Journal of

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Background:In the healthcare system, teamwork is important to improve the quality of services and provide safe and effective cares. Operation room, as a high-risk environment, requires high levels of teamwork employees to secure performance. This study aimed at assessing the teamwork among surgical teams of hospitals affiliated to Social Security Organizations in Tehran City.

Materials and Methods: In this cross-sectional study "Observational Teamwork Assessment for Surgery" checklist was used to evaluate teamwork skill in surgical teams. Sixty surgical teams from two hospitals were assessed. In order to data analysis, descriptive statistics was used to calculate mean and standard deviation of age, work experience and teamwork scores in surgical, nursing and anesthesia sub teams. Two-Way ANOVA test was used to study relationship between scores of three surgical phases, sub teams and behaviors domains.

Results: Mean and standard deviation of age and work experience of participants were 42.81±8.57 and 10.62±6.18 years, respectively. Mean score of teamwork was 3.60±0.51 (out of 6) that showed higher than average team performance level. Among three sub teams, nursing achieved the highest score (3.78±0.44). There was a significant difference between nursing sub team and others (p<0.05).

Conclusion: Although mean score of teamwork was in higher than average level in studied teams, but discrepancies between three sub teams were high and worrisome. Use of educational solutions utilization can be effective to improve teamwork and increase quality of behaviors in operation room. 

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Background: Accidents are one of the important health problems in the medical community and the third cause of death after cardiovascular disease and cancer in the world, which can cause irreversible damage and lesion, impose heavy costs and depreciation. Therefore, this study aimed to identify epidemiological aspects of the accidents in the first six months in 2012.

Materials and Methods: This applied, descriptive and analytical study was conducted during the first 6 months of 2012. Study population was 1952 injured who referred to emergency department to selected hospitals of Mazandaran Province. Data collection performed using checklist of Center for Disease Control as well as interviews and observations. Data was analysis through SPSS version 17 using descriptive and interfere (x² and Regression) tests.

Results: Study results revealed that there was a significant relationship between incidents leading to injury or death among referred to hospitals with age (p=0.03), gender (p=0.04), type of incident (p<0.001), place of injury ( p=0.005) and type of transfer to hospital ( p<0.001).

Conclusion: Regarding to the significant variables such as the type and location of accident, type of transfer the injured to the hospital, age and gender with accidents and death, planning appropriate education of law to youth, providing air bag and safety improvement of all cars, planning relevant road assistance system, accurate monitoring to its implementation, qualitative and quantitative development of medical centers recommended to Policy makers in health issues.

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Background: Assessment of appropriate and inappropriate services offered at the hospital is a very important topic to improve resource allocation. Thus, this study performed to assess inappropriate admission and length of stay to modify extra costs and effective resource management.  
 
Materials and Methods: This study was a descriptive-analytic one which conducted as a cross sectional study in the first half of 2017. The Appropriateness Evaluation Protocol(AEP) was used to collect data. A total of 420 patients hospitalized in Haft Tir and Firoozgar Hospitals were selected using stratified sampling method. collecting data was analyzed using descriptive and analytical statistics by SPSS₁₈.
 
Result:  391 individuals were admitted appropriately and 29 were classified as inappropriate admission. The rate of inappropriate admission estimated about 7% in the hospitals. female Sex, type of admission, the length of admission and place of patient residence had effect on prediction of inappropriate admission rate (p ≤ 0.05).
 
Conclusion: Considering the high percentage of inappropriate admission and stay length of patients as well as high costs of health services in these hospitals, the problems can be greatly reduced using proper planning, admissions management between the hospital units.