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

ABSTRACT

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