Blar i HVL Open på forfatter "Hovlid, Einar"
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A retrospective review of how nonconformities are expressed and finalized in external inspections of health-care facilities
Hovlid, Einar; Høifødt, Helge; Smedbråten, Bente; Braut, Geir Sverre (Journal article; Peer reviewed, 2015)Background: External inspections are widely used in health care as a means of improving the quality of care. However, the way external inspections affect the involved organization is poorly understood. A better understanding ... -
Can systematic implementation support improve programme fidelity by improving care providers’ perceptions of implementation factors? A cluster randomized trial
Hartveit, Miriam; Hovlid, Einar; Øvretveit, John; Assmus, Jörg; Bond, Gary; Joa, Inge; Heiervang, Kristin Sverdvik; Stensrud, Bjørn; Høifødt, Tordis Sørensen; Biringer, Eva Aaker; Ruud, Torleif (Peer reviewed; Journal article, 2022)Background Investigations of implementation factors (e.g., collegial support and sense of coherence) are recommended to better understand and address inadequate implementation outcomes. Little is known about the relationship ... -
Contextual factors of external inspections and mechanisms for improvement in healthcare organizations: a realist evaluation
Hovlid, Einar; Husabø, Gunnar; Teig, Inger Lise; Halvorsen, Kjersti; Frich, Jan C (Peer reviewed; Journal article, 2022)External inspections constitute a key element of healthcare regulation. Improved quality of care is one of the important goals of inspections but the mechanisms of how inspections might contribute to quality improvement ... -
Early diagnosis of sepsis in emergency departments, time to treatment, and association with mortality: An observational study
Husabø, Gunnar; Nilsen, Roy Miodini; Flaatten, Hans; Solligård, Erik; Frich, Jan C; Bondevik, Gunnar Tschudi; Braut, Geir Sverre; Walshe, Kieran; Harthug, Stig; Hovlid, Einar (Peer reviewed; Journal article, 2020)Background Early recognition of sepsis is critical for timely initiation of treatment. The first objective of this study was to assess the timeliness of diagnostic procedures for recognizing sepsis in emergency departments. ... -
Effects of external inspection on sepsis detection and treatment: a study protocol for a quasiexperimental study with a stepped-wedge design
Hovlid, Einar; Frich, Jan C; Walshe, Kieran; Nilsen, Roy Miodini; Flaatten, Hans; Braut, Geir Sverre; Helgeland, Jon; Teig, Inger Lise; Harthug, Stig (Peer reviewed; Journal article, 2017) -
Effects of external inspection on sepsis detection and treatment: a study protocol for a quasiexperimental study with a stepped-wedge design
Hovlid, Einar; Frich, Jan C; Walshe, Kieran; Nilsen, Roy Miodini; Flaatten, Hans; Braut, Geir Sverre; Helgeland, Jon; Teig, Inger Lise; Harthug, Stig (Journal article; Peer reviewed, 2017)Introduction: Inspections are widely used in health care as a means to improve the health services delivered to patients. Despite their widespread use, there is little evidence of their effect. The mechanisms for how ... -
Effects of external inspections on sepsis detection and treatment: a stepped-wedge study With cluster-level randomisation
Husabø, Gunnar; Nilsen, Roy Miodini; Solligård, Erik; Flaatten, Hans; Walshe, Kieran; Frich, Jan C; Bondevik, Gunnar Tschudi; Braut, Geir Sverre; Helgeland, Jon; Harthug, Stig; Hovlid, Einar (Peer reviewed; Journal article, 2020)Objective To evaluate the effects of external inspections on (1) hospital emergency departments’ clinical processes for detecting and treating sepsis and (2) length of hospital stay and 30-day mortality. Design Incomplete ... -
Inspecting teams' and organisations' expectations regarding external inspections in health care: a qualitative study
Hovlid, Einar; Teig, Inger Lise; Halvorsen, Kjersti; Frich, Jan C (Peer reviewed; Journal article, 2020)Background There is a gap in the literature regarding what takes place between the announcement of a regulatory intervention, such as an external inspection of a health care organisation, and the inspecting body’s site ... -
Learning team-based quality improvement in a virtual setting: A qualitative study
Hovlid, Einar; Husabø, Gunnar; Valestrand, Eivind Alexander; Hartveit, Miriam (Peer reviewed; Journal article, 2022)Objective: The objective was to explore students’ perceptions of learning quality improvement (QI) in a virtual setting and identify factors that promote or inhibit virtual learning. Design: We used an exploratory case ... -
Measuring implementation: development of the implementation process assessment tool (IPAT)
Hartveit, Miriam; Hovlid, Einar; Nordin, Håkan; Øvretveit, John; Bond, Gary R.; Biringer, Eva Aaker; Assmus, Jörg; Mariniusson, Gerd Haugen; Ruud, Torleif (Peer reviewed; Journal article, 2019)Background Implementation science comprises a large set of theories suggesting interacting factors at different organisational levels. Development of literature syntheses and frameworks for implementation have contributed ... -
Mediators of change in healthcare organisations subject to external assessment: a systematic review with narrative synthesis
Hovlid, Einar; Braut, Geir Sverre; Hannsidal, Einar; Walshe, Kieran; Bukve, Oddbjørn; Flottorp, Signe Agnes; Stensland, Per Steinar; Frich, Jan C (Peer reviewed; Journal article, 2020)Objectives External inspections are widely used to improve the quality of care. The effects of inspections remain unclear and little is known about how they may work. We conducted a narrative synthesis of research literature ... -
Promoting leadership and quality improvement through external inspections of management of sepsis in Norwegian hospitals: a focus group study
Husabø, Gunnar; Teig, Inger Lise; Frich, Jan C; Bondevik, Gunnar Tschudi; Hovlid, Einar (Peer reviewed; Journal article, 2020)Objective Inspections and other forms of external assessment may contribute to positive changes in the health services, but the mechanisms of such change remain unclear. We did a study to explore how external inspections ... -
What Might Be Required for Inspections to Be Considered Fair?
Husabø, Gunnar; Hovlid, Einar (Peer reviewed; Journal article, 2022)Tama et al offer us an interesting analysis of a piloted regulatory reform that introduced a Joint Health Inspections (JHIs) system in three Kenyan counties. The study highlights key factors facilitating or hindering the ...