M Akhavan Sepahi, Sh Hejazi, A Koopai, K Eshagh Hoseini, A Belbasi,
Volume 8, Issue 1 (20 2012)
Abstract
Background & Objectives:
Nowadays the performance of
hospital blood banks is assessed by cross-match to transfused unit ratio which
it is recommended to be less than 2.0. The aim of this study was to evaluate
the most common indications for blood transfusion in Qum University hospitals.
Methods: In this retrospective study 4370 blood order forms from March 2010 till
April 2011 were assessed. To calculate C/T ratio, the number of cross-matched
units was divided by the number of transfused units.
Results: Of total 4370 blood order, 57.1% were male. From all blood order forms,
16.42% (C/T : 1.196) were not transfused. The highest rate of blood orders
pertained to surgery emergency and trauma (23.3%), hematology and oncology
(14%), gynecology (11.3%), internal ward and nephrology (8%), infectious ward
(6.9%), burn ward (5.9%), general surgery (4.4%), orthopedics (3.2%), ICU
(2.3%) and pediatrics (8.6%).
Packed cell was the product with the highest order rate of 78.7% in Qom
teaching hospitals however, out of this rate 44% remained untransfused.
Conclusion: According to the findings of this study the rate of
non-transfused ordered blood components in Qom teaching hospitals seems very
high. Thus, it is recommended to employ the international and/or national
guidelines in order to reach to optimal rate.
Normal
F Bidarpoor, Kh Rahmani, B Akhavan, A Rahimzadeh, A Pourmoradi,
Volume 14, Issue 4 (Vol.14, No.4, 2019)
Abstract
Background and Objectives: Despite the implementation of the health reform plan and the increasing number of comprehensive centers of health services in 2014 in Iran, many people still do not attend these centers for various reasons. The aim of this study was to determine the reasons why urban households do not attend comprehensive centers of health services in Sanandaj.
Methods: This study was carried out using two quantitative and qualitative approaches. In the quantitative section, data were collected through a checklist and interviews with 200 household heads who did not attend. In the qualitative section, the views of physicians, other health providers, and household heads were obtained using semi-structured interviews.
Results: A feeling of no need for health services, paying more attention to treatment, working on morning shifts, physical problems, inappropriate location of centers, inadequate informing services to community members, inconsistency between existing services and clients’ needs, and inappropriate treatment of some health providers were the most important barriers to non-attendance of clients. Despite four years of implementation of the health reform plan in Iran, 53.5% and 60% of participants had no awareness about the presence of mental health and nutrition experts and their free services in the centers, respectively.
Conclusion: Although there are many reasons for people not attending comprehensive centers of health services in cities, informing and introducing services to the community and considering the clients’ needs are essential.
