ABSTRACT
Objective: to identify and prioritize factors affecting the location of road emergency bases in Iran using Analytical Hierarchy Process [AHP]
Methods: this was a mixed method [quantitative-qualitative] study conducted in 2016. The participants in this study included the professionals and experts in the field of pre-hospital and road emergency services issues working in the Health Deputy of Iran Ministry of Health and Medical Education, which were selected using purposive sampling method. In this study at first, the factors affecting the location of road emergency bases in Iran were identified using literature review and conducting interviews with the experts. Then, the identified factors were scored and prioritized using the studied professionals and experts' viewpoints through using the analytic hierarchy process [AHP] technique and its related pair-wise questionnaire. The collected data were analyzed using MAXQDA 10.0 software to analyze the answers given to the open question and Expert Choice 10.0 software to determine the weights and priorities of the identified factors
Results: the results showed that eight factors were effective in locating the road emergency bases in Iran from the viewpoints of the studied professionals and experts in the field of pre-hospital and road emergency services issues, including respectively distance from the next base, region population, topography and geographical situation of the region, the volume of road traffic, the existence of amenities such as water, electricity, gas, etc. and proximity to the village, accident-prone sites, University ownership of the base site, and proximity to toll-house
Conclusion: among the eight factors which were effective in locating the road emergency bases from the studied professionals and experts' perspectives, "distance from the next base" and "region population" were respectively the most important ones which had great differences with other factors
ABSTRACT
Introduction: Patient safety and its requirements fulfillment are today one of the useful valuation indicators in healthcare organizations. Thus, patient safety culture and its promotion are referred to as one of the most important issues raised in the country. The present study aims to examine the effective factors [personal and organizational] in patient safety culture from the point of view of nursing staff in Bahman and Parsian private hospitals
Method: The study has an analytical cross-sectional design and is an applied research. HSOPSC [with Cronbach's alpha coefficient was 0.82] and researcher-devised questionnaires [with Cronbach's Alpha equal to 0.912] were the only data collection tools. Statistical population includes nursing staff of Bahman and Parsian private hospitals in north-west Tehran. A sample consisting of 150 nurse shift supervisors and head nurses was selected from the population. Necessary data for completing questionnaires were collected by interview. Data were analyzed using SPSS16 software. Given the levels of measurement for the variables, valid measures of central tendency [mean, standard deviation], correlation tests, Chi-square, t- test, and ANOVA were used
Results: The findings showed us that such factors as organizational commitment, error reporting system, management support, reward system, and employee empowerment equipment distribution have important roles in patient safety. Their P-values are reported <0.001 for all of them. Patient safety was not significantly associated with age [P=0.964], educational level [P=0.154], and work experience [P=0.888] There is no low awareness about safety culture in any hospital and their mean awareness about patient safety culture was equal to 3.13 +/- 0.478 and 3.68 +/- 0.587 in Parsian and Bahman hospitals, respectively [P<0.001]
Conclusion: Error reporting system and organizational commitment respectively have the most and the least effect on promoting patient safety culture. Empowerment heightens the awareness of employees, enhances their performance and productivity, reduces errors caused by lack of awareness, and improves patient safety. Reward system and organizational commitment had the least effect