[ effect of medical equipment maintenance management system implementation on Valie-Asr hospital costs situated in Arak 2006]

Medical equipment improvement and tremendous expenditure is allocated costs annually, so that optimum and proper maintenance management of equipment would have outstanding effects on health and treatment of medical training and research economies of the country. Present research was implemented aiming to examine effect of the medical equipment maintenance management systems on the hospital setting expenditures. In an interventional research, the model of medical equipment maintenance management system implemented in Imam Khomeini Hospital was examined precisely and based on appropriate software for Vali-e-Asr Hospital was designed. According to the model for all available medical instruments in Vali-e-Asr Hospital with usage of more than 5 years [240 medical equipment]; all costs were recorded in 2006 and compared with previous year [2005]. There wasn't any training for medical equipment operators and for its implementation necessity on 21.7% of equipment in the installation and start up phase with for 83.7% of equipments the operator was not fixed using of medical equipment maintenance management system, the repair events decreased from 78 events in 2005 to 58 events in 2006. Vali-e-Asr hospital recorded costs for maintenance and repair of medical equipment in 2006 was 801765375 Rials [Iran] which decreased to 513212912 Rials [Iran] according to accurate calculation of costs and auditing by medical equipment engineer and shows 36% saving in expenditures by medical equipment maintenance management system. Medical equipment computer-based maintenance, management system implementation and also using of medical engineers potentialities in hospital are necessary

[ relationship between physical and human resources in the intensive care units and patients mortality rate in hospitals of Markazi Province's:2007]

Recognition of mortality-related factors in Intensive Care Units[ICUs] could increase efficiency and effectiveness of these units. This research determined the relationship between the physical structure, human resources and their relevance to mortality rate in Intensive Care Units. In this cross-sectional study, all ICUs of hospitals in Markazi province were considered. Data gathering tools were resource [human, physical and training] questionnaires and checklists which their reliability and validity were accepted by Monitoring and Validation Center of Ministry of Health. Mortality rate after 24 hours of admission was also determined in relation to hospital resources and activities. Data were analyzed with descriptive statistics, Spearman and Kruskal-Wallis tests. Total score of human, physical and training resources in hospitals of Markazi Province is 55 percent of the country standard score. Mortality ratio after 24 hours of admission, to all patients [released and deceased patients] was highest in Vali-e-Asr hospital [25%] and lowest in Saveh Shahid Chamran Hospital[5%]. There wasn't significant difference in this ratio among hospitals. There were no significant difference between obtained scores of each resource [human, physical and training] among University, Social insurance and Qods [private] hospitals with respect to mortality rate 24 hours of admission. Human, physical and training resources have not direct effect on decreasing mortality rate after 24 hours of admission but can create necessary conditions for providing higher quality services