• Completeness of medication information in admission notes from emergency departments 

      Zahl-Holmstad, Birgitte; Garcia, Beate Hennie; Svendsen, Kristian; Johnsgård, Tine; Vesela, Renata; Ofstad, Eirik Hugaas; Risør, Torsten; Lehnbom, Elin Christina; Wisløff, Torbjørn; Chan, Macty; Elenjord, Renate (Journal article; Tidsskriftartikkel; Peer reviewed, 2023-12-16)
      Background - Medication lists prepared in the emergency department (ED) form the basis for diagnosing and treating patients during hospitalization. Since incomplete medication information may lead to patient harm, it is crucial to obtain a correct and complete medication list at hospital admission. In this cross-sectional retrospective study we wanted to explore medication information completeness ...
    • Eliciting patient preferences in shared decision-making (SDM): Comparing conversation analysis and SDM measurements 

      Landmark, Anne Marie Dalby; Ofstad, Eirik Hugaas; Svennevig, Jan (Journal article; Tidsskriftartikkel; Peer reviewed, 2017-06-18)
      Objective<br> To explore how physicians bring up patient preferences, and how it aligns with assessments of shared decision-making.<p> Methods<br> Qualitative conversation analysis of physicians formulating hypotheses about the patient’s treatment preference was compared with quantitative SDM scores on ‘patient preferences’ using OPTION(5) and MAPPIN’SDM.<p> Results<br> Physicians occasionally ...
    • Emergency department physicians’ experiences and perceptions with medication-related work tasks and the potential role of clinical pharmacists 

      Johnsgård, Tine; Elenjord, Renate; Lehnbom, Elin; Risør, Torsten; Zahl-Holmstad, Birgitte; Vesela Holis, Renata; Ofstad, Eirik Hugaas; Garcia, Beate Hennie (Journal article; Tidsskriftartikkel; Peer reviewed, 2023-06-21)
      Purpose - Medication-related problems are frequent among emergency department patients. Clinical pharmacists play an important role in identifying, solving, and preventing these problems, but are not present in emergency departments worldwide. We aimed to explore how Norwegian physicians experience medication-related work tasks in emergency departments without pharmacists present, and how they ...
    • Group mentorship for undergraduate medical students—a systematic review 

      Skjevik, Elise; Boudreau, J. Donald; Ringberg, Unni; Schei, Edvin; Stenfors, Terese; Kvernenes, Monika; Ofstad, Eirik Hugaas (Journal article; Tidsskriftartikkel; Peer reviewed, 2020-08-20)
      <p><i>Introduction - </i>Mentoring has become a prevalent educational strategy in medical education, with various aims. Published reviews of mentoring report very little on group-based mentorship programs. The aim of this systematic review was to identify group-based mentorship programs for undergraduate medical students and describe their aims, structures, contents and program evaluations. Based ...
    • How physicians manage medical uncertainty: A qualitative study and conceptual taxonomy 

      Han, Paul K.J.; Strout, Tania D.; Gutheil, Caitlin; Germann, Carl; King, Brian; Ofstad, Eirik Hugaas; Gulbrandsen, Pål; Trowbridge, Robert (Journal article; Tidsskriftartikkel; Peer reviewed, 2021-04-01)
      Background - Medical uncertainty is a pervasive and important problem, but the strategies physicians use to manage it have not been systematically described.<p> <p>Objectives - To explore the uncertainty management strategies employed by physicians practicing in acute-care hospital settings and to organize these strategies within a conceptual taxonomy that can guide further efforts to understand ...
    • Identifying decisions in optometry: A validation study of the decision identification and classification taxonomy for use in medicine (DICTUM) in optometric consultations 

      Sundling, Vibeke; Stene, Hege Anita; Eide, Hilde; Ofstad, Eirik Hugaas (Journal article; Tidsskriftartikkel; Peer reviewed, 2019-02-18)
      <i>Objective</i> - The aim of this study was to assess the validity and reliability of the Decision Identification and Classification Taxonomy for Use in Medicine (DICTUM) applied to optometry, to compare decisions in medical and optometric consultations, and to describe decisions in optometry. <p> <p><i>Methods</i> - The study had a cross-sectional design. Data was collected from January to ...
    • 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 ...
    • Leger utdannet i Bodø – hvem er de og hvor blir de av? 

      Westlie, Åsa Langen; Gaski, Margrete; Abelsen, Birgit; Grimstad, Hilde; Ofstad, Eirik Hugaas (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-01-10)
      <p><b> BAKGRUNN</b> Siden 2009 har inntil 24 legestudenter ved Universitetet i Tromsø årlig fullført de to siste årene av utdanningen i Bodø (kalt Bodøpakken). Vi kartla oppvekstkommune, ønsker for framtidig spesialitet blant studentene og hvor og hva studentene arbeidet med etter LIS1-tjenesten. <p><b> MATERIALE OG METODE</b> Legestudenter uteksaminert i Bodø i perioden 2012–18 fikk et ...
    • The liminal landscape of mentoring - Stories of physicians becoming mentors 

      Valestrand, Eivind Alexander; Hokstad, Leif Martin; Schei, Edvin; Ofstad, Eirik Hugaas; Stenfors, Terese; Kvernenes, Monika (Journal article; Tidsskriftartikkel; Peer reviewed, 2023-05-14)
      <p><i>Introduction:</i> This study explores narratives of physicians negotiating liminality while becoming and being mentors for medical students. Liminality is the unstable phase of a learning trajectory in which one leaves behind one understanding but has yet to reach a new insight or position. <p><i>Methods:</i> In this study, we analysed semi-structural interviews of 22 physician mentors from ...
    • LIS1-leger og medisinsk usikkerhet – en kvalitativ studie 

      Ofstad, Eirik Hugaas; Asdal, Karoline; Nightingale, Bruno; Han, Paul K.; Gregersen, Trine Ammentorp; Gulbrandsen, Pål (Journal article; Tidsskriftartikkel; Peer reviewed, 2023-05-29)
      BAKGRUNN - Hvordan norske leger håndterer medisinsk usikkerhet, er lite studert. Formålet med studien var å undersøke hvordan leger i spesialisering del 1 (LIS1-leger) opplever og håndterer usikkerhet i en klinisk hverdag.<p> <p>MATERIALE OG METODER - Ti LIS1-leger ved to sykehus ble rekruttert til intervjuer etter svarmønsteranalyse fra et kartleggende spørreskjema. Intervjuene ble analysert ...
    • Pasient med alvorlig covid-19 behandlet med steroider 

      Ofstad, Eirik Hugaas; Hauglid, Tore; Tollåli, Terje; Vasiljevic, Katarina Radisavljevic; Dybwik, Knut (Journal article; Tidsskriftartikkel; Peer reviewed, 2020-08-13)
      En kvinne i 60-årene med covid-19-utløst akutt lungesviktsyndrom hadde stasjonær kritisk sykdom etter tre ukers intensivbehandling. Dag 19 på respirator fikk hun behandling med steroider. Det ble raskt klinisk bedring, og hun kunne avvennes fra ventilasjonsstøtte. Bedringen kan ha vært tilfeldig eller et resultat av andre faktorer, men vi mener denne kasuistikken kan bidra til å belyse bruk av ...
    • Pasienter med strømgjennomgang fra lavspenning henvist til et akuttmottak 

      Svendsen, Trude Beathe; Bærheim, Dina; Dale, Jostein; Goffeng, Lars Ole; Vesterfjell, Svend Peder; Ofstad, Eirik Hugaas; Næss-Pleym, Lars E.; Bjørnsen, Lars Petter Bache-Wiig (Journal article; Tidsskriftartikkel; Peer reviewed, 2021-12-13)
      <p><b>BAKGRUNN</b> Pasienter utsatt for strøm henvises ofte til akuttmottaket, men det er ulike retningslinjer for hvordan disse bør håndteres. Vi beskriver her pasienter med strømgjennomgang fra lavspenning i akuttmottaket ved St. Olavs hospital. <p><b>METODE OG MATERIALE</b> Retrospektive data fra pasienter henvist til akuttmottaket etter strømgjennomgang fra lavspenning (< 1 000 volt) i ...
    • Patient characteristics in sepsis-related deaths: prevalence of advanced frailty, comorbidity, and age in a Norwegian hospital trust 

      Torvik, Marianne Ask; Nymo, Stig Haugset; Nymo, Ståle Haugset; Bjørnsen, Lars Petter Bache-Wiig; Kvarenes, Hanne Winge; Ofstad, Eirik Hugaas (Journal article; Tidsskriftartikkel; Peer reviewed, 2023-03-09)
      Objective - To examine the prevalence of advanced frailty, comorbidity, and age among sepsis-related deaths in an adult hospital population.<p> <p>Methods - Retrospective chart reviews of deceased adults within a Norwegian hospital trust, with a diagnosis of infection, over 2 years (2018–2019). The likelihood of sepsis-related death was evaluated by clinicians as sepsis-related, possibly ...
    • 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 ...
    • Recall and Understanding of Discharge Information in Observation Ward Patients: An Explorative Observational Study 

      Østen, Kjersti; Menichetti, Julia; Nordfalk, Jenny M.; Ofstad, Eirik Hugaas (Journal article; Tidsskriftartikkel; Peer reviewed, 2021-09-07)
      Effective communication is essential for understanding and recall of hospital discharge information. This study aimed to explore discharge information, patient recall and patient involvement in discharge encounters. We conducted an explorative observational study at a secondary care level, observational ward. Patients discharged to their home were asked to participate. 34 patients were assessed ...
    • Uncertainty in health care: Towards a more systematic program of research 

      Han, Paul K.J.; Babrow, Austin; Hillen, Marij A.; Gulbrandsen, Pål; Smets, Ellen M.; Ofstad, Eirik Hugaas (Journal article; Tidsskriftartikkel; Peer reviewed, 2019-06-13)
      <i>Objective</i> - To promote a more systematic approach to research on uncertainty in health care, and to explore promising starting points and future directions for this research.<p> <p><i>Methods</i> - We examine three fundamental aspects of medical uncertainty that a systematic research program should ideally address: its nature, effects, and communication. We summarize key insights from past ...