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R Shahrabadi , B Moeini , Gh Roshanai , S Dashti , V Kafami , M Haghighi ,
Volume 12, Issue 4 (3-2014)
Abstract
Background: Health care providers`culture about the patient safety means accepting and considering patient safety as the first priority and organizational core value or health center`s staffs beliefs, perceptions and trends of on patient safetywhich is reflected in their behavior. This study is aimed to assess nurses perceptions of patient safety culture`s dimensions which is working in hamadan`s hospital.
Materials & Methods:The method of this study is descriptive- analytical type and statistical society includes 215 nurses of 3 hospitals of Hamadan which had been selected by random sampling. Stanford patient safety culture questionnaire was used to assess dimensions of patient safety culture.The data were analyzed by SPSS 15 software and descriptive tests.
Results: The result indicated that all dimensions of patient safety culture through nurses` perception are weak . Among these dimensions, the " Unit Leadership for Safety " with 25.21 percentage and "Learning and Feedback " with 41.82 percentage were the lowest and highest positive rating in all three hospitals respictively .
Conclusion: According to weak rate of all patient safety culture`s dimensions in studied hospitals, performing training programs by head nurses is suggested in order to improve cultural concepts such as establishing “supportive mechanisms for patients families” and "culture of discussion of errors among nurses" .
Edris Hoseinzadeh, Mahmoud Taghavi, Mohammad Reza Samarghandie,
Volume 13, Issue 3 (12-2014)
Abstract
Background and objective: Bioaerosols are airborne particles which can cause a wide range of health effects including hospital and occupational infections, acute toxic effects, allergies and cancer. Hence, the aim of this study was the qualitative and quantitative evaluation of bioaerosol in different wards of Malayer city’s hospitals.
Material and methods: Sampling was conducted from twelve wards in two hospitals. Both bacterial and fungal sample were taken based on method of ACGIH bioaerosol committee. The samples were transported to blood agar and sabouraud medium then cultivated immediately. The type and number of colonies were determined in the laboratory then, the bioaerosol concentration was calculated in terms of cfu/m3.
Results: Overall, the maximum concentration of bacterial (21.27 cfu/m3) and fungal (66.49 cfu/m3) colonies were found in pediatric and CCU wards, respectively. The minimum concentration of both bacterial (8.74 cfu/m3) and fungal (2.18 cfu/m3) colonies were found in autoclaving ward. Staphylococ negative coagulase(33.76%), Micrococ species(16.23%) and Bacillus species(15.58%) were found to be the most common organisms and, Penicillium spp. (50.9%), Cladosporium spp. (27.02%) and Aspergillus spp. (8.1%) were the most common fungal genus.
Conclusion: Except of a few cases, total concentration of bioaerosols was lower than the guideline concentration (30 cfu/m3) in the all wards. High concentrations of bioaerosols in some wards can be explained by some reasons such as wear and tear of buildings, improper ventilation, incomplete disinfection of wards and, the high number of patients and visitors.
Fateme Tanha, Adel Mazloumi, Vahdat Faraji, Zeinab Kazemi, Mina Shoghi,
Volume 14, Issue 3 (9-2015)
Abstract
Background: Recently, considerable attention has been paid to medical errors in health care system. Taking into account that nurses spend more time with patients in comparison with other staff, they are more prone to human errors. The present research conducted to investigate nurses' errors in delivery emergency ward in a hospital affiliated to Tehran University of Medical Sciences.
Material and Methods: In the present coss-sectional study,at first, task analysis was conducted to nursing proffession using Hierarchical Task Analysis (HTA) technique by FGD. In next step, the Human Error Probability (HEP) was determined utilizing SPAR-H method and dependences of performance-shaping factors (PSFs) and action and diagnosis activities were identified. Finally, after determinig dependency level, the final diagnosis HEP was calculated and risk assessment level was carried out using the risks' probability and intensity tables.
Results: According to the results, four groups of studied tasks, the lowest errors were belonged to "working with serum pumping machine'' subtask with the error level of 0.055 and the highest error probability related to '' transfusion of blood products'' subtask with the error rate of 0.78. Moreover, special responsibilities of the wards had the highest level of undesirable risks.
Conclusion: In the present study, the analysis of identified errors reveals due to high work demand, insufficient time and the need for accurate administrative monitoring and providing required arrangements, the main causes of errors can be attributed to high level of stress and complexity in the tasks of delivery emergency ward.
Mohamad Mehdi Hazavehei, Fatemeh Noryan, Forouzan Rezapour Sahkolaee, Abas Moghimbayge,
Volume 15, Issue 1 (6-2016)
Abstract
Background: Considering the importance of hand hygiene in nosocomial infections prevention and the low outcomes of performed researches in hand hygiene, this study aimed at assessing the effective factors on hand hygiene using planned behavior model among nursing and midwifery staff in atea hospital of Hamadan in 2015.
Materials and Methods: This study was a descriptive and cross-sectional study in which all nursing and midwifery staff of the Atea hospital selected through census sampling. Hand hygiene behavior was observed and all participants filled out a questionnaire based on Planned Behavior Model. Data was analyzed using descriptive and inferential statistics.
Results: only 31 participants (21.1%) had hand hygiene behavior higher than average and 123 (79.9%) had lower than average. Hand hygiene was in the lowest rate, 21.3% and 13% after patient contact and prior to action aseptic respectively. Knowledge (84%) and attitude (90.4%) about hand hygiene was high, but the level of perceived control, (53.35%) was at the low level. Also, there were significant statistical differences between perceived control and hand hygiene between subjective norms and hand hygiene (p<0.05).
Conclusions: The knowledge and attitude to adopt hand hygiene behavior is not enough alone. Along with staff training, it is necessary to have hospital managers and physicians training, providing appropriate context and omitting barriers to have suitable hand hygiene behavior in practice.
Seyyedeh Safoora Mortazavi, Dr Parvaneh Samouei, Seyyedeh Zohreh Mortazavi, Alireza Moniri,
Volume 18, Issue 3 (10-2019)
Abstract
Background: The intensive care unit is one of the most critical parts of the hospital, where the services provided to patients are of great importance. Because nurses have a high volume of work and should respond to patients at the earliest time, the existence of a curriculum is essential. Therefore, proper planning can reduce their fatigue and dissatisfaction caused by the high volume of work.
Materials and Methods: In this research, all activities performed by nurses in the intensive care unit during different shifts for patients, their timing and their GERT network were drawn. The time of each activity was calculated in 4 optimistic time, most likely time, average time and pessimistic time. Also, the total time of activities that can be done by a nurse for one patient from the beginning to the end of the shift can be calculated based on these four modes and an innovative method was used for planning the nursing activities.
Results: The results showed that the total time spent by nurses is significantly different. Therefore, with the help of the proposed algorithm, the activities were allocated to nurses in a way that it created a time equilibrium and significantly reduced the standard deviation and time domain of assigned activities.
Conclusion: The proposed method showed that it is better to allocate patients' work to nurses instead of allocating the patient to the nurse. This will cause all nurses with a fairly equal workload, which can increase the satisfaction of nurses and increase the quality of service.
Arash Mofarahzat, Ali Akbar Fazaeli, Yadollah Hamidi,
Volume 19, Issue 1 (4-2020)
Abstract
Background and Objective: Tuberculosis is an infectious disease and is the leading cause of death from single-agent infectious diseases. The purpose of this study was to estimate the economic costs of this disease and its effective factors in Hamadan province.
Methods: This descriptive-analytical study was conducted on a cross-sectional (two-year time scale) study in 2014 and 2015. The population of this study is tuberculosis patients in Hamadan province. Data extraction was performed by examining the file of patients with tuberculosis in urban and rural health centers and patients of hospital in Hamadan. Also, using a logistic model and Stata 15, social factors and households that are more likely to be exposed to this disease were studied.
Results: A total of 173 tuberculosis patients were identified, with an estimated cost of treatment of 8307 million IRR. Also, the results of the Logit model showed that people living in the city over 65, low educated, and people with HIV The order of 22, 14, 18, and 6 percent would be greater than the likelihood of exposure to tuberculosis.
Conclusion: The cost of tuberculosis, in addition to allocating a significant amount of health resources in the province, also imposes a high burden on households. The social and economic consequences of these costs lead to many abnormalities such as the exclusion of women with a family or the abandonment of the children of affected people.
Yusef Eivazi, Yadollah Hamidi, Ali Akbar Fazaeli,
Volume 20, Issue 1 (5-2021)
Abstract
Introduction: Inappropriate admission and inappropriate hospital days are two undesirable indicators in terms of controlling hospital costs. This study was conducted to determine the rate of inappropriate admission and hospital days and related factors in Shohada Hospital in Kermanshah.
Methods: This is descriptive-analytical study.The statistical population included patients admitted of Kermanshah shohada Hospital in 1397. 245 Inpatient records were selected using Cochran's formula and stratified random sampling. Appropriateness evaluation protocol was used to evaluate the inappropriate admission and inappropriate hospital days. The relationship between age, sex, type of admission, type of ward, type of treatment, coverage of cost hospitalization, place of residence, with rate of inappropriate admissions and inappropriate hospital days was assessed using spss16 software.
Results: 5.7% of admissions and 21.4% of hospital days were inappropriate. Inadequate admission was significantly related to gender, type of surgical or medical treatment, type of hospital ward in chi-square test in contingency tables with 95% confidence. Inappropriate hospital days were related to the type of hospitalization ward in kruskal-Wallis test , type of treatment and place of residence in Mann-Whitney test.
Conclusion: By determining the amount of inappropriate admissions and inappropriate hospital days and related factors for policy makers and managers of hospitals and insurance organizations, it is possible to avoid unnecessary costs without reducing the quality of hospital services.
