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Article ; Online: To young aspiring doctors.

Ofstad, Eirik Hugaas

Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke

2023 Volume 143, Issue 11

Title translation	Til ungdommen.
Language	Norwegian
Publishing date	2023-08-15
Publishing country	Norway
Document type	Journal Article
ZDB-ID	603504-8
ISSN	0807-7096 ; 0029-2001
ISSN (online)	0807-7096
ISSN	0029-2001
DOI	10.4045/tidsskr.23.0457
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Hva er en klinisk beslutning?

Ofstad, Eirik Hugaas

Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke

2016 Volume 136, Issue 5, Page(s) 465

Language	Norwegian
Publishing date	2016-03-15
Publishing country	Norway
Document type	Journal Article
ZDB-ID	603504-8
ISSN	0807-7096 ; 0029-2001
ISSN (online)	0807-7096
ISSN	0029-2001
DOI	10.4045/tidsskr.16.0064
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Article ; Online: Correction: 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 / Kvarenes, Hanne Winge / Ofstad, Eirik Hugaas

Infection

2023 Volume 51, Issue 4, Page(s) 1117

Language	English
Publishing date	2023-05-12
Publishing country	Germany
Document type	Published Erratum
ZDB-ID	185104-4
ISSN	1439-0973 ; 0300-8126 ; 0173-2129
ISSN (online)	1439-0973
ISSN	0300-8126 ; 0173-2129
DOI	10.1007/s15010-023-02046-3
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Emergency department physicians' experiences and perceptions with medication-related work tasks and the potential role of clinical pharmacists.

Johnsgård, Tine / Elenjord, Renate / Lehnbom, Elin C / Risør, Torsten / Zahl-Holmstad, Birgitte / Vesela Holis, Renata / Hugaas Ofstad, Eirik / Garcia, Beate Hennie

International journal of qualitative studies on health and well-being

2023 Volume 18, Issue 1, Page(s) 2226941

Abstract: 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 ... ...

Abstract	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 perceive future introduction of a clinical pharmacist in the interprofessional team. Methods: We interviewed 27 physicians in three emergency departments in Norway. Interviews were audio-recorded, transcribed, and analysed using qualitative content analysis. Results: Our informants' experience with medication-related work tasks mainly concerned medication reconciliation, and few other tasks were systematically performed to ensure medication safety. The informants were welcoming of clinical pharmacists and expressed a need and wish for assistance with compiling patient's medication lists. Simultaneously they expressed concerns regarding e.g., responsibility sharing, priorities in the emergency department and logistics. These concerns need to be addressed before implementing the clinical pharmacist in the interprofessional team in the emergency department. Conclusions: Physicians in Norwegian emergency departments welcome assistance from clinical pharmacists, but the identified professional, structural, and legislative barriers for this collaboration need to be addressed before implementation.
MeSH term(s)	Humans ; Pharmacists ; Physicians ; Emergency Service, Hospital ; Norway ; Attitude of Health Personnel
Language	English
Publishing date	2023-06-19
Publishing country	United States
Document type	Journal Article
ZDB-ID	2232726-5
ISSN	1748-2631 ; 1748-2623
ISSN (online)	1748-2631
ISSN	1748-2623
DOI	10.1080/17482631.2023.2226941
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Article ; Online: First year junior doctors and medical uncertainty - a qualitative study.

Ofstad, Eirik Hugaas / Asdal, Karoline / Nightingale, Bruno / Han, Paul K / Gregersen, Trine Ammentorp / Gulbrandsen, Pål

Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke

2023 Volume 143, Issue 8

Abstract: Background: Few studies have investigated how doctors in Norway deal with medical uncertainty. The purpose of the study was to explore how first year junior doctors perceive and manage uncertainty in clinical practice.: Material and methods: Ten ... ...

Title translation	LIS1-leger og medisinsk usikkerhet – en kvalitativ studie.
Abstract	Background: Few studies have investigated how doctors in Norway deal with medical uncertainty. The purpose of the study was to explore how first year junior doctors perceive and manage uncertainty in clinical practice. Material and methods: Ten first year junior doctors at two hospitals in Norway were recruited for interviews following response pattern analysis from a mapping questionnaire. The interviews were analysed using systematic text condensation. Results: The analysis revealed three main themes in the interviews: dealing with medical uncertainty, personal response to medical uncertainty, and working environment, feedback and preparation. Within all three thematic areas, the informants used the words 'certain/uncertain' and 'secure/insecure' interchangeably. Intepretation: The first year junior doctors struggled with the inherent uncertainty of medicine and felt a marked sense of insecurity, particularly at the start of their training period. How the doctors were welcomed in the workplace and the feedback they were given were important factors. Their undergraduate medical education had not sufficiently prepared the first year junior doctors for how to deal with medical uncertainty in clinical practice.
MeSH term(s)	Humans ; Uncertainty ; Physicians ; Medical Staff, Hospital/education ; Qualitative Research ; Workplace ; Attitude of Health Personnel
Language	Norwegian
Publishing date	2023-05-29
Publishing country	Norway
Document type	Journal Article
ZDB-ID	603504-8
ISSN	0807-7096 ; 0029-2001
ISSN (online)	0807-7096
ISSN	0029-2001
DOI	10.4045/tidsskr.22.0428
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Article ; Online: 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 / Kvarenes, Hanne Winge / Ofstad, Eirik Hugaas

Infection

2023 Volume 51, Issue 4, Page(s) 1103–1115

Abstract: Objective: To examine the prevalence of advanced frailty, comorbidity, and age among sepsis-related deaths in an adult hospital population.: Methods: Retrospective chart reviews of deceased adults within a Norwegian hospital trust, with a diagnosis ... ...

Abstract	Objective: To examine the prevalence of advanced frailty, comorbidity, and age among sepsis-related deaths in an adult hospital population. 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 sepsis-related, or not sepsis-related. Results: Of 633 hospital deaths, 179 (28%) were sepsis-related, and 136 (21%) were possibly sepsis-related. Among these 315 patients whose deaths were sepsis-related or possibly sepsis-related, close to three in four patients (73%) were either 85 years or older, living with severe frailty (Clinical Frailty Scale, CFS, score of 7 or more), or an end-stage condition prior to the admission. Among the remaining 27%, 15% were either 80-84 years old, living with frailty corresponding to a CFS score of 6, or severe comorbidity, defined as 5 points or more on the Charlson Comorbidity Index (CCI). The last 12% constituted the presumably healthiest cluster, but in this group as well, the majority died with limitations of care due to their premorbid functional status and/ or comorbidity. Findings remained stable if the population was limited to sepsis-related deaths on clinicians' reviews or those fulfilling the Sepsis-3 criteria. Conclusions: Advanced frailty, comorbidity, and age were predominant in hospital fatalities where infection contributed to death, with or without sepsis. This is of importance when considering sepsis-related mortality in similar populations, the applicability of study results to everyday clinical work, and future study designs.
MeSH term(s)	Adult ; Humans ; Aged, 80 and over ; Frailty/epidemiology ; Frailty/diagnosis ; Retrospective Studies ; Prevalence ; Trust ; Sepsis/epidemiology ; Hospitals ; Comorbidity ; Hospital Mortality
Language	English
Publishing date	2023-03-09
Publishing country	Germany
Document type	Journal Article
ZDB-ID	185104-4
ISSN	1439-0973 ; 0300-8126 ; 0173-2129
ISSN (online)	1439-0973
ISSN	0300-8126 ; 0173-2129
DOI	10.1007/s15010-023-02013-y
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Time to expand decentralisation of medical education in Norway.

Olsen, Ingrid Petrikke / Lillebo, Børge / Ofstad, Eirik Hugaas / Østlyngen, Arve / Lappegård, Knut Tore

Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke

2021 Volume 141, Issue 11

Title translation	Tid for å utdanne flere leger desentralt.
MeSH term(s)	Education, Medical ; Health Policy ; Humans ; Norway ; Politics
Language	Norwegian
Publishing date	2021-07-20
Publishing country	Norway
Document type	Journal Article
ZDB-ID	603504-8
ISSN	0807-7096 ; 0029-2001
ISSN (online)	0807-7096
ISSN	0029-2001
DOI	10.4045/tidsskr.21.0367
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Low-voltage electric shock - proposed new recommendations.

Bjørnsen, Lars Petter / Svendsen, Trude Beathe / Bærheim, Dina / Dale, Jostein / Vesterfjell, Svend Peder / Ofstad, Eirik Hugaas / Næss-Pleym, Lars Eide / Goffeng, Lars Ole

Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke

2022 Volume 142, Issue 4

Title translation	Strømgjennomgang fra lavspenning – forslag til nye anbefalinger.
MeSH term(s)	Electric Injuries/complications ; Electric Injuries/prevention & control ; Humans
Language	Norwegian
Publishing date	2022-02-24
Publishing country	Norway
Document type	Journal Article
ZDB-ID	603504-8
ISSN	0807-7096 ; 0029-2001
ISSN (online)	0807-7096
ISSN	0029-2001
DOI	10.4045/tidsskr.21.0880
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Article ; Online: Doctors educated in Bodø - who are they and where do they work?

Westlie, Åsa Langen / Gaski, Margrete / Abelsen, Birgit / Grimstad, Hilde / Ofstad, Eirik Hugaas

Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke

2022 Volume 142, Issue 1

Abstract: Background: Every year since 2009, up to 24 medical students at UiT The Arctic University of Norway have undertaken the last two years of their undergraduate medical education in Bodø (referred to as the Bodø model). We mapped the municipalities where ... ...

Title translation	Leger utdannet i Bodø – hvem er de og hvor blir de av?
Abstract	Background: Every year since 2009, up to 24 medical students at UiT The Arctic University of Norway have undertaken the last two years of their undergraduate medical education in Bodø (referred to as the Bodø model). We mapped the municipalities where the students had grown up, their preferences as to future specialties, where they worked and what they worked with after Part 1 of their specialist training. Material and method: Medical students who graduated from the Bodø model in the period 2012-18 completed a questionnaire in the first week of their sixth year of study, containing questions about where they had grown up and their preferences for future place of work and specialty. We mapped their place of work and specialty as of January 2021 as well as that of the two cohorts graduating in 2010-11. The place where the latter had grown up was mapped via direct contact, contact with their cohort or open internet sources. The covariation between where they grew up and their place of work, specialty preferences and choice of specialty were analysed using chi-square tests and logistic regression. Results: Out of a total of 146 doctors, 91 of whom were women (62.3 %), who had completed their undergraduate medical education under the Bodø model as well as Part 1 of their specialist training, 40 (27.4 %) had grown up in Bodø municipality and for 56 (38.4 %) this was their place of work. For the remainder of the county of Nordland, the corresponding figures were 54 (37.0 %) and 38 (26.0 %), for Troms og Finnmark 23 (15.8) and 19 (13 %) and for the remainder of Norway 29 (19.9 %) and 33 (22.6 %). A total of 51 (34.9 %) worked as GPs, of whom 34 (66.7 %) worked in rural municipalities. There was a higher probability of working in a rural area if the doctor had grown up in a rural community (odds ratio (OR) 3.0 (95 % CI 1.5 to 6.1)) and of working in general medicine if this had been their preference as a student (OR 3.7 (95 % CI 1.8 to 7.6)). Interpretation: The Bodø model has mainly attracted students with an affiliation to the region. At the time of the survey, a large percentage of the graduates who took part of their undergraduate medical education in Bodø worked at the Nordland Hospital in Bodø and in general practice, particularly in rural municipalities.
MeSH term(s)	Career Choice ; Female ; General Practice ; Humans ; Physicians ; Professional Practice Location ; Rural Health Services ; Students, Medical ; Surveys and Questionnaires
Language	Norwegian
Publishing date	2022-01-10
Publishing country	Norway
Document type	Journal Article
ZDB-ID	603504-8
ISSN	0807-7096 ; 0029-2001
ISSN (online)	0807-7096
ISSN	0029-2001
DOI	10.4045/tidsskr.21.0254
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Article ; Online: How much time do emergency department physicians spend on medication-related tasks? A time- and-motion study.

Johnsgård, Tine / Elenjord, Renate / Holis, Renata Vesela / Waaseth, Marit / Zahl-Holmstad, Birgitte / Fagerli, Marie / Svendsen, Kristian / Lehnbom, Elin Christina / Ofstad, Eirik Hugaas / Risør, Torsten / Garcia, Beate Hennie

BMC emergency medicine

2024 Volume 24, Issue 1, Page(s) 56

Abstract: Background: Medication-related problems are an important cause of emergency department (ED) visits, and medication errors are reported in up to 60% of ED patients. Procedures such as medication reconciliation and medication review can identify and ... ...

Abstract	Background: Medication-related problems are an important cause of emergency department (ED) visits, and medication errors are reported in up to 60% of ED patients. Procedures such as medication reconciliation and medication review can identify and prevent medication-related problems and medication errors. However, this work is often time-consuming. In EDs without pharmacists, medication reconciliation is the physician's responsibility, in addition to the primary assignments of examining and diagnosing the patient. The aim of this study was to identify how much time ED physicians spend on medication-related tasks when no pharmacists are present in the EDs. Methods: An observational time-and-motion study of physicians in three EDs in Northern Norway was conducted using Work Observation Method by Activity Timing (WOMBAT) to collect and time-stamp data. Observations were conducted in predefined two-hour observation sessions with a 1:1 relationship between observer and participant, during Monday to Friday between 8 am and 8 pm, from November 2020 to October 2021. Results: In total, 386 h of observations were collected during 225 observation sessions. A total of 8.7% of the physicians' work time was spent on medication-related tasks, of which most time was spent on oral communication about medications with other physicians (3.0%) and medication-related documentation (3.2%). Physicians spent 2.2 min per hour on medication reconciliation tasks, which includes retrieving medication-related information directly from the patient, reading/retrieving written medication-related information, and medication-related documentation. Physicians spent 85.6% of the observed time on non-medication-related clinical or administrative tasks, and the remaining time was spent standby or moving between tasks. Conclusion: In three Norwegian EDs, physicians spent 8.7% of their work time on medication-related tasks, and 85.6% on other clinical or administrative tasks. Physicians spent 2.2 min per hour on tasks related to medication reconciliation. We worry that patient safety related tasks in the EDs receive little attention. Allocating dedicated resources like pharmacists to contribute with medication-related tasks could benefit both physicians and patients.
MeSH term(s)	Humans ; Physicians ; Medication Errors/prevention & control ; Patient Safety ; Time and Motion Studies ; Emergency Service, Hospital
Language	English
Publishing date	2024-04-09
Publishing country	England
Document type	Observational Study ; Journal Article
ZDB-ID	2050431-7
ISSN	1471-227X ; 1471-227X
ISSN (online)	1471-227X
ISSN	1471-227X
DOI	10.1186/s12873-024-00974-3
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