du.sePublications
Change search
Link to record
Permanent link

Direct link
BETA
Källberg, Ann-SofieORCID iD iconorcid.org/0000-0002-0681-9768
Publications (8 of 8) Show all publications
Bjurbo, C., Eriksson, U., Källberg, A.-S., Ehrenberg, A. & Muntlin Athlin, Å. (2018). Early identification of frail older patients by using the FRESH-instrument in the emergency department: a pilot study. In: : . Paper presented at 3rd Global Conference on Emergency Nursing & Trauma Care, Leeuwenhorst, 6-8 October 2018.
Open this publication in new window or tab >>Early identification of frail older patients by using the FRESH-instrument in the emergency department: a pilot study
Show others...
2018 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Health Sciences
Research subject
Health and Welfare, Tidig identifiering av sköra äldre på akutmottagning
Identifiers
urn:nbn:se:du-29205 (URN)
Conference
3rd Global Conference on Emergency Nursing & Trauma Care, Leeuwenhorst, 6-8 October 2018
Available from: 2018-12-27 Created: 2018-12-27 Last updated: 2019-09-25Bibliographically approved
Källberg, A.-S., Ehrenberg, A., Florin, J., Östergren, J. & Göransson, K. E. (2017). Physicians' and nurses' perceptions of patient safety risks in the emergency department. International Emergency Nursing, 33, 14-19
Open this publication in new window or tab >>Physicians' and nurses' perceptions of patient safety risks in the emergency department
Show others...
2017 (English)In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 33, p. 14-19Article in journal (Refereed) Published
Abstract [en]

The emergency department has been described as a high-risk area for errors. It is also known that working conditions such as a high workload and shortage off staff in the healthcare field are common factors that negatively affect patient safety. A limited amount of research has been conducted with regard to patient safety in Swedish emergency departments. Additionally, there is a lack of knowledge about clinicians' perceptions of patient safety risks. Therefore, the purpose of this study was to describe emergency department clinicians' experiences with regard to patient safety risks.

METHOD: Semi-structured interviews were conducted with 10 physicians and 10 registered nurses from two emergency departments. Interviews were analysed by inductive content analysis.

RESULTS: The experiences reflect the complexities involved in the daily operation of a professional practice, and the perception of risks due to a high workload, lack of control, communication and organizational failures.

CONCLUSION: The results reflect a complex system in which high workload was perceived as a risk for patient safety and that, in a combination with other risks, was thought to further jeopardize patient safety. Emergency department staff should be involved in the development of patient safety procedures in order to increase knowledge regarding risk factors as well as identify strategies which can facilitate the maintenance of patient safety during periods in which the workload is high.

Keywords
Emergency service (hospital), Error, Interviews, Patient safety, Qualitative content analysis, Risk
National Category
Health Sciences
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-24515 (URN)10.1016/j.ienj.2017.01.002 (DOI)000407530200003 ()28256336 (PubMedID)
Available from: 2017-03-09 Created: 2017-03-09 Last updated: 2020-03-03Bibliographically approved
Berg, L. M., Källberg, A.-S., Ehrenberg, A., Florin, J., Östergren, J., Djärv, T., . . . Göransson, K. E. (2016). Factors influencing clinicians' perceptions of interruptions as disturbing or non-disturbing: a qualitative study. International Emergency Nursing, 27, 11-16
Open this publication in new window or tab >>Factors influencing clinicians' perceptions of interruptions as disturbing or non-disturbing: a qualitative study
Show others...
2016 (English)In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 27, p. 11-16Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: Emergency departments consist of multiple systems requiring interaction with one another while still being able to operate independently, creating frequent interruptions in the clinical workflow. Most research on interruptions in health care settings has focused on the relationship between interruptions and negative outcomes. However, there are indications that not all interruptions are negatively perceived by those being interrupted. Therefore, this study aimed to explore factors that influence when a clinician perceives interruptions as non-disturbing or disturbing in an emergency department context.

METHOD: Explorative design based on interviews with 10 physicians and 10 registered nurses at two Swedish emergency departments. Data were analyzed using qualitative content analysis.

RESULT: Factors influencing whether emergency department clinicians perceived interruptions as non-disturbing or disturbing were identified: clinician's constitution, external factors of influence and the nature of the interrupted task. The clinicians' perceptions were related to a complex of attributes inherent in these three factors at the time of the interruption. Thus, the same type of interruption could be perceived as either non-disturbing or disturbing contingent on the surrounding circumstances in which the event occurred.

CONCLUSION: Emergency department clinicians' perceptions of interruptions as non-disturbing or disturbing were related to the character of identified influencing factors.

Place, publisher, year, edition, pages
Elsevier, 2016
Keywords
Clinicians; Disturbance; Emergency care; Interruption; Non-disturbance; Patient safety risk; Physician; Recipient; Registered nurse; Work environment
National Category
Health Sciences
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-21220 (URN)10.1016/j.ienj.2016.01.003 (DOI)000381729500003 ()26947851 (PubMedID)
Available from: 2016-03-09 Created: 2016-03-09 Last updated: 2017-11-30Bibliographically approved
Källberg, A.-S., Ehrenberg, A., Florin, J., Östergren, J. & Göransson, K. (2016). Patient safety risks in the emergency department. In: : . Paper presented at 2nd Global Conference on emergency nursing & trauma care. 22-24 September 2016, Sitges, Spain.
Open this publication in new window or tab >>Patient safety risks in the emergency department
Show others...
2016 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Health Sciences
Research subject
Health and Welfare, Patientsäkerhet
Identifiers
urn:nbn:se:du-23745 (URN)
Conference
2nd Global Conference on emergency nursing & trauma care. 22-24 September 2016, Sitges, Spain
Available from: 2016-12-26 Created: 2016-12-26 Last updated: 2016-12-26Bibliographically approved
Källberg, A.-S., Göransson, K., Florin, J., Östergren, J., Brixey, J. & Ehrenberg, A. (2015). Contributing factors to errors in Swedish emergency departments. International Emergency Nursing, 23(2), 156-161
Open this publication in new window or tab >>Contributing factors to errors in Swedish emergency departments
Show others...
2015 (English)In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 23, no 2, p. 156-161Article in journal (Refereed) Published
Abstract [en]

Objective: The Emergency Department (ED) is a complex and dynamic environment, often resulting in a somewhat uncontrolled and unpredictable workload. Contributing factors to errors in health care and in the ED are largely related to communication breakdowns. Moreover, the ED work environment is predisposed to multitasking, overcrowding and interruptions. These factors are assumed to have a negative impact on patient safety. Reported errors from care providers are mainly related to diagnostic procedures in Swedish EDs. However, there is a lack of knowledge and national oversight regarding contributing factors. The aim of this study was therefore to describe contributing factors in regards to errors occurring in Swedish EDs. 

Method: Descriptive design based on registry data from the Lex Maria database of the Swedish National Board of Health and Welfare. 

Results: The results indicate that factors contributing to errors in Swedish EDs are multifactorial in nature. The most common contributing factor was human error followed by factors in the local ED environment and teamwork failure. 

Conclusion: Factors contributing to ED errors were multifactorial and included both organizational and teamwork failure in which human error was implicated. To reduce errors, further research is needed to develop methods that disclose latent working conditions such as high workload and interruptions. Patient safety research needs to include understanding of human behaviour in complex organizational systems and the impact of working conditions on patient safety and quality of care.

Keywords
Emergency department; Patient safety
National Category
Health Sciences
Research subject
Hälsa och välfärd, ”Många bollar i luften” – Personalens arbetsmiljö på akutmottagning.
Identifiers
urn:nbn:se:du-16393 (URN)10.1016/j.ienj.2014.10.002 (DOI)000354139000022 ()25434782 (PubMedID)
Available from: 2015-06-24 Created: 2014-11-15 Last updated: 2017-12-04Bibliographically approved
Källberg, A.-S., Göransson, K., Östergren, J., Florin, J. & Ehrenberg, A. (2015). Perceptions and management of patient safety risks in the emergency department. In: : . Paper presented at 9th European Congress on Emergency Medicine in association with SIMEU, 10-14 October, 2015, Torino, Italy.
Open this publication in new window or tab >>Perceptions and management of patient safety risks in the emergency department
Show others...
2015 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Nursing
Research subject
Health and Welfare, ”Många bollar i luften” – Personalens arbetsmiljö på akutmottagning.
Identifiers
urn:nbn:se:du-20552 (URN)
Conference
9th European Congress on Emergency Medicine in association with SIMEU, 10-14 October, 2015, Torino, Italy
Available from: 2015-12-28 Created: 2015-12-28 Last updated: 2015-12-29Bibliographically approved
Berg, L., Källberg, A.-S., Göransson, K., Östergren, J., Florin, J. & Ehrenberg, A. (2013). Interruptions in emergency department work: an observational and interview study. BMJ Quality and Safety, 22(8), 656-663
Open this publication in new window or tab >>Interruptions in emergency department work: an observational and interview study
Show others...
2013 (English)In: BMJ Quality and Safety, ISSN 2044-5415, E-ISSN 2044-5423, Vol. 22, no 8, p. 656-663Article in journal (Refereed) Published
Abstract [en]

Objectiv.e Frequent interruptions are assumed to have a negative effect on healthcare clinicians’ working memory that could result in risk for errors and hence threatening patient safety. The aim of this study was to explore interruptions occurring during common activities of clinicians working in emergency departments.

Method. Totally 18 clinicians, licensed practical nurses, registered nurses and medical doctors, at two Swedish emergency departments were observed during clinical work for 2 h each. A semistructured interview was conducted directly after the observation to explore their perceptions of interruptions. Data were analysed using non-parametric statistics, and by quantitative and qualitative content analysis.

Results. The interruption rate was 5.1 interruptions per hour. Most often the clinicians were exposed to interruptions during activities involving information exchange. Calculated as percentages of categorised performed activities, preparation of medication was the most interrupted activity (28.6%). Face-to-face interaction with a colleague was the most common way to be interrupted (51%). Most common places for interruptions to occur were the nurses’ and doctors’ stations (68%). Medical doctors were the profession interrupted most often and were more often recipients of interruptions induced by others than causing self-interruptions. Most (87%) of the interrupted activities were resumed. Clinicians often did not regard interruptions negatively. Negative perceptions were more likely when the interruptions were considered unnecessary or when they disturbed the work processes.

Conclusions. Clinicians were exposed to interruptions most often during information exchange. Relative to its occurrence, preparation of medication was the most common activity to be interrupted, which might increase risk for errors. Interruptions seemed to be perceived as something negative when related to disturbed work processes.

National Category
Health Sciences
Research subject
Health and Welfare, ”Många bollar i luften” – Personalens arbetsmiljö på akutmottagning.
Identifiers
urn:nbn:se:du-12694 (URN)10.1136/bmjqs-2013-001967 (DOI)000323166100007 ()
Available from: 2013-07-02 Created: 2013-07-02 Last updated: 2017-12-06Bibliographically approved
Källberg, A.-S., Göransson, K., Östergren, J., Florin, J. & Ehrenberg, A. (2013). Medical errors and complaints in emergency department care in Sweden as reported by care providers, health care staff and patients: a national review. European journal of emergency medicine, 20(1), 33-38
Open this publication in new window or tab >>Medical errors and complaints in emergency department care in Sweden as reported by care providers, health care staff and patients: a national review
Show others...
2013 (English)In: European journal of emergency medicine, ISSN 0969-9546, E-ISSN 1473-5695, Vol. 20, no 1, p. 33-38Article in journal (Refereed) Published
Abstract [en]

Objective: Despite an increase in research, there is still a lack of knowledge about patient safety in emergency departments (EDs) in many European countries. The aim of this study was therefore to describe the incidence and types of reported medical errors and complaints in ED care in Sweden.

Methods: Data reported in 2009 were gathered from national authorities, including the National Board of Health and Welfare, the Medical Responsibility Board, the Patients Advisory Committees, and local incident-reporting systems. Data were analyzed by content analysis.

Results: Among 428 cases reported by care providers to the National Board of Health and Welfare, 64 (15.0%) were related to ED care. As several cases contained more than one medical error, 92 errors were identified, out of which 39 (42.4%) were related to diagnostic procedures. Among the 4628 cases of complaints reported by patients to the Medical Responsibility Board, 306 (6.6%) were related to ED care. In total, 437 complaints regarding perceived medical errors were identified (several cases contained more than one error), with 189 (43.2%) pertaining to diagnostic procedures. A total of 1341 complaints about ED care were made by patients to the Patients Advisory Committees (n=21), of which 655 (48.8%) were related to care and treatment. There were 7434 medical errors reported to local incident-reporting systems at the EDs (n=45). Of these, 1450 (19.5%) referred to care and treatment.

Conclusion: Medical errors and complaints at Swedish EDs, as reported by both patients and care providers, were related mainly to diagnostic procedures and treatments.

Place, publisher, year, edition, pages
London: Chapman & Hall, 2013
Keywords
complaints; emergency service (hospital); medical errors; safety
National Category
Health Sciences
Research subject
Hälsa och välfärd, ”Många bollar i luften” – Personalens arbetsmiljö på akutmottagning.
Identifiers
urn:nbn:se:du-6102 (URN)10.1097/MEJ.0b013e32834fe917 (DOI)000313424500007 ()22198159 (PubMedID)
Available from: 2011-12-04 Created: 2011-12-04 Last updated: 2017-12-07Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-0681-9768

Search in DiVA

Show all publications