Journal of

Background: Hospitals have been known as main water consumers .Moreover ,  the amount of their produced  wastewater and contamination is much more than domestic subscribers. Hospital waste management has recently emerged as an issue of major concerns but wastewater produced has not received sufficient attention. As there is a separate source of drinking water from that of sanitary usage in hospitals of Qom, surveying the consumption  of water and the amount of  produced wastewater will provide a lot of information in order to estimate amount of water requirement and wastewater produced in the hospitals

Materials and Methods: The amount of water consumption in hospitals had been collected from the year of 2008 to 2013. Collected data and conversion ratio of water to wastewater had been used for estimating the amount of wastewater. The data was analyzed by SPSS 19 software. Pearson correlation test was used to determine the relationships between variables. By identifying strengths and weaknesses of current system , appropriate interventions for better management of water and sewage systems were presented.

Results: The average of water consumption was found to be 655.7 liter per day per bed and 8.6 liters  per square meter of substructure area among all eight hospitals surveyed.There was a statistically meaningful relationship between consumed water in hospitals and substructure area (p<0.05).The average quantity of wastewater produced was estimated as 567.6 liter per day per bed. The main method of wastewater disposal is discharge in an absorbing well.

Conclusion: In order to improve the current situation of  mentioned  hospitals, reconstructing water and wastewater facilities , using  wastewater treatment packages and connecting waste water of hospitals to systems of wastewater collection of city seems inevitable.

Background: The Pabon Lasso graphical Model is a method to determine hospital efficacy as one of the most important part of health system in developing countries. This study aimed  at assessing the efficacy analysis using Pabon Lasso Model and comparing with national standards of educational hospitals affiliate to Qom University of Medical Sciences.

Materials and Methods: This descriptive study conducted in educational hospitals of Qom University of Medical  Sciences in 2011 - 2013. Data collected by approved forms of Health Ministry and three indicators including bed occupancy percentage, bed turnover rate, and average length of Stay were calculated for each hospital using Pabon Lasso model. One sample t-test conducted to data analysis.

Results: The mean of bed occupancy and bed turnover was 76.9±9.8 and 100.6±35.4 respectively which were significantly higher than national standards. In addition, the average length of Stay was 3±1.1 days that were similar to standard. The Highest efficacy calculated for IZ hospital and lowest efficacy observed in KA and NE hospitals. Moreover, ZA Hospital can achieve excellent efficacy in 2013.

Conclusion: The mean of bed occupancy and bed turnover assessed  very desirable  and higher than national standards. Moreover, only IZ and ZA hospitals had excellent efficacy based on Pabon Lasso model.