Journal of

Bachground: The use of optimal purchasing methods in the medical equipment sector, along with the implementation of state laws and regulations by the government, can serve as a way to move towards smart purchases. To be raised. The aim of investigating the factors affecting the decision making of purchasing capital equipment in hospitals affiliated to Tehran University of Medical Sciences.

Materials and Methods: In this applied research, which was conducted in the year 2017, the statistical population of the study were directors, heads and supervisors of the diagnostic and therapeutic sections and medical equipment of all hospitals, and managers and experts of medical equipment of the University of Medical Sciences who were 631 They formed. Data gathering tool was a researcher-made questionnaire. After verifying their validity and reliability, the data were collected and analyzed using SPSS software.

Results: The most effective variables of the actual price of capital equipment at purchase time with a regression coefficient of 0.368 and against the least effective variable in this area is the competitive or exclusive sale of the market with a regression coefficient of 0.162.

Conclusion: Therapeutic centers to purchase capital equipment should use standard decision-making criteria. Considering the sensitive role of identifying and selecting the best brand for the purchase of equipment, as well as the costs that these purchases bring to the health system, the use of quantitative and qualitative criteria as well as the use of experts is very important, in this way, equipment Provides economical and quality services to provide the right services.

Background and purpose: Considering the dimensions of organizational bullying and the context of its creation in the emergency department of the hospital, the decrease in the quality of patient care and the increase in dissatisfaction with the services received and the limited research studies in this area, the research was conducted in the emergency department of a hospital of Yazd University of Medical Sciences.
Materials and methods: To carry out this descriptive-analytical research, the interpretive structural modeling method was used. The experts included 30 doctors, nurses, and nurses who were either working in the emergency department of a Yazd University of Medical Sciences hospital or had experience of service in this department. From the extraction of these factors, they were returned to them for scoring, and the effects of these factors were measured from their point of view, and the final analysis was done by MATLAB software.
Results: The results show that the greatest effect in reducing bullying is related to "adequate training for personnel to communicate" and "proper and courteous treatment in the face of clients" (with influence power of 5) and the least effect is related to "creating a suitable comfortable environment". and "Perform appropriate triage" (with penetration power of 1).
Conclusion: Considering the destructive effects of bullying, creating appropriate mechanisms to reduce this phenomenon shown in this research and using the factors identified by the people involved in bullying can prevent this phenomenon, which occurs frequently in the emergency room of the hospital.