevention of CHD and change in biomedical ...
    • Quality of medication information in discharge summaries from hospitals: an audit of electronic patient records 

      Garcia, Beate Hennie; Djønne, Berit K; Skjold, Frode; Mellingen, Ellen Marie; Aag, Trine Iversen (Journal article; Tidsskriftartikkel, 2017-11-03)
      Background: Low quality of medication information in discharge summaries from hospitals may jeopardize optimal therapy and put the patient at risk for medication errors and adverse drug events. <br> <p> Objective: To audit the quality of medication information in discharge summaries and explore factors associated with the quality. Setting Helgelandssykehuset Mo i Rana, a rural hospital in central ...
    • Safety and efficiency of a new generic package labelling: A before and after study in a simulated setting 

      Garcia, Beate Hennie; Elenjord, Renate; Bjørnstad, Camilla Hilda; Halvorsen, Kjell H.; Hortemo, Sigurd; Madsen, Steinar (Journal article; Tidsskriftartikkel; Peer reviewed, 2017-09-20)
      Background: Medication errors are frequent and may cause harm to patients and increase healthcare expenses. <p> Aim: To explore whether a new labelling influences time and errors when preparing medications in accordance with medication charts in an experimental setting. <p> Method: We carried out an uncontrolled before and after study with 3 months inbetween experiments. Phase I used original ...
    • Self-reported medication use among coronary heart disease patients showed high validity compared with dispensing data 

      Pedersen, Elisabeth; Truong, Kieu Nhi Lise; Garcia, Beate Hennie; Halvorsen, Kjell H.; Svendsen, Kristian; Eggen, Anne Elise; Waaseth, Marit (Journal article; Tidsskriftartikkel; Peer reviewed, 2021-02-24)
      <i>Objective</i> - To validate self-reported use of medications for secondary prevention of coronary heart disease (CHD) in a population-based health study by comparing self-report with pharmacy dispensing data, and explore different methods for defining medication use in prescription databases.<br><br> <i>Study design and setting</i> - Self-reported medication use among participants with CHD ...
    • A Stepwise Pharmacist-Led Medication Review Service in Interdisciplinary Teams in Rural Nursing Homes 

      Halvorsen, Kjell H.; Stadeløkken, Torunn; Garcia, Beate Hennie (Journal article; Tidsskriftartikkel; Peer reviewed, 2019-11-05)
      <p><i>Background - </i>The provision of responsible medication therapy to old nursing home residents with comorbidities is a difficult task and requires extensive knowledge about optimal pharmacotherapy for different conditions. We describe a stepwise pharmacist-led medication review service in combination with an interdisciplinary team collaboration in order to identify, resolve, and prevent ...