CIUS Annual Report 2020
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Report from the Norwegian Board of Health Supervision 3/2014
Serious Adverse Events in Hospitals Could this have happened here? Examples and experience gained from investigation of serious adverse events 2010–2013 REPORT OF THE NORWEGIAN BOARD OF HEALTH SUPERVISION 3/2014 MARCH 2014 Report of the Norwegian Board of Health Supervision 3/2014 Could this have happened here? Examples and experience gained from investigation of serious adverse events 2010–2013 Svikt i samhandling, kommunikasjon og kompetanse i alvorlige hendelser …… kunne det skjedd hos oss? Eksempler og erfaringer 2010–2013 fra Undersøkelsesenhetens arbeid med varsler om alvorlige hendelser i spesialisthelsetjenesten (§ 3-3a i spesialisthelsetjenesteloven) (Rapport fra Helsetilsynet 3/2014) Norwegian Board of Health Supervision, March 2014 ISSN: 15034798 (electronic version) ISBN: 9788290919738 (electronic) ISBN: 9788290919745 (print) The report is available on the Norwegian Board of Health Supervision’s website, www.helsetilsynet.no Design: Gazette Print and electronic version: 07 Media Norwegian Board of Health Supervision / Statens helsetilsyn P.O. Box 8128 Dep, NO0032 OSLO, Norway Telephone: +47 21 52 99 00 Email: [email protected] Could this have happened here? Examples and experience gained from investigation of serious adverse events 2010–2013. Serious Adverse Events in Hospitals 2 REPORT OF THE NORWEGIAN BOARD OF HEALTH SUPERVISION/ 3/2014 Contents The director’s foreword .............................................................................................................. 5 A few notes on the report -
Epidemiology and Outcome of Staphylococcus Aureus
View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by NORA - Norwegian Open Research Archives Paulsen et al. BMC Infectious Diseases (2015) 15:116 DOI 10.1186/s12879-015-0849-4 RESEARCH ARTICLE Open Access Epidemiology and outcome of Staphylococcus aureus bloodstream infection and sepsis in a Norwegian county 1996–2011: an observational study Julie Paulsen1,2,8*, Arne Mehl1,2, Åsa Askim3,4, Erik Solligård3,4, Bjørn Olav Åsvold5,7 and Jan Kristian Damås1,6 Abstract Background: Staphylococcus aureus is one of the most common and lethal causes of bloodstream infection and the incidence is increasing. We carried out a prospective observational study of patients with Staphylococcus aureus bloodstream infection and sepsis in Nord-Trøndelag county in Norway from 1996–2011. The main outcome of interest was all-cause mortality within 30 and 90 days. Methods: Positive blood cultures were registered prospectively by the microbiology laboratory and clinical variables were retrospectively registered from patients’ hospital records. The severity of sepsis was assigned according to the 2001 International Sepsis Definition Conference criteria. The association between clinical characteristics and mortality was studied using logistic regression analysis, and adjusted 30- and 90-day mortality risks were estimated. Results: Among 373 patients, the median age was 74 years and 60.3% were male. 0.8% of the patients were diagnosed with MRSA. 29.8% of the patients developed severe sepsis and 12.9% developed septic shock. The all-cause mortality was 14.5%, 27.3% and 36.2% at 7, 30 and 90 days, respectively. Compared to patients with sepsis without organ failure (Mortality risk 13.3%, 95% CI 7.5-16.3%), the 30-day mortality risk was 3-fold higher among those with severe sepsis (39.9%, 95% CI 29.5-48.5%) and more than 4-fold higher for those with septic shock (57.3%, 95% CI 42.5-72.2%). -
Bloodstream Infection at Levanger Hospital, Mid-Norway, 2002-2013 Doctoral Thesis Doctoral
Doctoral theses at NTNU, 2017:184 Arne Mehl Arne Mehl Bloodstream infection at Levanger Hospital, Mid-Norway, 2002-2013 Doctoral thesis Doctoral Incidence, mortality, antimicrobial resistance, antibiotic treatment, and impact of statin prophylaxis ISBN 978-82-326-2440-9 (printed ver.) ISBN 978-82-326-2441-6 (electronic ver.) ISSN 1503-8181 Doct oral theses at NTNU, 2017:184 oral NTNU Medicine Philosophiae Doctor Thesis for the Degree of the Degree Thesis for Faculty of Medicine and Health Sciences Department of Cancer Research and Molecular Research Department of Cancer Norwegian University of Science and Technology of Science University Norwegian Arne Mehl Bloodstream infection at Levanger Hospital, Mid-Norway, 2002-2013 Incidence, mortality, antimicrobial resistance, antibiotic treatment, and impact of statin prophylaxis Thesis for the Degree of Philosophiae Doctor Trondheim, June 2017 Norwegian University of Science and Technology Faculty of Medicine and Health Sciences Department of Cancer Research and Molecular Medicine NTNU Norwegian University of Science and Technology Thesis for the Degree of Philosophiae Doctor Faculty of Medicine and Health Sciences Department of Cancer Research and Molecular Medicine © Arne Mehl ISBN 978-82-326-2440-9 (printed ver.) ISBN 978-82-326-2441-6 (electronic ver.) ISSN 1503-8181 Doctoral theses at NTNU, 2017:184 Printed by NTNU Grafisk senter Blodbaneinfeksjon ved Sykehuset Levanger 2002-2013 Ved infeksjonar på ulike stader i kroppen (til dømes i lunger, urinvegar gallevegar osb) kan bakteriar, og stundom gjærsopp, koma over i blodbanen, formeira seg der og spreiast til alle delar av kroppen. Slik oppstår ein blodbaneinfeksjon. Mikroorganismar kan også koma direkte inn i blodbanen, til dømes gjennom kanylar eller kateter som går inn i blodårer. -
Risk Factors for Requiring Cholecystectomy for Gallstone Disease in a Prospective Population-Based Cohort Study
Original article Risk factors for requiring cholecystectomy for gallstone disease in a prospective population-based cohort study A. Talseth1,2, E. Ness-Jensen2,4, T.-H. Edna1,3 and K. Hveem2 1Department of Surgery, Levanger Hospital, Nord-Trøndelag Hospital Trust, and 2HUNT Research Centre, Department of Public Health and General Practice, Norwegian University of Science and Technology, Levanger, and 3Unit for Applied Clinical Research, Institute of Cancer Research and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, Norway, and 4Upper Gastrointestinal Surgery, Department of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden Correspondence to: Dr A. Talseth, Department of Surgery, Levanger Hospital, Nord-Trøndelag Hospital Trust, Alosavegen 4, 7605 Levanger, Norway (e-mail: [email protected]) Background: The relationship between different lifestyle factors and the risk of needing cholecystectomy for gallstone disease is not clear. This study aimed to assess the association between anthropometric, lifestyle and sociodemographic risk factors and the subsequent risk of requiring cholecystectomy for gallstone disease during long-term follow-up in a defined population cohort. Methods: Data from a large population-based cohort study performed from 1995 to 1997 were used (the second Norwegian Nord-Trøndelag health study, HUNT2). Following HUNT2, from 1998 to 2011, all patients operated on for gallstone disease with cholecystectomy at the two hospitals in the county, Levanger Hospital and Namsos Hospital, were identified. A Cox proportional hazards model was used for multivariable risk analysis. Results: The HUNT2 cohort included 65 237 individuals (69⋅5 per cent response rate), aged 20–99 years. During a median follow-up of 15⋅3(range0⋅6–16⋅4) years, 1162 cholecystectomies were performed. -
Epidemiology and Outcome of Sepsis in Adult Patients
Askim et al. BMC Infectious Diseases (2016) 16:223 DOI 10.1186/s12879-016-1553-8 RESEARCH ARTICLE Open Access Epidemiology and outcome of sepsis in adult patients with Streptococcus pneumoniae infection in a Norwegian county 1993–2011: an observational study Åsa Askim1,2,10,11*, Arne Mehl3,4,10, Julie Paulsen3,4,10,AndrewT.DeWan8, Didrik F. Vestrheim9, Bjørn Olav Åsvold5,7,10, Jan Kristian Damås3,6,10 and Erik Solligård1,2,10 Abstract Background: Invasive pneumococcal disease (IPD) is responsible for significant mortality and morbidity worldwide. There are however few longitudinal studies on the changes in case fatality rate of IPD in recent years. We carried out a prospective observational study of patients with IPD in Nord Trøndelag county in Norway from 1993 to 2011 to study the clinical variables and disease outcome. The main outcome was all-cause mortality after 30 and 90 days. Methods: Patients with positive blood cultures were registered prospectively by the microbiology laboratory and clinical variables were registered retrospectively from patients’ hospital records. The severity of sepsis was assigned according to the 2001 International Sepsis Definition Conference criteria. The association between mortality and predictive factors was studied using a logistic regression model. Results: The total number of patients was 414 with mean age of 67 years and 53 % were male. Comorbidity was assessed by the Charlson Comorbidity Index (CCI). A CCI-score of 0 was registered in 144 patients (34.8 %), whereas 190 had a score of 1–2 (45.9 %) and 80 (19.3 %) had a score ≥3. 68.8 % of the patients received appropriate antibiotics within the first 6 h. -
Mitigating Risk in Norwegian Psychiatric Care: Identifying Triggers of Adverse Events Through Global Trigger Tool for Psychiatric Care
Mitigating risk in Norwegian psychiatric care: Identifying triggers of adverse events through Global Trigger Tool for psychiatric care Arne Okkenhaug1, Jonathan Q. Tritter2, Tor Åge Myklebust3, Ellen T. Deilkås4, Kathinka Meirik1 and Bodil J. Landstad5,6. Authors affiliations: 1 Department of Psychiatry, Levanger Hospital, Nord-Trøndelag Hospital Trust, Levanger, Norway. 2 Department of Sociology and Policy, School of Languages and Social Sciences, Aston University, Birmingham, UK. 3 Department of Research and Innovation, Møre og Romsdal Hospital Trust, Volda, Norway. 4 Unit for Health Service Research, Akershus University Hospital, Lørenskog, Norway. 5 Department of Health Sciences, Mid Sweden University, Östersund, Sweden. 6 Levanger Hospital, Nord-Trøndelag Hospital Trust, Levanger, Norway. Correspondence to Arne Okkenhaug; Department of psychiatry, Levanger Hospital, Nord-Trøndelag Hospital Trust, 7600 Levanger, Norway +47745674104 [email protected] 1 Abstract BACKGROUND: Patients treated in psychiatric care are exposed to the risk of adverse events, similar to patients treated in somatic health care. OBJECTIVES: In this article we report the findings of triggers associated with adverse events (AEs) identified by a version of GTT-P (Global Trigger Tool – Psychiatry) adapted for Norwegian hospital-based psychiatric treatment. METHODS: The design was a retrospective analysis of a random sample of 240 patient records from a psychiatric clinic in one Norwegian hospital. Patient records were sampled from both inpatient and outpatient psychiatric clinics in hospitals serving the northern part of the county of Trøndelag, Norway. RESULTS: Our analysis was based on the identification of 32 potential triggers of adverse events. Eighteen of the triggers were significantly related to adverse events. No adverse events were identified in patient records that did not also contain triggers included in the Global Trigger Tool.