Skip header and navigation

Refine By

5 records – page 1 of 1.

Implementation and use of electronic synoptic cancer reporting: an explorative case study of six Norwegian pathology laboratories.

https://arctichealth.org/en/permalink/ahliterature262141
Source
Implement Sci. 2014;9:111
Publication Type
Article
Date
2014
Author
Bettina Casati
Hans Kristian Haugland
Gunn Marit J Barstad
Roger Bjugn
Source
Implement Sci. 2014;9:111
Date
2014
Language
English
Publication Type
Article
Keywords
Attitude of Health Personnel
Clinical Laboratory Techniques - methods
Colorectal Neoplasms - diagnosis - pathology
Electronic Health Records - organization & administration
Humans
Interviews as Topic
Norway
Organizational Case Studies
Program Development
Abstract
The information contained in histopathology reports on surgical resections of cancer is fundamental for both patient treatment and cancer registries. Electronic synoptic histopathology reporting is considered superior to traditional narrative reporting with respect to both completeness and feasibility of data use. An electronic template for colorectal cancer reporting was introduced in Norway in 2005, but implementation has varied greatly between different pathology departments. In 2012, four pathology departments and the Norwegian Cancer Registry started a new initiative on electronic cancer reporting. As part of this initiative, this study was undertaken to learn more about factors influencing implementation and use.
Qualitative and quantitative data were obtained from six of the 17 public pathology departments in Norway using explorative case study methodology. Methods included document studies, semi-structured interviews with key informants, and audits on actual template use. A systematic analysis of data was conducted based on theoretical models for project management, stakeholder engagement, and individual acceptance of new information technology.
Most key informants had a positive view on synoptic reporting, and five departments had tested the electronic template. Of these, four had implemented the template while one department had decided not to implement it due to layout concerns. Of the four departments using the template in daily routine, one had compulsory use, two consensus based use, while the fourth had voluntary use. Annual average usage of the electronic template in the three departments with compulsory or consensus based use was 92% compared to 53% in the department with voluntary use.
There was a general positive attitude towards electronic synoptic reporting. Reasons for not implementing the colorectal template were specific technical and quality issues not adequately addressed by the project organization having developed the template. A formal assessment of project outcomes with a task force handling such technical issues should accordingly have been established as part of the project. After an organizational decision on implementation, perceived job relevance and practical benefits are factors important for individual template use. Consistent high long-term usage was related to a departmental environment with a consensus based decision on use.
Notes
Cites: Arch Pathol Lab Med. 2012 Jun;136(6):652-622646273
Cites: Pathology. 2014 Apr;46(3):165-824492317
Cites: Qual Health Res. 2000 Nov;10(6):819-2811146861
Cites: Lancet. 2003 Oct 11;362(9391):1225-3014568747
Cites: J Clin Pathol. 1998 Jun;51(6):481-29771453
Cites: Med Educ. 2006 Apr;40(4):314-2116573666
Cites: Pathology. 2011 Aug;43(5):404-921753714
Cites: Arch Pathol Lab Med. 2008 Jan;132(1):84-9418181680
Cites: Hum Pathol. 2008 Mar;39(3):359-6718187180
Cites: J Surg Oncol. 2009 Jun 15;99(8):517-2419466743
Cites: Cancer Control. 2009 Oct;16(4):293-30219910915
Cites: Arch Pathol Lab Med. 2010 Aug;134(8):1152-920670135
Cites: Hum Pathol. 2011 Jan;42(1):36-4020869747
Cites: Arch Pathol Lab Med. 2006 May;130(5):645-916683881
PubMed ID
25138817 View in PubMed
Less detail

Quality of fetal, perinatal and infant autopsy reports. An audit of all reports of postmortem examinations following fetal, perinatal and infant death in Rogaland County, Western Norway, 1997-1999.

https://arctichealth.org/en/permalink/ahliterature58432
Source
APMIS. 2002 Oct;110(10):746-52
Publication Type
Article
Date
Oct-2002
Author
Roger Bjugn
Jannicke Berland
Author Affiliation
Department of Pathology, Central Hospital of Rogaland, Stavanger, Norway. roger.bjugn@pki.uib.no
Source
APMIS. 2002 Oct;110(10):746-52
Date
Oct-2002
Language
English
Publication Type
Article
Keywords
Autopsy - standards - statistics & numerical data
Death Certificates
Female
Fetal Death - pathology
Humans
Infant mortality
Infant, Newborn
Male
Medical Audit - standards - statistics & numerical data
Norway
Pregnancy
Quality Assurance, Health Care - standards - statistics & numerical data
Abstract
The aim of the present study was to investigate the quality of fetal, perinatal and infant (
PubMed ID
12583442 View in PubMed
Less detail

Stakeholder analysis: a useful tool for biobank planning.

https://arctichealth.org/en/permalink/ahliterature259554
Source
Biopreserv Biobank. 2012 Jun;10(3):239-44
Publication Type
Article
Date
Jun-2012
Author
Roger Bjugn
Bettina Casati
Source
Biopreserv Biobank. 2012 Jun;10(3):239-44
Date
Jun-2012
Language
English
Publication Type
Article
Keywords
Biological Specimen Banks - economics - organization & administration
Community-Based Participatory Research
Hospitals
Humans
Management Audit
Norway
Abstract
Stakeholders are individuals, groups, or organizations that are affected by or can affect a particular action undertaken by others. Biobanks relate to a number of donors, researchers, research institutions, regulatory bodies, funders, and others. These stakeholders can potentially have a strong influence upon the organization and operation of a biobank. A sound strategy for stakeholder engagement is considered essential in project management and organization theory. In this article, we review relevant stakeholder theory and demonstrate how a stakeholder analysis was undertaken in the early stage of a planned research biobank at a public hospital in Norway.
PubMed ID
24835062 View in PubMed
Less detail
Source
Tidsskr Nor Laegeforen. 2014 Feb 25;134(4):431-3
Publication Type
Article
Date
Feb-25-2014
Author
Roger Bjugn
Bettina Casati
Hans Kristian Haugland
Source
Tidsskr Nor Laegeforen. 2014 Feb 25;134(4):431-3
Date
Feb-25-2014
Language
English
Norwegian
Publication Type
Article
Keywords
Electronic Health Records - standards
Humans
Medical Records Systems, Computerized - standards
Neoplasms - pathology
Norway
Ontario
Pathology, Clinical
Quality Assurance, Health Care - methods - standards
Registries - standards
Abstract
In order to succeed in realising general health-policy goals for cancer care, they must be formulated as specific and realistic objectives. An administrative organ must be provided with the authority and funding needed to establish the technical solutions required. Reporting to national registries must take place automatically in electronic form, on the basis of ongoing structured reporting in the patient records. In our opinion the Directorate of Health should enter into cooperation with the College of American Pathologists, with a view to integrating a Norwegian version of their electronic checklists for pathology reporting of cancer into the hospitals' record systems.
Notes
Comment In: Tidsskr Nor Laegeforen. 2014 May 27;134(10):102024865709
Comment In: Tidsskr Nor Laegeforen. 2014 May 27;134(10):1019-2024865708
PubMed ID
24569746 View in PubMed
Less detail