RESUMEN
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
RESUMEN
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
RESUMEN
Introduction: Human resources are the main sources of production and basic capital in every organization. Reward management is one of the effective approaches used by the organizations to attract and retain employees in their work place. The aim of this study was to investigate the effect of organizational reward system on performance of administrative and support employee through increasing their motivation in teaching hospitals of Qazvin, 2015
Methods: This cross-sectional descriptive-analytical study was conducted on 326 employees selected from three departments [administrative, support, and management] of 5 teaching hospitals of Qazvin in 2015. The questionnaires used in this study include demographic questionnaire [11 questions related to demographic characteristics], Waruni research questionnaire [8 questions related to organizational reward], Herzberg's two-factor questionnaire [37 questions related to employee motivation], and Stephen's research-based questionnaire [19 questions related to employee performance]. Data were analyzed using SPSS 23 and LISREL 8.8. To test the study hypothesis, confirmatory factor analysis [CFA] and structural equation modelling [SEM] were applied
Results: Findings revealed that organizational reward [both extrinsic and intrinsic] had an influential effect on the employee motivation. Furthermore, either directly or with mediating role of motivation, organizational reward had a direct significant effect on employee performance [P
Conclusion: Identification and increasing motivating factors in employees, especially those who are under more work pressure, can significantly improve their performance
RESUMEN
Background: In spite of being vital to save the patients' life, blood transition may be dangerous and even fatal, too the aim of this study was to investigate the side effects [complications] of blood transfusion in the educational hospitals of Qazvin.
Materials and Methods: This is a descriptive cross sectional and practical study that was carried out in 2010. In this study, all the patients of four health training centers in Qazvin, that have had blood transfusion and complications, were considered as a part of the statistical community. The instrument for data collection was checklist which was filled through an interview with blood bank manager and some other responsible individuals and scrutinizing files of patients who had blood injection among the blood products consumption, request for the packed cells was the most and for fresh frozen plasma was the least.
Results: 75% of these people had only one blood injection and the maximum injection volume was 100cc which was done mostly in the evening. Most of the transfusion history belonged to 21-30 year olds in our statistical community. 56% of all Patients that had transfusion, possessed background of some disease such as heart problems [21.9%]. More than half of them [2.56%] had a chill feeling complication transfusion and there was a significant relationship between the blood transfusion volume and itching complication.
Conclusion: Existence of a continuous association between blood transfusion organization and hospitals is indispensable. Therefore, it seems that Hemovigilance system or computer connected network to send reports, between hospital centers and blood transfusion organization of Iran, can be an appropriate solution.
RESUMEN
Objective[s]: To analyze the current position of HDI in Iran and regional countries considered in the scope of the 20 year vision program document
Methods: The considered survey countries are Kuwait, United Arab Emirates, Armenia, Turkey, Lebanon, Islamic Republic of Iran, Azerbaijan, Syria and Pakistan. Based on HDI reports Iranian indicators of 0.571 in 1975 has grown to 0.782 in 2009, and based on the most recent United Nations human Development report [Oct 6, 2009]
Results: Islamic republic of Iran is ranked 88th amongst the 182 world countries and is ranked 12th amongst the 25 regional countries of the 20 year vision plan document
Conclusion: Management and personnel of health sector have a key role to improving the index and as a result take a leading role in human development and improvement of our country's ranking amongst the regional and world countries