NSQH 2018

NSQH 2018, 30th-31st August 2018, Copenhagen, Denmark

The conference gathers Nordic and international researchers and developers working in patient safety and healthcare quality to share their knowledge and ideas with a multi-professional and multidisciplinary scope.

The hosting organisation is the Danish Research Network for Patient Safety and Quality (Forskningsnetværk for Patientsikkerhed og Kvalitet)

NSQH 2018_Book-of-Abstracts

Local Organizing Committee

Henning Boje Andersen, Professor
Christian von Plessen, DrMed, PhD
Anne Mette Falstie-­Jensen, PhD

Nordic Programme Committee

Hans Rutberg, Sweden
Kristina Schildmeijer, Sweden
Mirjam Ekstedt, Sweden
Kaija Saranto, Finland
Risto Roine, Finland
Palojoki Sari, Finland
Siri Wiig, Norway
Øystein Flesland, Norway

Presentations - keynotes and workshops

The Role of Evidence in Improving Quality and Safety in Healthcare

Mary Dixon-Woods, RAND Professor of Health Services Research in the Department of Public Health and Primary Care, University of Cambridge.

Taking Resilience in Healthcare to the next level 

Karina Aase, Professor in safety and centre director, SHARE, Centre for Resilience in Healthcare, Faculty of Health Sciences, University of Stavanger, Norway NSQH2018_Keynote_Aase

How (not) to learn from patient safety incidents

Carl Macrae, PhD, Senior Research Fellow in the Department of Experimental Psychology, University of Oxford, Improvement Science Fellow, Health Foundation, Chartered Psc. NSQH 2018_Macrae-Keynote

Simulation-based training in healthcare to improve patient safety

Doris Østergaard, DMSc, Professor at the medical Faculty og University og Copenhagen, Head of Copenhagen Academy for Medical Education and Simulation (CAMES)''


Workshop 1:  Learning from success – Tackling Patient Safety from the Positive side

Peter Dieckmann, Marlene Dyrløv Madsen and Karina Aase (Norway and Denmark) NSQH2018_Dieckmann_w1

Workshop 2: Measuring the implementation process – how should we explore predicting factors for implementation?

Miriam Hartveit, Torleif Ruud, Kristin Heiervang, Hanne Clausen, Karina Egeland, Eva Biringer, Einar Hovlid, John Øvretveit (Norway and Sweden) NSQH2018_Hartveit_w2

Workshop 3:  Evaluating national quality improvement programs: How can we learn from one program to the next?

Søren Bie Bogh, Anne Mette Falstie-Jensen, Søren Paaske Johnsen and Christian von Plessen (Denmark) NSQH2018_Bogh_w3

Workshop 4: Learning By- and From-Doing: Linking Patient Safety, Quality Improvement Research, Education and Practice

Boel Andersson Gäre, Axel Ros, Ann-Christine Andersson and Elin Roos af Hjelmsäter (Sweden) NSQH2018_Andersson_w4

Workshop 5: Co-producing a research agenda for quality improvement and patient safety-ideas and priorities and learning from the process

Vibe Hjelholt Baker, Annemette Lundmark Jensen, Linda Aagaard Thomsen, Lene von Bülow, Christian von Plessen (Denmark) NSQH2018_Baker_w5

Workshop 6: Building a psychologically safe culture of patient safety

Solvejg Kristensen and Doris Østergaard (Denmark) NSQH2018_Kristensen_w6

Workshop 7: Quality and Safety in Primary Care

Gunnar Tschudi Bondevik, Malin Knutsen Glette and Siri Wiig (Norway) NSQH2018_Bondevik_w7

Workshop 8: Resilience for Improving Health Care

Jeanette Hounsgaard, Mikkel Ussing and Bettina Thude (Denmark)

Workshop 9: The Economics of Patient Safety 

Ane Auraaen and Hans Rutberg (Sweden) NSQH2018_Auraaen_w9

Presentations - Sessions
Session 1:

User involvement in adolescents’ mental healthcare: A systematic review
Petter Viksveen, Stig E. Bjønness, Siv Hilde Berg, Anita Salamonsen, Nicole Elizabeth Cardenas, Julia Rose Game, Karina Aase and Marianne Storm (Norway) NSQH2018_Viksveen_s1

Guided by the patients - Co-creating a set of patient-reported outcome measures within two Danish psychiatric clinical registries
Solveijg Kristensen, Lone Baandrup, Jan Mainz, Maria Bonde, Poul Videbech, Jens Holmskov and Per Bech (Denmark) NSQH2018_Kristensen_s1

The properties and content of patient centeredness scales – a systematic review
Eline Ree, Siri Wiig, Tanja Manser and Marianne Storm (Norway) NSQH2018_Ree_s1

Patient Inventory - An Improvement Method
Søren Valgreen Knudsen, Søren Paaske Johnsen and Jan Mainz (Denmark)

Session 2:

Variations in surgical oncology - Improvement through mapping
Kasper Wennervaldt, Linda Aagard Thomsen, Henrik Kehlet and Niels Kroman (Denmark) NSQH2018_Wennervaldt_s2

Geographical variation in acute readmission among hip fracture patients in Denmark
Pia Kjær Kristensen and Søren Paaske Johnsen (Denmark) NSQH2018_Kristensen_s2

Graphical mapping of the drug name similarity - the structure of sound-alike and look-alike similarity
Thomas Schrader, Laura Tetzlaff, Cornelia Schröder and Eberhard Bech (Germany) NSQH2018_Schrader_s2

Increasing risk of post-surgery infections among hip fracture patients: A nationwide study 2005-2016
Kaja Eriksrud Kjørholt, Søren Paaske Johnsen, Nickolaj Risbo Kristensen, Daniel Prieto-Alhambra and Alma Becic Pedersen (Denmark) NSQH2018_Kjoerholt_s2

The DICARES-evaluation of an instrument to monitor quality in discharge
Ranveig Marie Boge, Arvid S. Haugen, Roy M. Nilsen and Stig Harhug (Norway) NSQH2018_Boge_s2

Session 3:

Inpatient Volume and Quality of Mental Health Care Among Patients With Unipolar Depression
Line Ryberg Rasmussen, Jan Mainz, Mette Jørgensen, Poul Videbech and Søren Paaske Johnsen (Denmark) NSQH2018_Rasmussen_s3

Adolescent co-researchers for improvement of mental health services: Experiences from a Norwegian research project (47)
Nicole Elizabeth Cardenas, Julia Rose Game and Petter Viksveen (Norway)

Exploring antecedents and outcomes of organisational bullying in a Norwegian healthcare setting
Espen Olsen, Maria Therese Jensen, Gunhild Bjaalid and Aslaug Mikkelsen (Norway) NSQH2018_Olsen_s3

State of technology-induced errors in Electronic Health Record Systems in Finland (96)
Sari Palojoki, Lasse Lehtonen and Kaija Saranto (Finland) 

Session 4:

Dealing and caring with risks: Healtcare professionals’ perceptions of home Healthcare
Kristina Schildmeijer, Marlene Lindblad and Mirjam Ekstedt (Sweden) NSQH2018_Schildmeijer_s4

Applying realist evaluation to quality improvement projects – reflections on the evaluations of two Danish patient safety programs
Mette Marie Kristensen, Ida Nielsen Sølvhøj, Inge Kristensen, Simon Feldbæk Peitersen and Anna Paldam Folker (Denmark) NSQH2018_Kristensen_s4

Successfully reducing newborn asphyxia in the labour unit in a large academic medical centre: a quality improvement project using statistical process control
Rikke von Benzon Hollesen, Rie Laurine Johansen, Christina Rørbye, Louise Munk, Pierre Barker and Anette Kjaerbye-Thygesen (Denmark) NSQH2018_Hollesen_s4

Safer Communication in Healthcare Sector - SBAR is the way Forward
Hulda Rafnsdottir, Hrafnhildur L. Jónsdóttir and Ingveldur Tryggvadóttir (Iceland) NSQH2018_Rafnsdottir_s4

Patient participation for safer care
Kristina Schildmeijer, Per Nilsen, Janna Skagerström, Carin Ericsson, Kristofer Årestedt and Anders Broström (Sweden) NSQH2018_Schildmeijer2_s4

Session 5:

Patient Safety and Abuse in Healthcare
Marlene Ockander, Jelmer Brüggermann, Alma Persson, Boel Andersson Gäre and Barbro Wijma (Sweden) NSQH2018_Ockander_s5

The contribution of adverse events to death in hospitalized patients
Ellinor Haukland, Kjersti Mevik, Christian von Plessen, Carsten Nieder and Barthold Vonen (Norway) NSQH2018_Haukland_s5

Measuring adverse events in hospitalised patients using a modified GTT method with automatic trigger identification
Kjersti Mevik, Barthold Vonen, Tonje Hansen, Alexander Ringdal and Ellen Deilkås (Norway) NSQH2018_Mevik_s5

Delayed diagnoses as patient injuries - Data from the Finnish patient insurance centre
Maiju Welling and Risto Roine (Finland) NSQH2018_Welling_s5

Session 6:

Do regulating inspections lead to patient safety?
Ann-Christine Andersson, Boel Andersson Gäre, Johan Thor and Raymond Lenrick (Sweden) NSQH2018_Andersson_s6

Unannounced accreditation surveys: cheaper and better facilitator for the quality improvement work at hospitals but not a more valid instrument
Lars Ehlers and Morten Berg (Denmark) NSQH2018_Ehlers_s6

Improving care and reducing costs: the implementation of a trauma triage clinic
Ryan Geleit and Johnathan Craik (UK) NSQH2018_Geleit_s6

Pain-related unscheduled contact with health care services after outpatient surgery (58)
Lone Dragnes Brix, Karen Toftdahl Bjørnholdt, Theis Muncholm Thillemann and Lone Nikolajsen (Denmark)

Session 7:

User Experience Monitoring in Electronic Health Record Systems
Janne Pitkänen, Aapo Koivusalo, Sari Palojoki, Antti Vento, Matti Pitkäranta and Antti Haapala (Finland) NSQH2018_Pitkänen_s7

Quality of surgical guidelines and written patient information. A Danish patient safety study
Lotte Linnemann Rønfeldt, Dorthe Hjort Jakobsen, Henrik Kehlet, Henriette Lipczak and Kasper Wennervaldt (Denmark) NSQH2018_Roenfeldt_s7

Healthcare professionals’ observational practice of deteriorating older patients in homecare - a qualitative study
Torunn Strømme, Karina Aase and Ingrid Tjoflåt (Norway) NSQH2018_Stroemme_s7

Patient participation in multidisciplinary team conferences – an opportunity for a patient-centered approach to cancer care
Kasper Wennervaldt, Anne Hjøllund Christiansen and Linda Aagaard Thomsen (Denmark) NSQH2018_Wennervaldt_s7

Explanations On Improved Patient Outcomes- And Perioperative Care Processes, Following Implementation Of The World Health Organization’s Surgical Safety Checklist
Hilde Valen Wæhle, Arvid Steinar Haugen, Stian Kreken Almeland, Stig Harthug, Nick Sevdalis, Geir Egil Eide, Monica Wammen Nortvedt, Ingrid Smith and Eirik Søfteland (Norway) NSQH2018_Waehle_s7


Cross-cultural comparisons of nursing staff perceptions about patient handoff safety and quality between China and Japan
Xiuzhu Gu and Kenji Itoh (Japan) NSQH2018_Poster_Gu

Patient activation in transition to home (PATH) - a patient-centered intervention study to decrease re-hospitalization
Carina Brandberg, Maria Flink and Mirjam Ekstedt (Sweden) NSQH2018_Poster_Brandberg2

Differences between Serious and Non-Serious Patient Safety Incidents in the Largest Hospital District in Finland
Juho Jämsä, Sari Palojoki, Lasse Lehtonen and Anna-Maija Tapper (Finland) NSQH2018_Poster_Jämsä

The A3 approach to improving patient safety problem solving: a pilot study
Virve Koljonen and Sari Palojoki (Finland) NSQH2018_Poster_Koljonen

Nurse rated quality of care in 2007 and 2017 in a Norwegian Hospital Trust
Irene Aasen Andersen, Marny Alice S. Pettersen and John Roger Andersen (Norway) NSQH2018_Poster_Andersen

Out-of-hours Healthcare and Malpractice Complaints
Søren Birkeland, Søren Bie Bogh and Christian von Plessen (Denmark) NSQH2018_Poster_Birkeland

Co-operation between municipalities and pharmacies on local disease prevention and health promotion – what are the opportunities?
Mira El-Souri, Alaa Burghle, Nicolaj H. Faber, Louise André, Charlotte Rossing and Gitte R. Husted (Denmark) NSQH2018_Poster_El-Souri

Loneliness in elderly care
Marie Petersson, Sandra Pettersson, Ulrika Solstad, Annica Hofsten Granbo and Madeleine Andersson (Sweden) NSQH2018_Poster_Petersson

The Co-production of Patient Safety
Marlene Ockander, Jelmer Brüggemann, Alma Persson, Boel Andersson Gäre and Barbro Wijma (Sweden)

Involvement of the bereaved in supervisory investigation of severe adverse events: A literature review
Cecilie Haraldseid, Lene Schibevaag and Siri Wiig (Norway) NSQH2018_Poster_Haraldseid

DeMoL, reablement and the interaction on Depression, Motivation and Life orientation. An ongoing longitudinal study, in home dwelling elderly, Norway
Jeanette Kjernsholen Berget, Inger Schou-Bredal, Rolf Kåresen and Åse Sagen (Norway) NSQH2018_Poster_Berget

To Asses Vital Signs in Emergency Care - A quantitative survey of the nursing assessment
Pia Hammarqvist (Sweden) NSQH2018_Poster_Hammarqvist

Study on in-hospital deaths may reveal patient safety threats
Mari Plukka, Merja Jutila, Linda Styris and Heli Ylihärsilä (Finland) NSQH2018_Poster_Plukka

Evaluating a new method for user involvement in supervisory investigation of the most severe adverse events in healthcare
Lene Schibevaag, Cecilie Haraldseid, Einar Hannisdal and Siri Wiig (Norway) NSQH2018_Poster_Schibevaag

Avoidable admissions – a cross-sectorial research program following the patient trail (CrossTrail)
Marianne Johansson Jørgensen, Mette Trøllund Rask, Hanne Sveistrup Demant and Gitte Friis Kjeldsen (Denmark) NSQH2018_Poster_Joergensen

Medication administrations to wrong patients: analysis using incident reports
Marja Härkänen, Maijaterttu Tiainen and Kaisa Haatainen (Finland) NSQH2018_Poster_Härkänen

Involvement of the bereaved in supervisory investigation of unexpected deaths – A development project
Einar Hannisdal, Jan Petter Odden and Siri wiig (Norway)

Drug changes create potential failure modes in the drug dispensing process
Marianne Hald Clemmensen, Erik Klitzing Hansen, Lona Louring Christrup and Peter Dieckmann (Denmark) NSQH2018_Poster_Clemmensen

Identification of barriers to address in order to improve quality of cross-sectorial rehabilitation
Katrine Prisak Pedersen, Lene von Bülow, Jeanette Hounsgaard and Lars Morsø (Denmark) NSQH2018_Poster_Pedersen

Facilitators and barriers to adolescents’ use of mental health services in Norway: A questionnaire survey
Anita Camilla Kvamsøe and Petter Viksveen (Norway) NSQH2018_Poster_Kvamsoee

Liason Somatic - From project to operational stage
Hanne Hartmann (Denmark) NSQH2018_Poster_Hartmann

Medication Events in Immunocompromised Pediatric Patients in Tertiary Children´s Hospital
Niina Laine, Riikka Laine, Anna Santamäki, Mervi Taskinen, Merja Stenvall, Timo Jahnukainen and Sanna-Maria Kivivuori (Finland) NSQH2018_Poster_Laine

The SAFE-LEAD project: Improving Quality and Safety in Nursing Homes and Home Care
Eline Ree and Siri Wiig (Norway) NSQH2018_Poster_Ree

Stretching the boundaries of safe medication administration in nursing homes: A qualitative study of the nurse role
Kristian Odberg, Britt Sætre Hansen and Sigrid Wangensteen (Norway) NSQH2018_Poster_Odberg

Professionals and organizational innovation in elderly care: Implementation of municipal care pathways
Kathrine Carstensen, Hanne Marlene Dahl, Elin Kallestrup, Marianne Kirkegaard Birkmose and Viola Bureau (Denmark) NSQH2018_Poster_Carstensen

Trends, disparities and geographical variation in outpatient antibiotic consumption – A population-based study
Pia Kjær Kristensen, Søren Paaske Johnsen and Reimar Wernich Thomsen (Denmark) NSQH2018_Poster_Kristensen

Assesment of Inter-rater Consistency in Classification of Adverse Advents
Ylva Helland (Norway) NSQH2018_Poster_Helland

Development of a theoretical construct for system stability in a neonatal intensive care unit – an explorative study
Karl Hybinette, Karin Pukk Härenstam and Mirjam Ekstedt (Sweden) NSQH2018_Poster_Hybinette

Monitoring and assessing quality of chronic disease rehabilitation (cardiovascular disease) in a municipality setting in Central Denmark Region
Hanne Søndergaard, Klaus Nordentoft Lemvigh and Tina Andersen (Denmark) NSQH2018_Poster_Soendergaard

A tale of two municipalities: A qualitative study of the influence resource situation in nursing homes has on hospital readmissions
Malin Knutsen Glette, Olav Røise, Tone Kringeland and Siri Wiig (Norway) NSQH2018_Poster_Glette

The use of Quality Improvement Collaboratives in the implementation of The New Danish Healthcare Quality Programme
Kathrine Carstensen and Camilla Palmhøj Nielsen (Denmark) NSQH2018_Poster_Carstensen2

Enmeshing patient safety – intervening in the organization and practices of care
Angelos Balatsas-Lekkas and Yutaka Yoshinaka (Finland) NSQH2018_Poster_Balatsas-Lekkas

Measuring Next-of-kin Satisfaction with Hospital Cancer Care - as a Foundation for Improving Quality and Patient Safety
Inger Johanne Bergerød, Ingvild Dalen, Geir Sverre Braut, Bjørnar Gilje and Siri Wiig (Norway) NSQH2018_Poster_Bergeroed

Prevalence and risk factors for non-attendance among patients in hospital outpatient treatment for chronic diseases: A register-based cohort study
Donna Lykke Wolff, Frans Boch Waldorff, Christian Von Plessen, Christian Backer Mogensen, Thomas Lund Sørensen, Kim Christian Houlind, Søren Bie Bogh and Katrine Hass Rubin (Denmark) NSQH2018_Poster_Wolff

Does Quality Improvement Improve Patient’s Health? A Systematic Review of Measures of Effect Used in PDSA Projects
Nanna Kastrup Hermansen, Anne Sig Vestergaard and Lars Holger Ehlers (Denmark) NSQH2018_Poster_Hermansen

The application of future workshops in a healthcare setting
Natasha Sørensen, Simon Kristoffer Johansen, Louise Hansen, Janus Laust Thomsen and Lars Ehlers (Denmark) NSQH2018_Poster_Soerensen

Danish cancer patients’ perspectives on quality of care from first symptom to end of primary care
Louise Vindslev Nielsen, Gitte Stentebjerg Petersen and Linda Aagaard Thomsen (Denmark) NSQH2018_Poster_Nielsen

Calculating the value for money of quality improvements when health-related outcome measures are unavailable; using quality indicators in decision-analytic modeling
Anne Sig Vestergaard and Lars Holger Ehlers (Denmark) NSQH2018_Poster_Vestergaard

Overstay and readmission in day surgery – comparison of ear, nose and throat and orthopedic patients
Leena-Maija Aaltonen (Finland) NSQH2018_Poster_Aaltonen

The CIRS-case microscope - the analysis of 52 unselected cases with the OPT-Model
Cornelia Schröder, Thomas Schrader, Laura Tetzlaff, Eberhard Beck and Katharina Löwe (Germany) NSQH2018_Poster_Schröder

Can frail older persons participate in telephone follow up about quality of life and satisfaction after discharge? – a feasibility study
Trine Graabæk, Palle Mark Christensen, Anton Pottegård and Jens-Ulrik Rosholm (Denmark) NSQH2018_Poster_Graabaek

Gender- and Age-Related Differences in the Quality of Mental Health Care Among Inpatients With Unipolar Depression: A Nationwide Study
Line Ryberg Rasmussen, Jan Mainz, Poul Videbech and Søren Paaske Johnsen (Denmark) NSQH2018_Poster_Rasmussen

Patient-reported incidents in hospital: do scores for surgical and non-surgical patients differ? Results from a national survey
Olaf Holmboe, Øyvind Andresen Bjertnæs and Anne Karin Lindahl (Norway) NSQH2018_Poster_Holmboe

Demonstration of the WHO’s Surgical Safety Checklist in 360° Virtual Reality
Tobias Todsen (Denmark) NSQH2018_Poster_Todsen

Patients management of long-term medication processes with information
Marianne Møller, Stig Ejdrup Andersen, Jørn Helder and Christian von Plessen (Denmark) NSQH2018_Poster_Moeller

Privacy and the ability to maintain independent living: tradeoffs among priorities
Humira Ehrari, Henning Boje Andersen (Denmark) NSQH2018_Poster_Ehrari

Gerontechnology: opportunities and ethical dilemmas
Henning Boje Andersen (Denmark) NSQH2018_Poster_Andersen2