Assessment of Safety Status in Operating Rooms of Shahid Beheshti Hospital, Isfahan, Iran by the World Health Organization Standards for Safety-Friendly Hospitals*

Document Type : Original Article

Authors
Mahbobeh Janghorbani 1
Ahmadreza Raisi, 2
Sanaz Dehghani 3
Arefeh Mousavi 4
1 Nursing and Midwifery, Shahid Beheshti Hospital, Isfahan, Iran (Corresponding Author) Email: m.janghorbani@yahoo.com
2 Assistant Professor, Health Information Management, Health Management and Economic Research Center, School of Management and Medical Information, Isfahan University of Medical Sciences, Isfahan, Iran
3 Health Management Services, Shahid Beheshti Hospital, Isfahan, Iran
4 MSc Student, Health Management Services, School of Health, Qazvin University of Medical Sciences, Qazvin, Iran
Abstract
Introduction: Global patient safety is the concern of all areas of the health care. In addition to the human
suffering in those inflicted unsafe care and services, it has a heavy economic cost. Due to the sensitive
patient safety in the operation rooms, the present study aimed to assess patient safety in the operating rooms.
Methods: This was a descriptive cross-sectional study that was conducted in Shahid Beheshti Hospital,
Isfahan, Iran operating room in 2011. The data were collected through standard questionnaires for patient
safety friendly hospital census from 20 senior, middle and executive managers as well as operating room
staff of Shahid Beheshti Hospital. In order to assess the level of patient safety, average score of 0-0.5
represented a poor level of performance, 0.5-0.7 an average level and 0.7-1.0 showed an intermediate level.
Results: Average score for rule and leadership was 0.7 ± 0.35. In community participation and interaction
with patients 0.56 ± 0.37, in evidence-based clinical services 0.73 ± 0.35, in safe and secure environment
0.78 ± 0.37 which indicated the average, good, good, and good states, respectively. The average overall
safety score was 0.71 ± 0.36 and showed a good performance.
Conclusion: Although the score for the level of safety was good, the organizational policies and programs
in this area at present are not sufficient to achieve a higher level. Necessary investments in strategic
planning must be investigated in order to achieve 100% standards in the four domains

Keywords

Abdi Zh, Maleki MR, Khosravi A. Perceptions of patient safety culture among staff of selected hospitals
affiliated to Tehran University of Medical Sciences. Payesh 2011; 10(4): 411-9. [In Persian].
2. Aspden P, Corrigan JM, Wolcott J, Erickson SM. 04Patient Safety: Achieving a New Standard for Care.
Washington, DC: National Academies Press; 2004.
3. Christian CK, Gustafson ML, Roth EM, Sheridan TB, Gandhi TK, Dwyer K, et al. A prospective study of patient
safety in the operating room. Surgery 2006; 139(2): 159-73.
4. Kunders GD, Katakam GS. Hospitals Planning, Design and Management. New York, NY: McGraw-Hill; 2001.
5. Moullin M. Eight essentials of performance measurement. Int J Health Care Qual Assur Inc Leadersh Health Serv
2004; 17(2-3): 110-2.
6. Pauniaho S, Lepojarvi M, Peltomaa K, Saario I, Isojarvi J, Malmivaara A, et al. A surgical checklist increases
patient safety. Suomen Lääkärilehti 2009; 49(64): 4249-54.
7. Emami Razavi SH. Ravaghi H. Mohaghegh MR. Assessment of Patient Safety in Hospitals a Manual for
evaluators. Tehran, Iran: Mehr Ravesh Publications; 2012. p. 29. [In Persian].                                                                             8. Soozani A, Bagheri H, Poorheydari M. Survey nurse,s view about factors affects medication errors in different
care units of Imam Hossein hospital in Shahroud. Knowledge & Health Journal 2007; 2(3): 8-13. [In Persian].
9. Gibbs VC. Patient safety practices in the operating room: correct-site surgery and nothing left behind. Surg Clin
North Am 2005; 85(6): 1307-19, xiii.
10.Wolf EJ. Promoting patient safety through facility design. Healthcare Executive 2003; 18(4): 16-20.
11. Farkhonde F. Assesment of Safety Patient Calture from Nurses in Educational Hospitals of Shiraz [MSc Thesis].
Shiraz, Iran: Shiraz University of Medical Sciences; 2009. [In Persian].
12.Najafi A. Model Designed to Assess Hospital Performance. Tehran, Iran: Tehran University of Medical Sciences
Publication; 2008. [In Persian].
Health Information Management
Volume 9, Issue 7
Autumn 2012
Pages 1066-1072