| 1. |
- Burström, Lage, et al.
(författare)
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A follow-up study of welders’ exposure to vibration in a heavy engineering production workshop
- 2010
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Ingår i: Journal of Low Frequency Noise Vibration and Active Control. - : Sage Publications. - 0263-0923 .- 1461-3484 .- 2048-4046. ; 29:1, s. 33-39
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Tidskriftsartikel (refereegranskat)abstract
- Manual work involving vibrating power tools is associated with symptoms that include vascular, neurological and musculoskeletal disorders. This study examines the vibration exposure of welders to determine the change between 1987 and 2008. Vibration measurements on handheld tools were used to evaluate the acceleration and the daily exposure time was determined by subjective rating. From these data, the 8-hour equivalent vibration exposure A(8), has been calculated. During the period, the A(8) decreased from 3.9 m/s2 to 1.9 m/s2. It was concluded that this decrease is the result of fewer vibrating tools and a decrease in daily exposure time. Although the daily vibration exposure has decreased over the study time, for some welders the daily vibration exposure A(8) is still above the action value set by the EU directive on vibration. This means more effort should be spent to decrease vibration exposure.
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| 2. |
- Burström, Lena
(författare)
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Patient Safety in the Emergency Department : Culture, Waiting, and Outcomes of Efficiency and Quality
- 2014
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The overall aim of this thesis was to investigate patient safety in the emergency department (ED) and to determine whether this varies according to patient safety culture, waiting, and outcomes of efficiency and quality variables.I: Patient safety culture was described in the EDs of two different hospitals before and after a quality improvement project. The questionnaire “Hospital Survey on Patient Safety Culture” was used to investigate the patient safety culture. The main finding was that the staff at both hospitals scored more positively in the dimension Team-work within hospital after implementing a new work model aimed at improving patient flow and patient safety in the ED. Otherwise, we found only modest improvements.II: Grounded theory was used to explore what happens in the ED from the staff perspective. Their main concern was reducing patients’ non-acceptable waiting time. Management of waiting was improved either by increasing the throughput of patient flow by structure pushing and by shuffling patients, or by changing the experience of waiting by calming patients and by feinting to cover up.III: Three Swedish EDs with different triage models were compared in terms of efficiency and quality. The median length of stay was 158 minutes for physician-led team triage compared with 243 and 197 minutes for nurse–emergency physician and nurse–junior physician triage, respectively. Quality indicators (i.e., patients leaving before treatment was completed, the rate of unscheduled return within 24 and 72 hours, and mortality rate within 7 and 30 days) improved under the physician-led team triage.IV: Efficiency and quality variables were compared from before (2008) to after (2012) a reorganization with a shift of triage model at a single ED. Time from registration to physician decreased by 47 minutes, and the length of stay decreased by 34 minutes. Several quality measures differed between the two years, in favour of 2012. Patients leaving before treatment was completed, unscheduled return within 24 and 72 hours, and mortality rate within 7 and 30 days all improved despite the reduced admission rate.In conclusion, the studies underscore the need to improve patient safety in the ED. It is important to the patient safety culture to reduce patient waiting because it dynamically affects both patients and staff. Physician-led team triage may be a suitable model for reducing patient waiting time and increasing patient safety.
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| 3. |
- Burström, Lena, et al.
(författare)
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Physician-led team triage based on lean principles may be superior for efficiency and quality? : A comparison of three emergency departments with different triage models
- 2012
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Ingår i: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. - : Springer Science and Business Media LLC. - 1757-7241. ; 20:1, s. 57-
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND:The management of emergency departments (EDs) principally involves maintaining effective patient flow and care. Different triage models are used today to achieve these two goals. The aim of this study was to compare the performance of different triage models used in three Swedish EDs. Using efficiency and quality indicators, we compared the following triage models: physician-led team triage, nurse first/emergency physician second, and nurse first/junior physician second.METHODS: All data of patients arriving at the three EDs between 08:00- and 21:00 throughout 2008 were collected and merged into a database. The following efficiency indicators were measured: length of stay (LOS) including time to physician, time from physician to discharge, and 4-hour turnover rate. The following quality indicators were measured: rate of patients left before treatment was completed, unscheduled return within 24 and 72 hours, and mortality rate within 7 and 30 days.RESULTS: Data from 160,684 patients were analysed. The median length of stay was 158 minutes for physician-led team triage, compared with 243 and 197 minutes for nurse/emergency physician and nurse/junior physician triage, respectively (p < 0.001). The rate of patients left before treatment was completed was 3.1 % for physician-led team triage, 5.3 % for nurse/emergency physician, and 9.6 % for nurse/junior physician triage (p < 0.001). Further, the rates of unscheduled return within 24 hours were significantly lower for physician-led team triage, 1.0 %, compared with 2.1 %, and 2.5 % for nurse/emergency physician, and nurse/junior physician, respectively (p < 0.001). The mortality rate within 7 days was 0.8 % for physician-led team triage and 1.0 % for the two other triage models (p < 0.001).CONCLUSIONS: Physician-led team triage seemed advantageous, both expressed as efficiency and quality indicators, compared with the two other models.
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| 4. |
- Burström, Lena, et al.
(författare)
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The patient safety culture as perceived by staff at two different emergency departments before and after introducing a flow-oriented working model with team triage and lean principles : A repeated cross-sectional study
- 2014
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Ingår i: BMC Health Services Research. - : Springer Science and Business Media LLC. - 1472-6963. ; 14
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Tidskriftsartikel (refereegranskat)abstract
- Background: Patient safety is of the utmost importance in health care. The patient safety culture in an institution has great impact on patient safety. To enhance patient safety and to design strategies to reduce medical injuries, there is a current focus on measuring the patient safety culture. The aim of the present study was to describe the patient safety culture in an ED at two different hospitals before and after a Quality improvement (QI) project that was aimed to enhance patient safety. Methods: A repeated cross-sectional design, using the Hospital Survey On Patient Safety Culture questionnaire before and after a quality improvement project in two emergency departments at a county hospital and a university hospital. The questionnaire was developed to obtain a better understanding of the patient safety culture of an entire hospital or of specific departments. The Swedish version has 51 questions and 15 dimensions. Results: At the county hospital, a difference between baseline and follow-up was observed in three dimensions. For two of these dimensions, Team-work within hospital and Communication openness, a higher score was measured at the follow-up. At the university hospital, a higher score was measured at follow-up for the two dimensions Team-work across hospital units and Team-work within hospital. Conclusion: The result showed changes in the self-estimated patient safety culture, mainly regarding team-work and communication openness. Most of the improvements at follow-up were seen by physicians, and mainly at the county hospital.
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| 5. |
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| 6. |
- Burström, Mats, 1962-
(författare)
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Bergtagna - om kriget kom
- 2014
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Ingår i: Axess. - Stockholm : Axel och Margaret Ax:son Johnsons stiftelse för allmännyttiga ändamål. - 1651-0941. ; :2, s. 28-31
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Tidskriftsartikel (populärvet., debatt m.m.)abstract
- Bergrummet Elefanten, byggt i allra största hemlighet, skulle vara ledningscentral för civilförsvaret i händelse av krig. Det är ett fascinerande monument över det kalla kriget och svensk 1970-talsinredning.
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| 7. |
- Burström, Mats, 1962-
(författare)
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Buried Memories : Wartime Caches and Family History in Estonia
- 2013. - 1
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Ingår i: Archaeologies of Mobility and Movement. - New York : Springer Science+Business Media B.V.. - 9781461462101 - 9781461462118 ; , s. 101-115
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Bokkapitel (refereegranskat)abstract
- During the Second World War, many Estonians buried family possessions before fleeing overseas. Yet their hopes of returning soon to recover them were dashed by the postwar Soviet occupation. During the long years of exile, these possessions were transformed from everyday objects into a kind of repository for memories. One way for exiles to remember their homeland and sustain their dreams of return was to tell stories. Some managed to retrieve their belongings while in exile, others went back to find them after the fall of the Soviet Union. This chapter examines a selection of stories about underground wartime hoards in order to show how family traditions lend a human dimension to grand narratives of the recent past.
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| 8. |
- Burström, Mats, 1962-
(författare)
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Creative Confusion : Modern Ruins and the Archaeology of the Present
- 2011. - 1
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Ingår i: Rethinking Time. - Huddinge : Södertörn University. ; , s. 119-128
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Ruins, understood as a cultural state in which material objects find themselves, affect people. This applies in particular to ruins of the late modern era. In contrast to how we normally perceive remains from antiquity, many of us do not seem fully mentally prepared to meet the contemporary past in state of ruin. Realizing that even the present and the familiar now are objects of archaeological concern makes you reflect upon the passing of time and your own place in history. Suddenly, the fundamental categories of past and present do not seem relevant. This confusion may indeed be creative and points towards an archaeology beyond modernity, an archaeology that recognizes no chronological borders.
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| 9. |
- Burström, Mats, 1962-, et al.
(författare)
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Dealing with difficult heritage : The case of Bückeberg, site of the Third Reich Harvest Festival
- 2011
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Ingår i: Journal of social archaeology. - : SAGE. - 1469-6053 .- 1741-2951. ; 11:3, s. 266-282
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Tidskriftsartikel (refereegranskat)abstract
- From 1933 to 1937 the German National Socialist (Nazi) Party arranged an annual harvest festival at Bückeberg, close to the city of Hamelin. The festival was one of the symbolically most important celebrations in the Third Reich; at its height, more than one million people are reported to have gathered there. A special arena, designed by Albert Speer, was built to handle the large number of participants. Although extensive remains of this arena have survived, local feeling has prevented them from receiving official recognition as a historical monument. This paper presents the Bückeberg site and discusses the responsibilities of heritage professionals towards sites which may have significance as testimony to the past but which are not actively championed by the public.
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| 10. |
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