assessing of inappropriate admissions and hospitalization based on appropriate evaluation protocol in Alinasab hospital in Tabriz-2009

Assessing applied resources in a hospital as a health system will lead to identify organizational problems in this section and subsequently the necessary actions to resolve them. The aim of this study was to determine measurement of inappropriate admission and hospitalization [ISP: Inappropriateness Patient Stay] and associated reasons. One widely used tools to assess appropriate use of hospital recourse is Appropriateness Evaluation Protocol which include objective criteria related to clinical services provided to the patient. Survey of admission and hospitalization in a cross-sectional and prospective study for 246 patients in the Alinasab hospital affiliated insurance organization carried out in Tabriz. The total of 7 percent of admissions and 6.2 percent of hospitalized were diagnosed inappropriate manner. There was no significant association between inappropriate admissions and other variables. There was significant relationships between Inappropriate bed days with insurance [P=0/041] and duration of hospital stay [P=0/041]. However, there were no association between sex, disease diagnosis and hospital days per week with Inappropriate bed days. The reasons of inappropriate admission and hospitalization in Iran are similar to other countries. Upgrading strategies to referral system performance, creating standard protocols to evaluate criteria for medical personnel and increasing outpatient diagnostic institutions could be reduce inappropriate admissions and stay of patients

[Comparative evaluation of tubal sterilization by two method laparoscopy Filishie clips and minilaparotomy pomeroy technique]

Sterilization is the most prevalent means of family planning these days. Throughout the world, and different techniques have been employed to achieve this end. In this study two techniques of sterilization are being compared. 196 women who desired for sterilization, were randomly assigned in two groups: laparoscopy - Filishie clips [96 cases] and laparotomy-Pomeroy technique [100 cases]. We compared the duration of operation, surgical complications, post operative pain, wound infection and a long term follow-up [1-4 years] for changes in menstrual cycles, pelvic pain and failure rate. The mean duration of the procedure was shorter for the Flishie clips [P<0.07]. Post operative pain was lesser for clips [P=0.072]. The failure rate was 1.72% for clips and for Pomeroy it was 0% [P<0.05]. Other complications did not show significant differences. The Filshie clips technique as a sterilization procedure is simple and without any danger, can be conducted by means of laparoscopy and laparotomy, does not need much expertise, and as regards cosmetic effect and duration of operation seems better