ABSTRACT
Laboratory errors may occur in every stage of laboratory management process and lead to a considerable harm to inpatients. This study was aim to investigate the Proactive risk assessment of the laboratory management process in Ghaem Hospital, Mashhad [2013]. This was a descriptive research that quantitatively and qualitatively analyzed some failure modes and effects. In order to classify the modes of failure and effective causes of them and also determining the improvement strategies, we have used "nursing error management association", "Eindhoven" and "theory of inventive problem solving" models respectively. In 5 steps of laboratory management process which is conducted on17 listed sub-processes, on average 59 error modes in each ward was identified. 18.7% of error modes were identified as high risk errors [hazard score >/= 8]. Most of error causes were related to human factors [42.7%].In addition, 31.6% of preventive measures were assigned in human resources management strategy group and 16.9% in team work group. The Healthcare Failure Mode and Effect Analysis method was very efficient in identifying failure modes, determining causes which impact each failure mode, and proposing improvement strategies for laboratory management processes of Ghaem Department
ABSTRACT
Good medical nutrition therapy [MNT] is crucial to inpatients' health and treatment, and is part of routine hospital cares. Surgery ward is a highly danger-prone section in any hospital. The present study was conducted for a proactive risk analysis of nutrition and food distribution in Mashhad Qaem Hospital' Women's Surgery Ward in 2013 through health care failure mode and effect analysis [HFMEA]. A qualitative-quantitative research identified and analyzed the failure modes and effects through HFMEA. To rank error modes, we drew upon nursing errors in the clinical management model; to rank the effective causes of failure, we approved the model by the UK National Health System; and to rank the performance improvement approaches, we used the theory of inventive problem solving, TRIZ [theory of inventive problem solving]. A total of 42 failure modes were identified for 15 sub-processes listed in 7 processes of nutrition and food distribution. In sum, 11.9% of the failures modes were classified as high risk [hazard scores >=8]. Of 15 effective failure modes, the highest number of cause failure modes was associated with team factors, and the lowest number was associated with facilities. Using proactive HFMEA is highly effective in detecting potential failures in medication, effective factors in failure modes, and performance improvement approaches in hospital food distribution. [Monitoring proper patient-wards relationship], [committee establishment on diet, nutrition and medications], [performance assessment checklist making] and [supervising by nutrition authority over food distribution in wards] were identified as effective performance approaches in the Women's Surgery Ward in Qaem Hospital
ABSTRACT
Obesity is rising rapidly in Iran. Nutrition is an important issue of obesity; Fruits and vegetables are among the best food sources of antioxidant vitamins, soluble fibers, phytochemicals, and other nutrient constituents. Further, some of these foods have been shown to be protective related to reduction of chronic disease risk. In this study, consumption of fruits and vegetables and body mass index [BMI] among College Students Living in dormitory at Shahid Beheshti University of medical sciences were evaluated. In this descriptive analytic survey, 658 college students whose have being lived in dormitory at Shahid Beheshti University of medical sciences were selected by clustering sampling method. Data collected using a food frequency questionnaire and analyzed by SPSS[16] software. Mean age of participants was 21.82 for females and 22.76 years for males. Frequency of fruits consumption was 2.6+/- 0.9 per day in female and 2.3+/-0.7 in male, while frequency of vegetables consumption was 3.2+/-1.00 in female and 2.9+/- 0.9 per day in male students. In general, consumption of fruits [p=0.003] and vegetables [p<0.001] were significantly more in female than males students. BMI in students was normal. Results indicated that students hadn't optimal practice towards fruits and vegetables consumption. Thus, it is essential that authorities pay more attention to this specific problem in training the students, in order to maintain the optimal nutritional status
ABSTRACT
Sleeping is an important physiological process, wielding deep effect on the spiritual and physical health of individuals. The present study has been carried out to investigate workers' sleep quality in GoleGohar Mineral Industries Co., Sirjan, Iran. This cross-sectional and descriptive-analytical study has been carried out in 2012. The statistical society included 345 workers in of psychological health of workers in Hematite and Pelletizing section in GoleGohar Mineral Industries Co., Sirjan. The sampling method was simple random selection. Pittsburg Sleep Quality Index [PSQI] was applied in the study, with the Cronbach validity of 0.83. Analysis of data was carried out under SPSS 19 software using descriptive and inferential statistics tests. Workers averaged 30.92+/-4.78 years of age and their working experience averaged 5.47+/-3.24 years. 82.9 percent of the workers responding to the questionnaire were satisfied with their jobs, and 17.1 percent were not satisfied. Body Mass Index [BMI] for workers averaged 24.5+/-3.51 Kg/m3.51 Kg/m[2] 46.9 percent of workers experienced satisfactory sleep and 53.1 percent of them experienced unsatisfactory sleep. The present study has reported workers' sleep quality in a modest level. With high influence of sleep quality on individual performance and on their general health, and high incidence of workplace events, this aspect of workers' health should be in the focus of policy-makers and relevant authorities in health sector
ABSTRACT
Caesarean section is considered as a major surgery which is accompanied by several complications. The present study aimed to determine the effect of behavioral intention model-based educational intervention on reducing the caesarean section among pregnant women. The present interventional study was conducted on 100 primiparous women in the third trimester of pregnancy who were covered by the health and treatment centers of Fasa city, placed in Fars province, Iran. The subjects were selected through simple random sampling and divided into an intervention and a control group. After the pre-test, the intervention group underwent exclusive training based on the behavioral intention model. Then, both groups took part in the post-test and the data were analyzed using paired t-test, independent t-test, and chi-square tests. The results of the study revealed a significant difference between the two groups regarding knowledge, evaluation of the outcomes, attitude, and intention [P<0.001]. The results of the chi-square test also showed a significant difference between the two groups regarding their performance [P<0.001]. According to the results, the present intervention was effective in increasing the pregnant women's knowledge, evaluation of outcomes, attitude and strengthening their intention as well as performance. Thus, this model and other systematic trainings are suggested to be used for pregnant women in order to decrease the rate of caesarean section
ABSTRACT
The increase in substance abuse among youths and its complications form one of the most pressing health problems among students as an important and vulnerable group in society. The purpose of this study is to assess the knowledge and attitude of dormitory students of Shahid Beheshti University of medical sciences regarding substance abuse in 2013. This is a descriptive-analytic cross sectional study carried out on dormitory students of Shahid Beheshti University of medical sciences regarding substance abuse in 2013. 604 male and female students living in the dormitories were selected via random sampling. Data were collected using a questionnaire developed by the researcher based on the questionnaire used by Dehghan, and on a review of relevant literature and expert opinion obtained from professors of the field. Data were analyzed by SPSS16 using descriptive and analytical tests [Pearson correlation, T-test and chi-square]. The mean score of knowledge of dormitory students at Shahid Beheshti University of Medical Sciences was 9.86+/-2.13. Most students [65.6%] had moderate knowledge about drugs. The subjects' mean score on attitude was 61.99+/-10.10. Most students [58.3%] had moderate positive attitudes towards drugs. Students are considered as major assets of a country. Therefore, planning and developing intervention strategies to prevent and reduce substance abuse among university students is essential and plays a major role in improving their health
ABSTRACT
Regular physical activity has a positive effect on physical, mental, and social aspects of individual and community health. Regarding prevalence of non-communicable diseases such as primary hypertension, osteoporosis, and cardiovascular diseases that sedentary is responsible for them; health policy makers plan to encourage people to do more physical activity. In this study, knowledge, attitude and practice towards physical activity and its related factors of students living on campus at Shahid Beheshti university of medical science were determined.In this descriptive analytic survey, 665 individuals college students living on campus at Shahid Beheshti university of medical science were selected by clustering sampling method. Data collected using questionnaires and analyzed by SPSS16 software.54.9% of the subjects were female and 45.1% male. Mean age of participants was 21.82 years for female and 22.76 years for male. Mean scores of knowledge was 73+/-1.72 for male and 78.90 +/-1.66 for female. In addition mean scores of attitude was 79.18 for male and 74.33 for female and mean scores of practice was 228.78 minute per week for male and 174.41minute per week for female.Results indicated that students had no optimal practice towards physical activity. Thus, more attention is necessary to be paid by authorities to this specific topic and some measures are essential in training students