Medication Safety in Municipal Health and Care Services

Volume editors:
Rose Mari Olsen, Hege Sletvold
Chapter authors:
Karina Aase, Johanne Alteren, Linda Amundstuen, Nina Beate Andfossen, Hege Therese Bell, Trine Strand Bergmo, Inger Johanne Bergerød, Sverre Bergh, Malin Knutsen Glette, Anne Gerd Granås, Kjell H. Halvorsen, Antonie Grasmo Haugen, Ellinor Christin Haukland, Lene Berge Holm, Unni Solberg Johnsrud, Pål Joranger, Sue Jordan, Anette Vik Jøsendal, Ingrid Ruud Knutsen, Truls Tunby Kristiansen, Tonje Krogstad, Cecilie Johannessen Landmark, Rønnaug Larsen, Unn Sollid Manskow, Alma Mulac, Marianne Kollerøs Nilsen, Kristian Ringsby Odberg, Rose Mari Olsen, Silje Brækkan Rønning, Guri Skeie, Hege Sletvold, Stine Jessli Slorafoss, Marit Waaseth, Siri Wiig, Daniel Horst Zeiss

Synopsis

Medicines constitute an essential part of healthcare delivery and help to prevent or treat illness, influence quality of life, and generally increase life expectancy. However, medications can also cause harm if prescribed irrationally, dispensed or used incorrectly, and monitored or followed up insufficiently.

In this anthology, we showcase the challenges of medication management and the rational use of medicines in municipal health and care services, and present various strategies and measures related to medication safety. The contributors are researchers representing a wide range of disciplines, with experience from different levels of healthcare services and different areas within the research and education sectors. We hope to raise awareness, engage and enable discussion of initiatives and strategies to improve patient safety related to medications in municipal health and care services, and create a basis for further research to promote safe medication management and rational use of medicines.

This anthology will be of interest to anyone involved in or concerned with medication safety, primarily healthcare professionals, academic staff, researchers, policymakers, and managers in healthcare services.

Chapters (PDF TO DOWNLOAD)

Author Biographies

Karina Aase

Professor in safety, University of Stavanger, Centre for Resilience in Healthcare, and adjunct professor in health services research, Norwegian University of Science and Technology (NTNU), Department of Health Sciences in Gjøvik. Aase has extensive experience in patient safety research, and has led national and international research projects within several topics including care transitions, resilience, safety culture, and medication management.

Johanne Alteren

Professor and PhD in studies of professional practice, Faculty of Health Sciences and Social Care, Molde University College, Specialized University in Logistics. As a nurse, she has worked in municipality and specialist health services. Her research interests are the professional’s learning processes, medication management and patient safety, and individual nursing in healthcare and treatment.

Linda Amundstuen

Senior lecturer at the Faculty of Nursing and Health Sciences, Nord University. She has worked as a pharmacist in drug information centres and pharmacies, and has research experience in social pharmacy, including drug information. She is currently the program coordinator for the bachelor program in pharmacy at the School of Pharmacy, Nord University and participates in the research group Drugs and Drug Management at Nord University.

Nina Beate Andfossen

Associate professor and PhD in innovation in public services, Department of Health Sciences in Gjøvik, Centre of Care Research, East, Norwegian University of Science and Technology (NTNU). She has worked for many years as a nurse with special competence in psychiatry, coaching and family therapy in community care, special healthcare and education, and has research experience in collaborative innovation, voluntary work and patient safety within healthcare. Andfossen is leader of the research group Mental Health and Family Centred Care.

Hege Therese Bell

Pharmacist and PhD in social medicine. She works as a municipal pharmacist in Trondheim municipality, and as associate professor at the Faculty of Medicine and Health Sciences, NTNU. In the municipality she works with medication management and appropriate medication use on the system level. Her research experience embraces social pharmacy and social medicine, including patient safety and medication management within health and social care.

Trine Strand Bergmo

PhD and senior researcher at the Norwegian Centre for eHealth Research (NSE) and associate professor in the Department of Pharmacy, UiT, The Artic University of Norway. Bergmo is a registered nurse, has a master’s degree in economics and has been working with health service research in the field of digitalisation of health and care services for more than 20 years. She has, since 2016, undertaken research on the digitization process of medicine management in different healthcare settings. Her research focus has been on the consequences and experiences of introducing e-prescribing for multidose users, and a shared medication list for health professionals across health and care services.

Inger Johanne Bergerød

Researcher and centre coordinator in SHARE – Centre for Resilience in Healthcare, Faculty of Health Sciences at the University of Stavanger. Bergerød holds a PhD in health and medicine with a dissertation on quality and safety in the field of cancer care in hospitals. Bergerød has extensive clinical experience as a cancer nurse and has research competence in the fields of management, user involvement, and quality and safety with a special focus on hospital services. Bergerød also holds a secondary position as a senior advisor in the cancer department, Stavanger University Hospital.

Sverre Bergh

Sverre Bergh (PhD) is research leader at the Research Centre for Age-Related Functional Decline and Diseases (AFS), Innlandet Hospital Trust, and a senior researcher at the Norwegian National Centre for Aging and Health. He is a psychiatrist, and has research experience in genetics, dementia, old age psychiatry, use of psychotropic drugs in nursing homes, medication management in healthcare services, and frailty in older persons.

Malin Knutsen Glette

Associate professor and PhD in health and medicine, Faculty of Health Science, University of Stavanger. She has previously worked as a nurse, and has research experience in hospital readmissions, care coordination, healthcare quality and patient safety, mainly within primary healthcare services. Glette is a member of the research group SHARE – Centre for Resilience in Healthcare (UIS), and Western Norway University’s research group on patient safety and coordination.

Anne Gerd Granås

Professor and PhD in clinical pharmacy, Department of Pharmacy, the Faculty of Mathematics and Natural Sciences, University of Oslo, and professor II at the National Centre for eHealth Research (NSE) in Tromsø. She has undertaken research in different health settings on medicine management and patient safety, medication errors, patients’ perspectives on medicines, and digital support tools for the prescribing of medicines to the elderly. In 2019 she won the Norwegian Association of Pharmacists “Pharmacist of the Year Award”, and a Fulbright scholarship in 2017. She is editor of the first Norwegian textbook in social pharmacy, and since 2017 has served as editor in the area of pharmacy headwords for the Great Norwegian Encyclopedia.

Kjell H. Halvorsen

Associate professor and PhD in pharmacy, Faculty of Health Sciences, UiT The Arctic University of Norway. He has worked as a pharmacy manager, advisor and clinical pharmacist. He has research experience in social and clinical pharmacy, including medication use in older adults in primary and specialized care, use of medication in cardiovascular diseases, patient safety and medication management. Halvorsen is affiliated with the research group in pharmacoepidemiology and clinical pharmacy (IPSUM) at the Department of Pharmacy.

Antonie Grasmo Haugen

Nurse anesthetist at the University Hospital of North Norway, Harstad. A graduate student at UiT The Arctic University of Norway, her thesis subject is “Major Adverse Cardiovascular Events During Anesthesia”. Graduated from Oslo Metropolitan University in 2018 from the bachelor’s program in nursing.

Ellinor Christin Haukland

Is working as a clinical oncologist in the department of palliative care, Nordland Hospital Trust in Norway. She is also a researcher at SHARE – Centre for Resilience in Healthcare, Faculty of Health Sciences at the University of Stavanger. Haukland holds a PhD in health and medicine, focusing on adverse events and patient safety in cancer care. Haukland also has research competence in clinical oncology, palliative care, quality and safety in healthcare services.

Lene Berge Holm

Lene Berge Holm PhD, is an associate professor in social pharmacy at the Department of Pharmacy, Oslo Metropolitan University, and a member of the research group Medicines and Patient Safety. She also holds a part time position as a researcher at Akershus University Hospital and at the Centre for Connected Care at Oslo University Hospital. Her research interests include topics within adherence to medications, computer simulation, soft systems methodology and multimethodology. In addition to academic positions, she has worked with pharmacoeconomics, in the pharmaceutical industry, and as a consultant within health economy, patient flow optimization and resource utilization.

Unni Solberg Johnsrud

Emergency response nurse at Akershus University Hospital since graduating from Oslo Metropolitan University in 2018 from the bachelor’s program in nursing. Before entering the field of healthcare services, Unni worked a quarter of a century within the field of business and finance, holding an esteemed bachelor’s degree from BI Economic Business School in economics.

Pål Joranger

Associate professor at Oslo Metropolitan University, Department of Nursing and Health Promotion. He has for several years worked as a teacher and supervisor in nursing education and in a master’s program in empowerment and health promotion. His research experience has been in the field of health economics, cancer, health promotion and empowerment.

Sue Jordan

Professor with a medical doctorate and PhD in nurse education, Faculty of Medicine, Health and Life Science, Swansea University. Sue works as a teacher and researcher, and has research experience in medicines management, medicines monitoring, pharmaco-epidemiology and patient safety in multidisciplinary teams. Sue leads the medicines management research group at Swansea University and collaborates with colleagues across Europe. She is the serving president of EUROmediCAT, and community councillor for Gwaun Cae Gurwen.

Anette Vik Jøsendal

MPharm and researcher at the Norwegian Centre for eHealth Research, Tromsø and PhD candidate at the Department of Pharmacy, University of Oslo. Jøsendal graduated as a pharmacist in 2012, and holds a bachelor’s degree in health economics and management. She has worked as a pharmacist and as a pharmaceutical advisor in the department of multidose drug dispensing at Apotek 1 for 10 years. Her current research focuses on how an electronic prescribing system of multidose dispensed medicines and the implementation of a shared medication list across health and care services, will affect medication safety.

Ingrid Ruud Knutsen

Professor in nursing and health promotion at Oslo Metropolitan University. She has for several years worked as a teacher and supervisor in the bachelor’s program in nursing and in an interprofessional master’s program in empowerment and health promotion. She has research experience in the field of chronic illness, health promotion and patient education. She led a research group in empowerment before entering the position as head of studies at Oslo Metropolitan University.

Truls Tunby Kristiansen

Associate professor and PhD in sociology at UiT The Arctic University of Norway, and researcher, Norwegian Centre for eHealth Research. His research interests cover societal readiness, crisis management and institutional change, sociological theory development, collective action, the Nordic welfare model, artificial intelligence implementation and digital medicines management. He currently teaches sociological theory and qualitative methods.

Tonje Krogstad

Tonje Krogstad PhD, is an associate professor in social pharmacy at the Department of Pharmacy, Oslo Metropolitan University, and a member of the research group Medicines and Patient Safety. She has worked as a pharmacist and pharmacy manager, and has experience as a researcher within the field of social pharmacy, especially in projects related to pharmacy practice and pharmacy as a profession. She has a part time affiliation in a pharmacy.

Cecilie Johannessen Landmark

PhD, professor of pharmacology and head of the pharmacology team at the National Center for Epilepsy. She is affiliated with the Department of Pharmacy, Oslo Metropolitan University and the National Center for Epilepsy and Department of Pharmacology, Oslo University Hospital. She has focused on the clinical pharmacology of antiseizure medications through research, education and clinical work during the last 20 years, and is involved in various national and international collaborations. She is research group leader for Medicines and Patient Safety at OsloMet.

Rønnaug Larsen

Rønnaug Larsen is currently a PhD candidate in social pharmacy from the Department of Pharmacy, Oslo Metropolitan University, and is a member of the research group Medicines and Patient Safety. Her PhD research theme revolves around improving adherence to medication by using mobile phone applications. She has for the last 30 years worked in various positions within Norwegian pharmacies focusing mainly on pharmacy staff training and patient counseling.

Unn Sollid Manskow

PhD in health service research, senior researcher at the Norwegian Centre for eHealth Research (NSE), and associate professor at UiT The Arctic University of Norway. Manskow is the project manager of the national research project, “The Summary Care Record and a Shared Medication List in Norwegian Nursing Homes and Home Care Services” at NSE. She has previously worked as a nurse and neuroscience nurse at the University Hospital of North Norway, and has research experience within neurotrauma, rehabilitation and digital medicine management.

Alma Mulac

Postdoctoral Researcher and PhD, Department of Pharmacy, the Faculty of Mathematics and Natural Sciences, University of Oslo. Mulac is a pharmacist with a master’s degree in clinical pharmacy and has research experience in the field of patient safety, medication errors and the role of technology in medication management.

Marianne Kollerøs Nilsen

Associate professor and PhD in pharmacy, Faculty of Nursing and Health Sciences, Nord University. She has worked as a pharmacist in community pharmacies, and has teaching and research experience in social pharmacy.

Kristian Ringsby Odberg

Associate professor, Norwegian University of Science and Technology (NTNU) in the Department of Health Sciences in Gjøvik. He is leader of the Patient Safety Research Group at Gjøvik. Odberg is a trained intensive care nurse and has extensive experience in nursing education and patient safety research. Topics of interest are complex systems, medication safety and human factors in healthcare.

Rose Mari Olsen

Professor and PhD in health sciences, Faculty of Nursing and Health Sciences, Nord University. She has worked as a geriatric nurse and nurse manager, and has experience in health and care services research, including patient safety, medication management, documentation and information exchange in municipal health services. Olsen is head of the Centre for Care Research, Mid-Norway.

Silje Brækkan Rønning

Pharmacy manager at Vitusapotek K1, Tromsø, Norway. She wrote her master’s thesis at UiT The Arctic University of Norway on the subject, “Clinically Relevant Interactions Between Dietary Supplements and Medications”, in 2015. She has worked as a community pharmacist and pharmacy manager since then.

Guri Skeie

Professor in nutrition with a PhD in diet and cancer epidemiology, Faculty of Health Sciences, UiT The Arctic University of Norway. She has broad experience working with large population-based studies both in Norway and Europe. Her research focuses on the connection between different aspects of diet, including dietary supplements, and non-communicable diseases (mainly cancer), and mortality.

Hege Sletvold

Associate professor and PhD in pharmacy, Faculty of Nursing and Health Sciences, Nord University. She has worked as a pharmacist and pharmacy manager, and has research experience in social pharmacy, including patient safety and medication management within health and social care. Sletvold is leader of the research group Drugs and Drug Management at Nord University.

Stine Jessli Slorafoss

Emergency response nurse in Aurskog Høland county since graduating from Oslo Metropolitan University in 2018 from the bachelor’s program in nursing. She has later enhanced her skills with a specialization in the field of cosmetic dermatology nursing, practicing these newly acquired skills alongside her ER work since her second graduation in 2020. Formerly, Stine worked within finance and insurance. She holds an esteemed bachelor’s degree from BI Economic Business School in economics.

Marit Waaseth

Associate professor and PhD in pharmacoepidemiology and social pharmacy, Faculty of Health Sciences, UiT, The Arctic University of Norway. She has experience as a community pharmacist prior to her academic career. Her research focuses on characteristics and consequences of medication use on population levels, based on data from health registries and surveys.

Siri Wiig

Full professor of quality and safety in healthcare systems and centre director of SHARE – Centre for Resilience in Healthcare, Faculty of Health Sciences, University of Stavanger, Norway; adjunct professor at Western Norway University of Applied Sciences, Haugesund Norway; honorary professor at the Australian Institute of Health Innovation, Macquarie University, Australia. Wiig boasts a background as a safety scientist with research activities focusing on a multilevel perspective on quality and safety. Wiig’s research interests are patient safety, quality improvement, resilient healthcare, leadership, learning and sociotechnical systems.

Daniel Horst Zeiss

Associate professor and PhD in pharmacy, Faculty of Nursing and Health Sciences, Nord University. He has research experience in pharmaceutics, particularly dissolution testing of oral dosage forms with modified-release characteristics. Zeiss has in recent years been focused on the topic of inappropriate modifications of modified-release dosage forms, and the implications for health personnel and patients.

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Published
November 9, 2022


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