NSQH 2024

NSQH 2024, Ethics - Equity - Experiences

Local Planning and Organizing Committee:

Keynote - David W Bates

Ethics, Equity and Experiences related to Patient Safety and Artificial Intelligence Keynote_Bates_NSQH2024

Keynotes - Siri Wiig

Reflexive spaces in patient safety improvement  Keynote_Wiig_NSQH2024

Keynote - Rebecca Lawton

From cruise ship to rowing boat: how can we improve safety for older people as they transition from hospital to home?  Keynote_Lawson_NSQH2024

Keynote - Stig Harthug

A Patient Safety Journey through 40 Years: From Clinical Challenges to Implementation of System Changes Keynote_Harthug_NSQH2024

Oral presentations

1) Co-creating care with service users

Kjetil Myhr - A qualitative study of ambulance professionals\' experiences of teamwork. (ID28)

Catharina Lindberg - A realist review of motivational mechanisms for self-care for patients living at home with non-communicable diseases. (C. Lindberg_ID75)

Elin Fröding - Making investigations of suicides valuable to improve healthcare - co-creation with persons with lived experience. (ID77)

Hilde Valen Wæhle - Enabling scale-up implementation of Patients Safety Checklist (PASC) in Surgery: Investigating implementation mechanisms from Norwegian patients’ and healthcare workers’ perspectives. (Hilde Valen Wæhle_ID87)

Veslemøy Guise - Patient and family contributions to resilience in healthcare: findings from a multi-method exploratory study. (ID84)

2) Learning from measurements experiences and root cause analysis

Ingunn Fride Tvete - Intra-rater reliability of Global Trigger Tool: comparing the ratings of eight review teams over time. (ID64)

Charlotte Engvall - Development of a trigger tool to identify adverse events and no harm incidents in paediatric oncology. (ID52)

Cathrine Ween Thoen - A metasynthesis on patients’ experiences of ambulatory surgery and the recovery at home – Aspects of patient safety and quality. (CW Thoen_ID68)

Eli Saastad - Serious adverse events in primary care services (Eli Saastad_ID25)

Anna-Riia Holmstöm - Detected Medication Errors and Corresponding Interventions in Community Pharmacies – A Register-Based Study (ID74)

3) Health informatics and technology

Torbjørn Wisløff - Implementation of electronic Patient Safety Monitors in Orthopedic bed wards did not improve clinical and patient safety outcomes in a Norwegian teaching hospital: data from the Akershus Clinical Trial (ACT) 1 (ID114)

Noora Lias - Harmonizing the definition of medication reviews for their collaborative implementation and documentation in electronic patient records: A Delphi consensus study. (Noora Lias_ID69)

Peter Viksveen - Improving mental health services with and for indigenous and ethnic minority youth (InvolveMENT) (ID82)

Taina Oravainen - How Physicians Renew Electronic Prescriptions in Primary Care: Therapeutic Decision or Technical Task? (T Oravainen_ID110)

Henning Boje Andersen - Using health data with no explicit or specific consent: ethics and legislation. (ID94)

4) How to reduce risks in clinical pathways

Inger Johanne Bergerød - Exploring quality and safety for post-cancer elderly adults in Norwegian Late-Effect Clinics - A qualitative study of healthcare professionals’ perspectives. (ID111)

Jicke Höök - A Conceptual Mapping of Multiteam System Competencies in Healthcare. ( ID71)

Kristin Harris - The development, validation, and effect of Patients’ own Surgical Safety Checklist: A tool to empower and involve patients in safety. (Kristin Harris_ID65)

Linda Ljungholm - Exploring and measuring the patients experience of continuity of care. (ID63)

Wipharat Phokee - Risk Assessment in the design of a Novel Fetoscope using Failure Mode and Effects Analysis with Generative AI Support. (ID61)

5) Improving safety cultures

Ann-Christin Andersson - Extended home visits in the frame of a Family center in Sweden. (AC Andersson_ID32)

Eline Ree - The conceptualization of champions and their role for resilience in healthcare services. A qualitative study. (ID105)

Hilda Bø Lyng - A road map for the operationalization of resilience in healthcare. (ID97)

Knut Magne Augestad - Hospital Variations in Failure to Rescue After Abdominal Surgery. A Nationwide, Retrospective Observational Study. (ID102)

Morag Tolvi - Patient Injuries Due to Medication Errors - A Review of Patient Insurance Cases. (ID72)

6) Building recilience into health care system

Gøril Birkeli- Influence of the Green Cross method on patient safety culture in a postanaesthesia care unit: a longitudinal quasi-experimental study. (ID51)

Jonatan Lekman - The challenge of risk prevention in home healthcare - An interview study with nurses in municipal care. (ID106)

Karina Aase - Resilience in healthcare: Moving from individuals and systems to relationships.(ID103)

Marie Haase Juhl - Evaluating impact of medication safety reflexive spaces on patient safety culture in nursing homes: A mixed methods approach to a randomised controlled trial guided by theory of change. (ID60)

Valerio Signorelli - Safer Care through AI Monitoring: Experiences and Ethical Considerations from Two Pilot Studies in Helsinki. (Valerio Signorell_ID36)

7) Leadership logistics and work environment

Birte Fagerdal - Adaptive capacity in hospital teams: – a cross country comparative study (Australia, the Netherlands, England, Japan and Norway) (Birte Fagerdal_ID49)

Carol Lorena Perez Romay - Elderly on Hold: The Unseen Impact of Delaying Institutionalized Elderly Care. (ID95)

Kathrine Carstensen - Distributed leadership in health quality improvement collaboratives: A qualitative case study of two nationwide Danish quality improvement collaboratives. (ID37)

Camilla Seljemo - Managing a crisis across levels – A resilience perspective on homecare managers’ handling of COVID-19 (ID31)

Soila Karreinen - Health system resilience testing in action - experiences from piloting a new tool in Finland. (Soila Karreinen_ID42)

8) Training and education

Anne Strand Finstad - Simulation-based team training of non-technical skills for anaesthesia personnel – Significance and transfer of learning to clinical practice. (ID83)

Cecilie Haraldseid-Driftland - Designing a learning tool for translating resilience in healthcare into practice: A qualitative mixed methods study. (ID67)

Henning Boje Andersen - Patient interaction with AI-based health bots: cognitive dissonance wanted! (ID96)

Kari Anette Os - Nordic framework for patient safety knowledge and skills. (ID55)

Kerstin Ramfelt - Experiences of a co-design initiative aimed at improving knowledge and support in a multi-organisational setting for people newly diagnosed with MS. (ID27)

Workshops

Workshop 1 - Can a national whistleblower contribute to improving patient safety in the Norwegian healthcare system?

Participants will learn how independent, national safety investigations can enhance patient safety, improve psychological safety, and foster a just culture in healthcare services. They will also be provided with an example of the role of a national whistleblower and its impact on patient safety for children and adolescents with gender incongruence.

Stine Marit Moen, MD, PhD, Medical Director, Ukom

Synnøve Serigstad, Head of Relations and Learning, Ukom

Workshop 2 - Surgical Quality Improvement - A learning Healthcare

Adverse events and surgical complications occur in about 20-30% of all surgical procedures, significantly impacting patients and healthcare workers. How do we learn from these events, move forward and improve?

Professor Knut Magne Augestad, University of Oslo
Topic: How can failure to rescue after surgical complications be reduced?

Researcher Gøril Birkeli, Akershus University Hospital
Topic: How can the green cross method improve and reduce surgical complications?

Postdoc Sina Furnes Øyri, University of Stavanger
Topic: The surgeon as the second victim: how do we care for our surgeon colleagues when the complications happen?

PhD Candidate Iris Reijemrink, University of Groningen
Topic: Surgeons Fatigue and surgical complications: How do we improve, what are the knowledge gaps?

Workshop 3 - Using behavioural insights to strengthen strategies for change. Practical applications for patient safety and quality improvement in healthcare

Aim: To explore the possibility of using methods and tools from Behavioural Insights (BI) to support Quality Improvement (QI) activities specific to issues relating to the human side of change.

Based on a real-world example of an improvement project aimed at reducing the use of intravenous antibiotics in a Danish hospital, participants will be introduced to tools from BI which enhanced the understanding of the behavioural challenges and the validity of interventions to support change-oriented behaviour.

Rie Johansen, Department of Quality & Education, Bispebjerg and Frederiksberg University Hospital.

Simon Tulloch, Psychologist & Senior Advisor, Danish Society for Patient Safety

Workshop 4 - Networking Workshop for Medication Safety Experts

Aim: To emphasize the importance of medication safety as a critical aspect of patient safety and to establish a Nordic-level network of medication safety professionals.

Participants will get to know their Nordic colleagues in the field of medication safety and learn about their work environments, current trends in their organizations and countries, as well as the study and development projects underway.

Lotta Schepel, Chief Medication Safety Officer at Helsinki University Hospital

Marianne Kuusisto, Medication Safety Officer at the Finnish Centre for Client and Patient Safety.

Posters

Speed session 1:

Malin Knutsen Glette - Leaders’ experiences of handling challenges and changes induced by the COVID-19 pandemic in rural nursing homes and homecare services.(ID50)

Karin Berggren - Interhospital transports and mortality in critically ill COVID-19 patients: a single center cohort study. (ID92)

Hanne Narbuvold - Addressing logistical challenges in evaluating a national system for measuring adverse events. (ID78)

Kristian Odberg - The Medication Administration Process in an Ambulance Service - A Qualitative Study. (ID73)

Hanna Odén Poulsen - Process-oriented way of working involving primary and specialized care - experiences among health care staff and leaders. (ID44)

Marte Johanne Tangeraas Hansen - Skill development and task shifting to meet future challenges in health care: safety first. (ID21)

Ragnhild B. Lygre - Measuring the implementation process of a new interdisciplinary intervention for children with complex health complaints and multiple referrals to specialist healthcare. (ID109)

Bjørn Brandsæter - Implementation of antibiotic stewardship programs. Employees´assessment of contextual implementation factors.(ID47)

Gunnar Husabø - Healthcare inspectors’ role perception: directing focus towards or away from quality improvement? (ID66)

Axel Ros - Patient safety indicators in Swedish healthcare regions. (ID38)

Lavin Kadir - RASK (Prudent Antibiotic use for Municipal Nursing Homes) - development of an antibiotic report. (ID35)

Speed session 2: 

Elizabeth Reine - Assessing quality of recovery and patient satisfaction after surgical procedures in anaesthesia - a quality improvement project. (ID45)

Julie Grøn Corneliussen - Improving and optimizing the treatment quality of virtual consultations. (ID30)

Øystein Flesland - Audit of a reporting and learning system. (ID22)

YEH, CHIA-YUN - Experience in using TRM to improve the safety of maternal and neonatal health in public hospital. (ID62)

Sarah Hellberg - Nursing-sensitive events and their characteristics: An international multicenter observational study. (ID56)

Lavin Kadir - National pharmacy practice standard for patient counselling about correct use of antibiotics in Norway. (ID34)

Arne Okkenhaug - Mitigating risk in Norwegian psychiatric care: Identifying triggers of adverse events through Global Trigger Tool for psychiatric elderly patients (GTT-P 65+) (ID54)

Tore Karlsen - "Care for me as a person\" - a qualitative study of long-term care recipients experiences of good care.(ID80)

Petter Viksveen - Youth-driven mental health service design. (ID81)

Catherine Teig - Electronic Clinical Quality Register for women undergoing pelvic organ prolapse (POP) surgery-The Pelvic Floor Centre and The Division of Obstretrics and Gynaecology, Akershus University Hospital (ID98)

Signe Berit Bentsen - Adverse events related to patient positioning on operating table- A systematic review with meta-analysi. (ID104)

Lindis Meland-Tangen - Exploring medication safety practices in anesthesia. (ID76)

Alma Mulac - SAFETY INTERVENTIONS TO PREVENT MEDICATION ERRORS IN THE PERIOPERATIVE SETTING - A SCOPING LITERATURE REVIEW. (ID48)

Anne Karin Lindahl - Readmittance in surgery. (ID107)

Annika Takala - Online calculator to assess the user risk of medical devices. (ID90)

Hanna Tiirinki - Health and social care safety investigation as a fostering patient and client safety – experiences from Finland. (ID98)

Speed session 3:

Mathea Fretheim Walle - Co-creating quality in acute Child and Adolescent Mental Health Services (CAMHS) in Norway. (ID33)

Karin Berggren -  Healthcare leaders' experiences of maintaining patient safety in intensive care units during the COVID-19 pandemic . (ID91)

Karina Aase - Successful adaptations among prehospital ambulance workers. (ID46)

Siv Gyda Aanes - Implementing digital patient-reported outcome measures in routine cancer care – barriers and facilitators. (ID108)

Javiera Fuentes - Safety of Care Indicators Report: 6-year experience to improve patient safety in a South American country. (ID93)

Jannicke Skodjereite - Anaesthesia in a children’s hospital in Malawi: Characteristics and adverse events. (ID59)

Julie Grøn Corneliussen - Improving quality and patient safety culture through positive learning. (ID23)

Inge Ulriksen - When 2+2 is five. (ID86)

Elisabeth Olimb Gjerdalen - Postoperative nausea and vomiting (PONV) in patients undergoing orthopedic ambulattory surgery; are there any changes after implementation of a targeted protocol for nausea prophylaxis? (ID57)

Yau Sui Yu - Evaluation of a hybrid simulation programme on learning health assessment module for nursing students: A mixed methods study. (ID79)