Klinikkleder
- Prehospital klinikk (PRE), UiO og OUS HF
Faglig interesse
- Prehospital pasientsikkerhet
- Risikostyring
- Avansert luftveishåndtering
- Katastrofemedisin og masseskadehåndtering
- Kompetanseutvikling
Emneord:
Anestesiologi,
Pasientsikkerhet,
Akuttmedisin
Publikasjoner
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Nilsbakken, I.M.W.; Wisborg, Torben; Sollid, Stephen J. M. & Jeppesen, Elisabeth
(2024).
Functional outcome and associations with prehospital time and urban-remote disparities in trauma: A Norwegian national population-based study.
Injury.
ISSN 0020-1383.
doi:
10.1016/j.injury.2024.111459.
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Kottmann, Alexandre; Pasquier, Mathieu; Carron, Pierre-Nicolas; Maudet, Ludovic; Rouvé, Jean-Daniel & Suppan, L.
[Vis alle 11 forfattere av denne artikkelen]
(2024).
Feasibility of quality indicators on prehospital advanced airway management in a physician-staffed emergency medical service: survey-based assessment of the provider point of view.
BMJ Open.
ISSN 2044-6055.
14(3).
doi:
10.1136/bmjopen-2023-081951.
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Rasmussen, Kristen; Sollid, Stephen Johan Mikal & Kvangarsnes, Marit
(2023).
Sky-High Safety? A Qualitative Study of Physicians' Experiences of Patient Safety in Norwegian Helicopter Emergency Services.
Journal of patient safety.
ISSN 1549-8417.
20(1),
s. 1–6.
doi:
10.1097/PTS.0000000000001172.
Fulltekst i vitenarkiv
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Background: Patients treated and transported by Helicopter Emergency Medical Services (HEMS) are prone to both flight and medical hazards, but incident reporting differs substantially between flight organizations and health care, and the extent of patient safety incidents is still unclear. Methods: A qualitative descriptive study based on in-depth interviews with 8 experienced Norwegian HEMS physicians from 4 different bases from February to July 2020 using inductive qualitative content analysis. The study objectives were to explore the physicians’ experience with incident reporting and their perceived areas of risk in HEMS. Results/Findings: The HEMS physicians stated that the limited number of formal incident reports was due to the “nature of the HEMS missions” and because reports were mainly relevant when deviating from procedures, which are sparse in HEMS. The physicians preferred informal rather than formal incident reporting systems and reporting to a colleague rather than a superior. The reasons were ease of use, better feedback, and less fear of consequences. Their perceived areas of risk were related to all the phases of a HEMS mission: the physician as the team leader, medication errors, the handover process, and the helicopter as a work platform. Conclusions: The sparse, informal, and fragmented incident reporting provides a poor overview of patient safety risks in HEMS. Focusing on organizational factors and system responsibility and research on environmental and contextual factors are needed to further improve patient safety in HEMS.
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Thorvaldsen, Nina Øye; Husum, Tonje Lossius & Sollid, Stephen J. M.
(2023).
Bruk av tvang i ambulansetjenesten -en kvalitativ studie fra
ambulansetjenesten ved Oslo universitetssykehus.
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine.
ISSN 1757-7241.
31.
doi:
10.1186/s13049-023-01104-x.
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Sammendrag
Helsehjelp skal være basert på pasientens samtykke. Helselovgivningens
unntaksbestemmelser hjemler bruk av tvang i spesielle tilfeller. Det finnes lite forskning på
bruk av tvang prehospitalt. Studiens hensikt var å beskrive ambulansepersonells
forståelse av hva tvang er, erfaring med bruk av tvang, i hvilke situasjoner de har brukt tvang
og hvilken form for tvang som er brukt. Studien er kvalitativ med bruk av fokusgruppeintervju
hvor åtte ambulansefagarbeidere fra Oslo universitetssykehus deltok. Dataene er analysert
med systematisk tekstkondensering. Respondentene forstår tvang i hovedsak som bruk av
fysisk makt. Former for makt/tvang beskrevet kan sorters i overtalelse, pragmatisk makt,
fysisk makt, farmakologisk tvang og sikring under transport. Respondentene beskriver at de
har erfaring med bruk av tvang i situasjoner knyttet til hjelpeplikt, nødrett og i situasjoner
hvor pasienter avviser helsehjelp. Respondentene opplever at det er en konflikt mellom
pasientens rett til selvbestemmelse og avdelingens retningslinjer. De opplever at lovverket er
vanskelig overførbart til praksis og de er usikre på hvordan de skal vurdere
samtykkekompetanse. Denne usikkerheten i kombinasjon med en opplevelse av manglende
støtte fra ledelsen ser ut til å øke respondentenes villighet til å utøve tvang for å få pasienter
med til lege. Legetilsyn blir brukt av respondentene som et middel for å dekke sin egen rygg.
Videre undersøkelser bør avdekke om det utøves tvang uten lovhjemmel og om økt kunnskap
kan redusere bruken av tvang.
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Carli, Pierre; O'Donnell, Cathal; Moore, Fionna; Kuisma, Markku; Corral, Ervigio & Ward, James
[Vis alle 10 forfattere av denne artikkelen]
(2023).
Statement of the European EMS Leadership group concerning the organization of prehospital medical care in the event of a terrorist attack with an active shooter.
Journal européen des urgences et de réanimation.
ISSN 2211-4246.
35(1).
doi:
10.1016/j.jeurea.2023.04.005.
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Vifladt, Anne; Ballangrud, Randi; Myhr, Kjetil; Grusd, Eystein; Porthun, Jan & Mæhlum, Pål Anders
[Vis alle 9 forfattere av denne artikkelen]
(2023).
Team training program’s impact on medication administration, teamwork and patient safety culture in an ambulance service (TEAM-AMB): a longitudinal multimethod study protocol.
BMJ Open.
ISSN 2044-6055.
13:e067006(1),
s. 1–9.
doi:
10.1136/bmjopen-2022-067006.
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Introduction: Medication administration errors (MAEs) have the potential for significant patient harm, and the frequency of MAEs in the ambulance services is not well known. Effective teamwork is paramount for providing safe and effective patient care, especially in a time-sensitive, high-risk environment such as the ambulance services. Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) is an evidence-based team training programme that, to our knowledge, has not been studied in the ambulance services previously. TeamSTEPPS is based on the five principles: team structure, communication, leadership, situation monitoring and mutual support. This study aims to advance the knowledge of the medication administration process in the ambulance services and study the impact of a team training programme on the frequency of MAEs, and the perception of teamwork, and patient safety culture.
Methods and analysis: This study uses a longitudinal multimethod design to evaluate medication administration and the implementation of the team training programme TeamSTEPPS in an ambulance service. A review of electronic patient journals 6 months prior to the intervention, and 12 months after the intervention will provide data on the frequency of MAEs. Focus group interviews and questionnaires will be carried out before and after the intervention to describe the perception of teamwork and patient safety culture among ambulance professionals. Observations, individual interviews and a review of guidelines will be conducted in the first and second quarters of 2022 to study the medication administration process in ambulance services.
Ethics and dissemination: The study protocol was reviewed by the Regional Committees for Medical and Health Research Ethics Central Norway and approved by the Hospital Trust data protection officer, and the head of the Prehospital Division at the Hospital Trust. The data material will be managed confidentially and stored according to regulations. The results will be disseminated through scientific papers, reports, conference presentations, popular press, and social media.
Trial registration number: NCT05244928.
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Mattingsdal, Håvard; Abrahamsen, Håkon Bjorheim; Fevang, Espen & Sollid, Stephen J. M.
(2022).
Static Rope Rescue Operations in Western Norway: A Retrospective Analysis of 141 Missions.
Wilderness & environmental medicine (Print).
ISSN 1080-6032.
33(2),
s. 162–168.
doi:
10.1016/j.wem.2022.02.003.
Fulltekst i vitenarkiv
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Kottmann, Alexandre; Krüger, Andreas J.; Sunde, Geir A.; Røislien, Jo; Heltne, John-Kenneth & Carron, Pierre Nicolas
[Vis alle 8 forfattere av denne artikkelen]
(2021).
Establishing quality indicators for prehospital advanced airway management: a modified nominal group technique consensus process.
British Journal of Anaesthesia.
ISSN 0007-0912.
128(2),
s. 1–8.
doi:
10.1016/j.bja.2021.08.031.
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Background: Prehospital advanced airway management is a complex intervention composed of numerous steps, interactions, and variables that can be delivered to a high standard in the prehospital setting. Standard research methods have struggled to evaluate this complex intervention because of considerable heterogeneity in patients, providers, and techniques. In this study, we aimed to develop a set of quality indicators to evaluate prehospital advanced airway
management.
Methods: We used a modified nominal group technique consensus process comprising three email rounds and a
consensus meeting among a group of 16 international experts. The final set of quality indicators was assessed for usability according to the National Quality Forum Measure Evaluation Criteria.
Results: Seventy-seven possible quality indicators were identified through a narrative literature review with a further 49 proposed by panel experts. A final set of 17 final quality indicators composed of three structure-, nine process-, and five outcome-related indicators, was identified through the consensus process. The quality indicators cover all steps of prehospital advanced airway management from preoxygenation and use of rapid sequence induction to the ventilatory state of the patient at hospital delivery, prior intubation experience of provider, success rates and complications.
Conclusions: We identified a set of quality indicators for prehospital advanced airway management that represent a
practical tool to measure, report, analyse, and monitor quality and performance of this complex intervention.
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Alstrup, Karen; Rognås, Leif Kåre; Sollid, Stephen J. M.; Johnsen, Søren Paaske; Valentin, Jan & Petersen, Jens Aage Kølsen
(2021).
Association of Helicopter vs Ground Emergency Medical Transportation With 1-Year Mortality in Denmark.
JAMA Network Open.
ISSN 2574-3805.
4(1).
doi:
10.1001/jamanetworkopen.2020.33318.
Fulltekst i vitenarkiv
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Alstrup, Karen; Petersen, Jens Aage Kølsen; Sollid, Stephen J. M.; Johnsen, Søren Paaske & Rognås, Leif Kåre
(2020).
Mortality and hospitalisation in the Danish Helicopter Emergency Medical Service (HEMS) population from 2014 to 2018: a national population-based study of HEMS triage.
BMJ Open.
ISSN 2044-6055.
10.
doi:
10.1136/bmjopen-2020-038718.
Fulltekst i vitenarkiv
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Sørskår, Leif Inge Kjærvoll; Abrahamsen, Eirik Bjorheim; Olsen, Espen; Sollid, Stephen J. M. & Abrahamsen, Håkon Bjorheim
(2018).
Psychometric properties of the Norwegian version of the hospital survey on patient safety culture in a prehospital environment.
BMC Health Services Research.
ISSN 1472-6963.
18:784,
s. 1–14.
doi:
10.1186/s12913-018-3576-x.
Fulltekst i vitenarkiv
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Langdalen, Henrik; Abrahamsen, Eirik Bjorheim; Sollid, Stephen J. M.; Sørskår, Leif Inge Kjærvoll & Abrahamsen, Håkon Bjorheim
(2018).
A comparative study on the frequency of simulation-based training and assessment of non-technical skills in the Norwegian ground ambulance services and helicopter emergency medical services.
BMC Health Services Research.
ISSN 1472-6963.
18(509),
s. 1–11.
doi:
10.1186/s12913-018-3325-1.
Fulltekst i vitenarkiv
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Sollid, Stephen J. M. & Rehn, Marius
(2017).
The role of the anaesthesiologist in air ambulance medicine.
Current Opinion in Anaesthesiology.
ISSN 0952-7907.
30(4),
s. 513–517.
doi:
10.1097/ACO.0000000000000480.
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Johnsen, Anne Siri; Sollid, Stephen J. M.; Vigerust, Trond; Jystad, Morten & Rehn, Marius
(2017).
Helicopter emergency medical services in major incident management: A national Norwegian cross-sectional survey.
PLOS ONE.
ISSN 1932-6203.
12:e0171436(2),
s. 1–12.
doi:
10.1371/journal.pone.0171436.
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Johnsen, Anne Siri; Fattah, Sabina; Sollid, Stephen J. M. & Rehn, Marius
(2016).
Utilisation of helicopter emergency medical services in the early medical response to major incidents: A systematic literature review.
BMJ Open.
ISSN 2044-6055.
6(2).
doi:
10.1136/bmjopen-2015-010307.
Fulltekst i vitenarkiv
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Bjørshol, Conrad Arnfinn; Sollid, Stephen J. M.; Flaatten, Hans; Hetland, Ingve; Mathiesen, Wenche Tirunn & Søreide, Eldar
(2016).
Great variation between ICU physicians in the approach to making end-of-life decisions.
Acta Anaesthesiologica Scandinavica.
ISSN 0001-5172.
60(4),
s. 476–484.
doi:
10.1111/aas.12640.
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Sunde, Geir Arne; Heltne, Jon-Kenneth; Lockey, David; Burns, Brian; Sandberg, Mårten & Fredriksen, Knut
[Vis alle 15 forfattere av denne artikkelen]
(2015).
Airway management by physician-staffed helicopter emergency medical services : a prospective, multicentre, observational study of 2,327 patients.
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine.
ISSN 1757-7241.
23.
doi:
10.1186/s13049-015-0136-9.
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Sunde, Geir Arne; Heltne, Jon-Kenneth; Lockey, David; Burns, Brian; Sandberg, Mårten & Fredriksen, Knut
[Vis alle 15 forfattere av denne artikkelen]
(2015).
Airway management by physician-staffed Helicopter Emergency Medical Services – a prospective, multicentre, observational study of 2,327 patients.
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine.
ISSN 1757-7241.
23.
doi:
10.1186/s13049-015-0136-9.
Fulltekst i vitenarkiv
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Abrahamsen, Håkon Bjorheim; Sollid, Stephen J. M.; Öhlund, Lennart; Røislien, Jo & Bondevik, Gunnar Tschudi
(2014).
Simulation-based training and assessment of non-technical skills in the Norwegian Helicopter Emergency Medical Services: a cross-sectional survey.
Emergency Medicine Journal.
ISSN 1472-0205.
doi:
10.1136/emermed-2014-203962.
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Johnsen, Anne Siri; Fattah, Sabina; Sollid, Stephen & Rehn, Marius
(2013).
Impact of helicopter emergency medical services in major incidents: systematic literature review.
BMJ Open.
ISSN 2044-6055.
3.
doi:
10.1136/bmjopen-2013-003335.
Fulltekst i vitenarkiv
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Lossius, Hans Morten; Sollid, Stephen; Rehn, Marius & Lockey, David
(2011).
Revisiting the value of pre-hospital tracheal intubation: an all time systematic literature review extracting the Utstein airway core variables.
Critical Care.
ISSN 1364-8535.
15(1).
doi:
10.1186/cc9973.
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Sollid, Stephen; Eidesen, Karianne; Aven, Terje & Søreide, Eldar
(2010).
Assessing the risk of percutaneous dilatational tracheostomy in ICUs using a broad event-consequence-uncertainty perspective.
International Journal of Risk and Safety in Medicine.
ISSN 0924-6479.
22(3),
s. 115–129.
doi:
10.3233/JRS-2010-0500.
Vis sammendrag
Background and objective: Probabilistic risk assessment methods are well suited for exploring hazards and threats in patient care due to their ability to analyse complex systems and include human factors. Adopting an event (A) ? consequence (C) ? uncertainty (U) perspective (referred to as the (A, C, U) perspective) the focus of the risk assessment is on predictions and uncertainty assessment of observable quantities. Uncertainty is the main component of risk, and probability is a tool for expressing this uncertainty. To demonstrate the feasibility of this perspective in risk assessment to improve patient safety, we have applied it to the high-risk activity of percutaneous dilatational tracheostomy in an intensive care unit. Methods: Using a Bayesian belief network, we modelled and analysed fault trees of two relevant adverse events: ?Perioperative bleeding? and ?loss of airway?. The analysis was based on a broad knowledge basis and incorporated risk influencing factors. Results: In the risk assessment we assigned the probability of ?perioperative bleeding? at 8.0% and ?loss of airway? at 0.05%. The uncertainty assessment identified operator and team performance to affect risk the most. Conclusion: Risk assessment according to the (A, C, U) perspective is a valuable tool to support decision-making in patient safety matters and explore risk influencing factors.
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Sollid, Stephen J. M. & Uleberg, Oddvar
(2014).
ABC of Transfer and Retrieval Medicine Chapter: Standard Operating Procedures, Checklists and Documentation.
John Wiley & Sons.
ISBN 978-1-118-71975-6.
224 s.
Se alle arbeider i Cristin
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Nilsbakken, Inger Marie Waal; Sollid, Stephen J. M.; Wisborg, Torben & Jeppesen, Elisabeth
(2022).
Assessing Trauma Management in Urban and Rural Populations in Norway: A National Register-Based Research Protocol.
JMIR Research Protocols.
ISSN 1929-0748.
11(6).
doi:
10.2196/30656.
Fulltekst i vitenarkiv
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Sollid, Stephen J. M.
(2020).
The role of human factors in rapid response systems.
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Rasmussen, Kristen; Langdalen, Henrik; Sollid, Stephen J. M.; Abrahamsen, Eirik Bjorheim; Sørskår, Leif Inge Kjærvoll & Abrahamsen, Håkon Bjorheim
(2018).
Training and assessment of non-technical skills: Are HEMS physicians catching up with the pilots?
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Uleberg, Oddvar; Jacobsen, Lars; Sunde, Geir Arne & Sollid, Stephen J. M.
(2016).
Torakotomi og perimortem sectio utenfor sykehus - hva mener luftambulanselegene?
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Jacobsen, Lars; Uleberg, Oddvar; Sunde, Geir Arne & Sollid, Stephen J. M.
(2015).
Mangel på faglige krav i luftambulansetjenesten.
Tidsskrift for Den norske legeforening.
ISSN 0029-2001.
135(12),
s. 1109–1110.
doi:
10.4045/tidsskr.15.0552.
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Sollid, Stephen J. M. & Søreide, Eldar
(2014).
Human factors play a vital role in the outcome of percutaneous dilatational tracheostomy.
Critical Care.
ISSN 1364-8535.
18(1).
doi:
10.1186/cc13739.
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Sollid, Stephen J. M.; Bjørshol, Conrad; Flaatten, Hans & Søreide, Eldar
(2013).
Small simulation based sessions versus plenary interactive sessions during a medical congress to highlight ethical challenges in intensive care.
Acta Anaesthesiologica Scandinavica.
ISSN 0001-5172.
57,
s. 6–7.
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Rehn, Marius & Sollid, Stephen
(2013).
Retningslinjer for masseskadetriage er etablert.
Tidsskrift for Den norske legeforening.
ISSN 0029-2001.
133(19),
s. 2029–2029.
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Publisert
10. nov. 2022 14:52
- Sist endret
12. juli 2023 13:24