The perspectives toward patient safety culture among nurses staff in educational hospitals in Gorgan in 2011

The basic responsibility of nurses is to maintain patient safety including notifying patients and colleagues about risk and risk reduction methods, supporting the patient safety and reporting events to a responsible person. Without creating a safety culture in all health facilities a sustainable development in the patient care do not occur. This study aims to determine the patient safety culture in teaching hospitals in Gorgan. In this cross-sectional study, a target group includes nurses at 5 Azar, Taleghani and Deziani Hospitals in Gorgan in 2011. The study population included 348 nurses in these hospitals. The data collection instrument was a questionnaire with 43 questions. Statistical tests were ANOVA and T-Test. Twenty four percent of nurses believed patient safety culture is weak, 46.8% of them, moderate and 30.7% good. The weakest dimension was non-punitive response to error and strongest dimension was organizational education. Statistic test showed significant relationship between patient safety culture and experience [p= 0.021], employment status [p= 0.001], hospital [p= 0.001], ward [p= 0.003]. The status of the patient safety culture was related moderate from the nurses' view point but it is necessary it improved in dimensions of the non-punitive response and the staff workload to note that it is highly recommended to take some actions in this regard. [Kabir M. Heidari A. Jafari N. Vatankhah S. Etemad K. Aarabi M. Aghapour SA. Lotfi M. The perspectives toward patient safety culture among nurses staff in educational hospitals in Gorgan in 2011. IJHS 2013; 1[1]:75-83] http:/jhs.mazums.ac.ir

[ impact of family physician program on health indicators in Iran [2003-2007]]

Objective[s]: Family Physician" program has been launched since 2005 as a fundamental health plan in Iran. In spite of valuable information gathered through vital horoscope, only a few studies have been done in order to evaluate the performance of this program. So this research has been carried out to assess the impact of this program on heath indicators

Methods and Results: The research involved collecting data about 11 main health indicators extracted from the official annual report of the deputy for health from 2001 to 2006 and analyzing them through t- paired test in SPSS. Statistical analysis shows that the changes in 6 main indicators during these years including infant mortality rate [IMR], crude birth rate, under-5 mortality rate [U5MR], neonatal mortality rate [NMR], maternal mortality rate [MMR], and percentage of deliveries attended by unskilled persons were significant [P<0.05] and all of the above indicators have decreased during these years . Although other 5 indicators such as crude death rate [CDR], general fertility rate, percentage of deliveries in hospitals ,percentage of family planning coverage and still birth rate had an appropriate improvement during these years, their changes were not statistically significant [P>0.05]

Conclusion: Findings indicates that there is an acceptable improvement in many of the health indicators since starting this program. But this does not mean that the other factors that might have affect on these indicators should not be considered