ABSTRACT
Introduction: patient safety culture is an important part of improvement in the safety of health care. Knowing its present status is required for development of safety culture. The present study aimed to evaluate the current status of Patient safety culture in hospitals of three central provinces of Iran
Method: the present cross-sectional study was performed in teaching hospitals of Tehran, Alborz, and Qazvin provinces. The standard HSOPSC questionnaire was used for evaluation of the patient safety culture from the viewpoint of 522[Qazvin: 200, Tehran: 312, Alborz: 40] individuals who were randomly selected as workers of the hospitals. The collected data were analyzed using Chi-square and ANOVA tests
Results: the mean positive response to 12 aspects of the patient safety was 62.9%. "Organizational learning" had the highest proportion of positive response [71.18%] and "Handoffs and Transitions" had the lowest [54.49%]. There was a statistically significant difference in scores of "Teamwork within Units"[p=0.006[,"Manager Expectations and actions promoting"[p=0.014],"organizational learning and continuous improvement"[p=0.001], "Management support"[p=0.007], "Feedback and communication"[p=0.012], and "Communication openness"[p=0.003] among the provinces, respectively
Conclusion: we performed a full assessment of the patient safety culture in the studied provinces. Organizational learning was satisfactory in the hospitals. The studied hospitals need arrangement of safety-based programs and supports of senior administrators to perform more sophisticated efforts and improve the patient safety culture
ABSTRACT
Introduction: quality of health services is the rate of achievement to the most desirable resultants of health, so that provided services are effective, efficient, and affordable. Thus, quality evaluation can be an important source of information for recognition of problems and favorable plans in provision of treatment services
Method: in this cross-sectional study, criteria of quality in hospital services and the compatibility rate from viewpoint of providers and recipients of services in Iran were studied using simple random sampling method in 4 provinces of country among 1485 people. Data were gathered using a designed questionnaire; criteria of quality in views of providers and recipients of services in six dimensions were studied. The data were analyzed using SPSSW-20 software. In order to analyze the information, descriptive tests and to determine the compatibility rate between the two groups, Chi-square test were used at a significance level of 0.05
Results: based on the results of this research, most percentage of accordance between the two groups of providers and recipients of services was in "Human Resources" dimension and in 1st priority ["Knowledge and specialty and skills of physicians and nurses and other people involved in patient care" criterion] with a frequency of 76.3 and 73.1 percent. Among the six studied dimensions, compatibility rate between the two groups, in "Access to Service and Care", "Respecting Values and Emotional Support", and "Management and Coordination of Care System" dimensions was significant [P<0.001]
Conclusion: quality evaluation is an important source of information for recognition of problems and favorable plans in provision of effective health services. Therefore, recognition of different views of beneficiary groups and specially attempts to make perceptions of providers and recipients closer in the context of quality criteria are essential