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
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