Maryam Ahmadi; Ali Maher; Mohammad Hossein Hayavi Haqiqi; Jahanpour Alipour
Volume 8, Issue 6 , January and February 2012, , Pages 894-899
Abstract
Introduction: The goal of every healthcare risk management program is to reduce the possibility of undesired events for patients. Such programs include identifying undesired events, analyzing their causes, estimating the possibility of outbreak and their results and taking proper actions to prevent ...
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Introduction: The goal of every healthcare risk management program is to reduce the possibility of undesired events for patients. Such programs include identifying undesired events, analyzing their causes, estimating the possibility of outbreak and their results and taking proper actions to prevent their recurrence. The goal of this study was to compare healthcare risk management programs in selected countries and to propose a model for Iran. Methods: This descriptive-comparative study included England, the USA and Australia. National Health Services (NHS), Joint Commission on Accreditation of Health care Organization (JCAHO) and Medical Defenses Association of Victoria (MDAV) were selected as samples (because of functionality scope). Available information through the Internet, email and library references were used to collect data. Data was analyzed by comparative tables and descriptive statistical methods. The final model was prepared based on the performed analyses and after obtaining the viewpoints of related specialists. Results: There were numerous common points between the risk management process and documentation principles while few were observed in informed consent gathering principles. On the other hand, many differences were found among data elements in incident report forms. JCAHO gave more roles to medical record managers. Conclusion: Despite common points in risk management principles, each sample had mainly focused on needs and infrastructures of care delivery in their country.
mohammad salarianzadeh; Mahdi Jafari Sirizi; Mohammad Hossein Yarmohammadian; Ali Maher
Volume 8, Issue 8 , January 2012, , Pages 1025-1038
Abstract
Introduction: In every organization, productivity is considerably related with organizational knowledge, experience, creativity, and skills. Therefore, an organization must develop training programs to extract and supply individual, occupational, and organizational needs. This case study described the ...
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Introduction: In every organization, productivity is considerably related with organizational knowledge, experience, creativity, and skills. Therefore, an organization must develop training programs to extract and supply individual, occupational, and organizational needs. This case study described the management performance promotion plan in the Iranian Ministry of Health and Medical Education (MOHME). The plan aimed to strengthen the knowledge, insight, and skills of managers for organizational missions.Methods: Competency-based training (CBT) was used to empower managers in the Iranian MOHME during 2002-2008. The program included 7 stages for which a professional training committee was formed and 7 education-research-consultation centers were established. All man-agers of MOHME were covered by the program. In every stage, both the findings of previous studies and implementation of new research were used. The training committee confirmed the validity of the primary and secondary information, the training method, and results in every stage by using scientific methods and tools.Results: The extracted needs, developed packages and implemented courses were in line with the objectives, strategies, problems, legal duties and organizational and occupational needs of the MOHME. Managers' performance assessment at 6-month and one-year intervals showed their per-formance was improved by 25%. Their performance was also 37% higher than untrained managers. Most managers did not initially possess adequate management knowledge, skills, and experience.Conclusion: In order to promote performance of managers, attention must be paid to organiza-tional missions and the required skills and knowledge. CBT is an appropriate model for improv- ing individual, professional, and organizational performance of managers and can be used in the Iranian MOHME.
Mohammad Hossein Salarianzadeh; Farhad Sadr; Mohammad Reza Vaez Mahdavi; Ali Maher
Volume 8, Issue 8 , January 2012, , Pages 1199-1212
Abstract
Background: Nowadays, entrepreneurship stimulates economical development. It is the center of individual and organizational activities. Since the government in developing countries participates in all areas of cultural and socioeconomic affaires, especially in health services, it is very ...
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Background: Nowadays, entrepreneurship stimulates economical development. It is the center of individual and organizational activities. Since the government in developing countries participates in all areas of cultural and socioeconomic affaires, especially in health services, it is very important to change static organizations into dynamic ones. The aim of this study was to detect factors affecting organizational performance, especially entrepreneurship, in Iranian governmental health system. We also tried to suggest a model to develop entrepreneurial organization. Method: We used stratified random sampling method to select 43 governmental health systems in both regional and national levels. To collect data, a questionnaire, with a Cronbach's alpha of 97%, was filled out by high- and middle-ranked executives. Correlation test was applied in SPSS to analyze the data. Results: Overall, 80% of managers responded to the questionnaire. Many factors, including structural, behavioral, and circumstantial factors, were found to affect organizational entrepreneurship in Iranian governmental health system. Based on our results, the mean value of organizational entrepreneurship (3.08) was very low. Customer satisfaction however, scored a bit higher compared to other factors. The low values of other factors such as low income diversity, lack of privatization and research and development groups have led to low organizational entrepreneurship in these organizations. Conclusion: Governmental health system in Iran has not benefited from organizational entrepreneurship. Therefore, a special applicable model, such as the model proposed in this research, is required to develop entrepreneurship in these organizations.
