Alireza Jabbari; Ahmadreza Raisi
Abstract
Introduction: Patient safety is a critical component of health care quality. In addition to human suffering, unsafe health care exerts a heavy economic cost to the healthcare system. The aim of this study was to assess the Patient safety infrastructures in selected hospitals of Isfahan University of ...
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Introduction: Patient safety is a critical component of health care quality. In addition to human suffering, unsafe health care exerts a heavy economic cost to the healthcare system. The aim of this study was to assess the Patient safety infrastructures in selected hospitals of Isfahan University of Medical Sciences.Methods: The present descriptive-analytic study was carried out cross-sectional in spring of 2013. Data were collected Using compulsory standards checklist that is used by World Health Organization (WHO) to assess patient safety in hospitals through observation, interviews and reviewing documents in selected hospitals of Isfahan . the data using SPSS 21 , descriptive and inferential statistical methods was analyzed .Then, based on the Compliance level with infrastructures of patient safety, hospitals were classified into three levels of poor (lower than 50%), medium (5o-75%), and good (higher than75%).Results: The overall compliance level of patient safety infrastructure mean with 55,3% was evaluated intermediate in studied hospital. The leadership and management with the highest mean (69.5%) was evaluated average and the patient and public involvement domain with the lowest mean (37.5%) was evaluated weak .Conclusion: In total, the overall compliance level of patient safety infrastructure was evaluated intermediate in studied hospital. Given that acquiring hundred percent of critical standards in in the four domains are essential to be considered at the basic level of patient safety friendly hospital. Therefore, Necessary investments in strategic and operational planning must be considered in order to achieve 100% standards in the four domains
Mojtaba Rajabbegi; Shahram Hashemnia; Seyyed Ali Hozni
Volume 12, Issue 1 , May 2015, , Pages 109-116
Abstract
Introduction: Human errors in medical area have made a concern amongst health policymakers and scientists. So, this study aimed to evaluate influential human factors on risk management in pre- surgery of Obstetrics and Gynecology and assessed the influential strategies and contexes on risk management. ...
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Introduction: Human errors in medical area have made a concern amongst health policymakers and scientists. So, this study aimed to evaluate influential human factors on risk management in pre- surgery of Obstetrics and Gynecology and assessed the influential strategies and contexes on risk management. Methods: The research methodology is survey method and it is a type of applied research and the nursesو head nurses, health workers ،Doctors and all health staff associated with patient in Al Zahra health and education center of Rasht in 2013 who considered as statistical population of this research. 132 people was selected as the sample from the total population of the research in accidental method and the questionnaire that was designed by researcher, its validity has evaluated by reliability of 86/6was measured and the comments masters were concerned . Software spss version 21 Plus Descriptive statistics including mean and standard deviation of measurement techniques and test statistic t and chisqure investigated.Results: There is a significant difference between the human factors on risk management, and influential strategies and contexes on it. The results showed that the influential human factors affected on risk management were lack of attention to the most important medical history and diagnosis، inadequate health issues of non-compliance by the staff and services of patient transfer to surgery unprepared the surgical team for acceptance patient for surgery. Since the use of the Clinical and patient guides lines with regard to the full report, allocated sufficient funds and ،short-term and long term education risk have evaluated as the influential strategies and contexes on risk management.Conclusion: Since the Alzahra health and education center of Rasht is the biggest Obstetrics and Gynecology hospital of GUMS, it is necessary to survey influential factors on risk management. So, base on the results, human factors can cause possible risks in pre surgery in this center. Also, it is necessary for policymakers and managers pay attention to strategies and contexes that can reduce the rate of risks and can manage them.
Hamid Moqadasi; Hasan Haqiqi; Hamidreza Rasekh; Syyed Mohammad Tabatabaiee
Abstract
Introduction: The relationship between pharmacy information system and drug companies in different fields such as drug quality and monitoring of products after sale has major effects on improvement of drug care in patients and drug use management. The aim of this study is to present a solution which ...
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Introduction: The relationship between pharmacy information system and drug companies in different fields such as drug quality and monitoring of products after sale has major effects on improvement of drug care in patients and drug use management. The aim of this study is to present a solution which is designing structured conceptual model for an integrated information system between pharmaceutical company and pharmacy information system.Methods: This survey is an applied study. It was done in a training hospital of Shahid Beheshti university of medical science and a pharmaceutical company in Tehran at 2012 miladi. Data was gathered using a questionnaire and studying documents. Validity and reliability of tools was measures by content validity. Data were analyzed by descriptive statistics that was limited to cumulative and relative frequency. Integrated database was used to make pharmaceutical companies and hospitals related. Conceptual model of software was created using structured analysis method. Results: Integrated information system was used to create relationship between pharmaceutical companies and hospitals.Structured conceptual model for integrated information system which was designed. Designed conceptual model for integrated information system include 4 section which are drug information, selling and buying drugs, adverse drug reactions, and suggestions and opinions about drugs, and were represented by functional model, data model, behavioral model and data dictionary.Conclusions: More accurate analysis should be done for designing health information systems and interoperability must be considered in it. Due to unwillingness of pharmaceutical companies and hospitals to change their software which may be bought recently, and reinvestment caused by changing software, integrated information system can be used to make a relationship between them.
Moslem Sharifi; Mohammad Arab; Bahman Khosravi; Roozbeh Hojabri
Volume 12, Issue 2 , April 2015, , Pages 229-235
Abstract
Introduction: All aspects of health care, along with the risk. Risk management is a set of continuous processes that are used throughout the hospital. The aim of this study is to assess the risk management programs at hospitals in Tehran from the view of two main groups of physicians and nurses' staff.Methods: ...
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Introduction: All aspects of health care, along with the risk. Risk management is a set of continuous processes that are used throughout the hospital. The aim of this study is to assess the risk management programs at hospitals in Tehran from the view of two main groups of physicians and nurses' staff.Methods: This study was a cross-sectional survey to assess the situation of the risk management programs, from the view of 800 medical and nursing staff working in 14 hospitals in Tehran (7 public hospitals and 7 private hospitals). Random - stratified sampling are taken and distributed based on the number of employees in each hospital. Data collection tools, was a part of the CGCQ standard questionnaire. Data entered in spss.17 and using correlation tests and compare means to analyze the data.Results: In the dimension of study, collect and report information, nongovernmental hospitals with an average of 3/31 ± 0/34 had better performance than public hospitals. In the dimension of status, trends and policies in the field of risk management nongovernmental hospitals with an average of 3/25 ± 0/03 was slightly better than the public hospitals. In general, the non-governmental hospital with an average of 3/27 ± 0/02 perform better than public hospitals with an average of 3/27 ± 0/02. Conclusion: Attention to risk management is essential for improving quality of care and increase patients and staff safety and hospital managers should allocate resources to risk management that it is the key factor for patient safety and quality improvement.
Mehdi Kahouei; Fahimeh Salari; Saideh Arghandi Pour; Raheleh Akhbari; Samira Gholi Zadeh
Volume 11, Issue 2 , July 2014, , Pages 149-157
Abstract
Introduction: Appropriate information is essential to plan and to implement clinical governance. This question is posed that what is hospital staff’ expectations of information. This study was conducted to evaluate hospital staff’s expectations of information in clinical governance. ...
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Introduction: Appropriate information is essential to plan and to implement clinical governance. This question is posed that what is hospital staff’ expectations of information. This study was conducted to evaluate hospital staff’s expectations of information in clinical governance. Methods: This descriptive - analytical study was performed on 258 practitioners of affiliated hospitals of Semnan University of medical sciences and social security organization in 2012. Data collection instrument was a valid and reliable questionnaire which was confirmed by experts and was measured its reliability by Cronbach's alpha coefficient. Then it was distributed among the population. Descriptive statistics were used for data analysis in SPSS 16. Results: The findings showed 71.7% of staff had attended training course of clinical governance. 58.6% chose clinical information as a first priority and 53.3% selected managerial information as the fourth priority in clinical governance. 3.6% chose information technology and informatics center as a first priority in the implementation of clinical governance. Conclusion: The results showed although most of the population had passed clinical governance course but it seems essential contents have not been provided in relation to the role of information in clinical governance in the course. These results can create an opportunity for experts in information technology and health information managers to show, more than ever, the role of information departments in the improvement of clinical governance. Keywords: Personnel; Hospitals; Information; Clinical Governance
Ali Akbar Ahmadi; Hossein Mobaraki
Volume 11, Issue 2 , July 2014, , Pages 260-269
Abstract
Introduction:Patient satisfaction is one of the most important indicators of quality of service in hospitals. Pay attention to the views of patients,is the cause of their satisfaction and a foreground for improving the quality level of hospital services. The present study has been to assess patient satisfaction ...
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Introduction:Patient satisfaction is one of the most important indicators of quality of service in hospitals. Pay attention to the views of patients,is the cause of their satisfaction and a foreground for improving the quality level of hospital services. The present study has been to assess patient satisfaction after executing autonomy plan with the goal of improving the quality of service.Methods: Using a cross-sectional descriptive study, 109 questionnaires based on SERVQUAL model and 5 ranking scale of Lickert were distributed among of admitted patients in Amir- Al Momenin (PBUH) and Saheb Al-Zaman (PBUH) hospitals both of before and after executing autonomy plan in Shahreza, Isfahan in March-april, 2012. The obtained data were analyzed in descriptive level (frequency, percentage, mean, and standard deviation) and inferential level(Pearson correlation test, independent t-test and ANOVA test)by software SPSS version 15.Results:Based on the results of this study, patients satisfaction, very much in after autonomy than before, is the evidence of improving the quality of services after executing autonomy plan so that satisfaction of "very high", in percent more patients after autonomy(34/7) compared to before autonomy (11/7) from quality hospital services is seen.Conclusion:According to the results,the hospital should pay attention so much to the quality of service,in tangibles diameter that related to face and physical aspect, and fast responsiveness to customer service, especially in some parts that are front-line of hospital services.Keywords: Patient Satisfaction; Evaluation; Hospitals; Quality of Health Care
