Showing 320 results for Type of Study: Original Article
Jafar Sadegh Tabrizi, Saeide Alidoost, Amir Bahrami, Mohamad Asghari Jafarabadi,
Volume 13, Issue 4 (3-2015)
Abstract
Background: Given the importance of quality in health care and meeting the needs of patients, it seems important to measure the quality of services and identify the weaknesses from the patients' perspective. The purpose of this study is to assess the service quality (SQ) of care as perceived by people with Type 2 Diabetes (T2D).
Materials & Methods: A cross-sectional study was conducted among 180 people with Type 2 diabetes in diabetes clinic using convenience sampling method in Tabriz, Iran in 2012. Service quality was calculated using: SQ=10 – (Importance ×Performance) based on importance and performance of non-health aspects from the patients' perspective. Validity and reliability of questionnaire was reviewed and confirmed. Independent sample T-test and ANOVA were used
to investigate relationship between service quality and categorical variables. Data analyzed bySPSS13 software.
Results: The average service quality score was 8.17 of 10. From the participants' perspective, of 12 aspects of service quality, communication and prevention had the highest score for importance. Dignity had the highest score for performance. However, the highest service quality values were for continuity of care, dignity and confidentiality.
Conclusion: overall service quality achieved inadequate quality and there is an opportunity to improve quality of care.
Dr Abbas Ziari, Dr Kambiz Abachizade, Dr Maryam Rassouli, Dr Mohamad Ali Haidarnia, Dr Mariam Mohseny,
Volume 13, Issue 4 (3-2015)
Abstract
Background:
Different approaches have been suggested to improve the quality of health care and the clinical governance is one of the main models. In the country, Clinical governance is initiated as a national model in 2009 and hospitals were forced to implement it. Only two hospitals of Shahid Beheshti University of Medical Sciences were approved according to evaluation of clinical governance implementation. This study aimed to describe and explain the barriers of clinical governance implementing in educational hospitals of Shahid Beheshti University of Medical Sciences.
Materials and methods:
In this qualitative study, conventional content analysis has been done. Twenty five participants involved in implementing clinical governance, including nurses, physicians, managers and the experts of hospitals and Ministry of Health, have been selected through purposive sampling method and interviewed in a semi-structural way till data saturation. Data were collected and analyzed simultaneously. Member check and peer check have done for data rigor.
Result:
Nine themes include human resource challenges, financing resource shortage, incomplete records and documentation systems, inappropriate organizational culture, lack of awareness of managers and employees, incomplete documented policies and procedures, inappropriate monitoring and evaluation, lack of inter-sector coordination and weak leadership were obtained and were placed in two domains input and process.
Conclusion:
The findings of this study indicate that there are several barriers for implementing clinical governance in hospitals that there is need to prioritize needs and to provide them appropriate solutions.
Zhila Najafpour, Mahmood Mahmoodi, Abolghasem Pourreaza,
Volume 13, Issue 4 (3-2015)
Abstract
Background: There is now a global concern about significant numbers of patients who are harmed or faced financial problems.Therefor, interving in organized approach to provide safe services seems necessary. This study is aimed to assess the basic indicators of patient safety in hospitals affiliated with Tehran University of Medical Science.
Materials and Methods: This descriptive–analytical study was conducted in the 5 selected hospitals affiliated with Tehran University of Medical Sciences. The data were collected using patient safety assessment protocol published by WHO(WORLD HEALTH ORGNAZIATION) tool.The questionnaires were filled using variety of different ways such as : interview, observation and documents investigation. The data were analyzed using SPSS software and also with descriptive and analytical tests.
Results: The results showed total average of maintaining the standards was 51.1% which categorized as weak level based on the protocol . The highest and lowest rates of the domains studied were safe environment (68.8%) and continuing education (24.8%) respectively. Farabi and Rasul Akram hospitals had the best and the worst levels of maintaining indicators of patient safety standards .It is worth mentioning that the status of all the hospitals was in the same level. Statistical tests indicate that maintaining the standards does not differ significantly between participating hospitals.
Conclusion: All participating hospitals has a poor performance through developing basic patient safety indicators .Managers` support and staff participation can be helpful to solve the mentioned issues. Paying attention to patient safety in managerial plans and putting equal value to various aspects of patient safety are pivotal
Dr Mohammad Arab, Farhad Habibi Nodeh, Dr Abbas Rahimi Foroushani, Dr Ali Akbari Sari,
Volume 13, Issue 4 (3-2015)
Abstract
Background: Hospital waste need a very sensitive and cautious attention due to holding hazardous, toxic, and pathogenic factors such as infectious, pharmaceutical, pathological, chemical and radioactive left-overs. Thus, this study aimed to evaluate the observance of safety measures by workers responsible for collecting hospital wastes in the public hospitals affiliated to Tehran University of medical sciences.
Methods and Materials: This cross-sectional and descriptive-analytic study was conducted in 1391. Data were collected through using a questionnaire. According to the frequency distribution, total score for participants was divided into three weak (<26), average (26-30), and high (>30) categories. Data were analyzed by the SPSS 18 software using T-Test, one-way ANOVA and regression analysis.
Findings: Based on the results, 33.3% of hospitals received suitable, 55.5% received average and the remaining (11.2%) received a weak score regarding safety measures. Moreover, there was a statistically significant correlation between cleaning staff’s characteristics (education, age, work experiences and their training) with their safety status score.
Conclusion: Implementing current national principles and standards and conquering shortages, proper planning, using young workers alongside with experienced ones, more training courses and respecting and paying enough attention to cleaning staff would help to improve the safety of collecting hospital wastes.
Seyede Mahboubeh Hosseini Zare, Elham Movahed, Abolghasem Pourreza, Abbas Rahimi Foroshani,
Volume 13, Issue 4 (3-2015)
Abstract
Background : Raising number of elderly people in Iran causes new concerns .One of the important issues is Social support. Social support can be critical for older adults because of their common disabilities and unavoidable dependency to maintain and improve of their health status
Materials and Methods: Questionnaires which had been used for measurement of health status and elderly social support has been collected and combined through searching resources in library and web. 5 district ions of Tehran were selected randomly in order to have a efficient sample size .The questionnaires were filled by 140 elders whom were staying in residential homes and 280 above 60 years elderlies whom were living with their families. The date were analyzed by SPSS software.
Results: 406 questionnaires among 420 questionnaires were filled which showed 96.6%. rate of responsibility. Data analysis showed a correlation between status of physical, mental and social health social support.
Conclusion: There is a significant correlation between Social support and physical ,mental, and social status of health
Farbod Ebadifard Azar, Mohammad Arab, Morteza Badloo, Ehsan Rezaei,
Volume 13, Issue 4 (3-2015)
Abstract
Background: New manegerial approachfor hospital administration as one of the health system reforms with several goals including increased staff motivation were enforced. However, motivation and job satisfaction are two very important factors for survival of organisation. The purpose of this study was to investigate the relation between paying the fee for service, motivation and job satisfaction using the expectancy theory of Victor Vroom.
Method: The descriptive-analytic research conducted in a public hospital of Tehran city in 2013. The sample size was estimated 209 caseswhich selected by using Stratified sampling method.Information Through a three-part questionnaire containing personal informationwith 6 questions, expectations standard questionnaire with 25 questionsand job satisfaction standard questionnaire with 13 questions were collected. SPSS18 software was used for data analysis.
ResultsIn all occupational groups other than physicians, direct significant relationship was observed between the Fee for service and job motivation. In all occupational groups except paraclinic, directly significant relationship between motivation and job satisfaction was observed. Among all occupational groups only in the Administration– Finance Group Direct significant relationship was observed between the Fee for service and job satisfaction.
Conclusion: In this study, hospital staff had Above-average job satisfaction and job motivation lower than average. improving skills through training opportunities, Codification of appropriate Politics and Policies of reward–function and situating favorable bonus from view of the employee (According to motivational differences) are Examples of strategies to improve motivation
Ghasem Abedi, Zeynolabedin Rahmani, Ehsan Abedini, Farideh Rostami,
Volume 13, Issue 4 (3-2015)
Abstract
Background: Services marketing mix (7Ps) is one of the most important concepts of management and marketing. This study has surveyed the role of services marketing mix components in patients` tendency towards the public and private hospitals in Sari.
Materials and methods: In this cross-sectional study, 900 patients were selected from sari`s public and private hospitals based on non-probability quota sampling. Data were collected using a questionnaire including the marketing mix components of which the validity and reliability was confirmed. The data were analyzed using the SPSS V.16 software with a multiple regression hypothesis.
Results: The results showed that among the components of the services marketing mix, the price had the maximum effect (49.2%) and the physical assets had the minimum effect (14.1%) on patients` tendency to public hospitals. On the other hand, staff had the maximum effect (48.4%) and the promotion had the minimum effect (18.6%)on the patients` tendency to private hospitals.
Conclusion: Price is a determining factor in patient’s tendency to refer to public hospitals compared to private hospitals because of delivering services with lower rates. On the other hand, the main reason for patient’s reference to private hospitals is their staff that could be due to their sense of responsibility, accuracy and speed in providing services to patients
Neda Vaziri, Ali Ardalan, Elham Ahmadnezhad, Abbas Rahimi Foroshan,
Volume 14, Issue 1 (6-2015)
Abstract
Background: Emergency operation centers (EOC) have been established in recent years aimed to organize and coordinate through disasters. These centers are responsible for decision-making in response and recovery phases after events. This study is aimed to develop a standard function evaluation criteria for EOC.
Materials and Methods: This mixed method study with sequential triangulation approach had been conducted in 1391 among employees of EOCs which have been running experience for minimum of one year . validity and reliability of questionnaire had been confirmed by face and content validity and Cronbach's alpha respectively. The most important factors have been determined by an Explanatory factor analysis which also helped reducing number of questions.
Results: Final tool by six domains had 38 questions. All content validities were higher than +0.6 apart from one at +0.1. Only the activation domain had inappropriate Cronbach at 0.337 and all others were higher than 0.7. Factor analysis reduced number of questions in each domain. Explanatory factor analysis reduced number of questions from the views of information assessment, activation and coordination and other domains to 5 ,2 and 1 respectively.
Conclusion:It seems that mentioned questionnaire could be an appropriate criteria for assessing performance of EOCs due to its validity and reliability according . The high reliability was resulted from closed correlation of. Appropriate quantity of validity implied EOC personnel great depth of knowledge on all questions asked.
Hana Hasani, Rafat Mohebifar, Amene Barikani,
Volume 14, Issue 1 (6-2015)
Abstract
Background: understanding the patient expectations and perceptions of service quality is one of the requirements for improving quality of health services. The purpose of this study is to evaluate the gap between patient’s expectations and perceptions in five dimensions of service quality in hospitals affiliated with Qazvin University of Medical Sciences.
Materials & Methods: This cross-sectional study was done on 298 patients at hospitals affiliated with Qazvin University of Medical Sciences; it is designed to evaluate the quality of health services based on client’s expectations and perceptions and to determine the strengths and weaknesses of service quality. Data collection was performed by standardized SERVQUAL questionnaire to measure quality of services . the reliability and validity of this questionnaire has previously been confirmed by studies in Iran and other countries. Data analysis was done using SPSS software was performed.
Results: The results showed that there was significant correlation between patients’ expectations and perceptions in all dimensions of quality (p<0.05). The Reliability (2.36) and Assurance (2.24) dimensions have the most and responsiveness dimension (1.98) has the lowest gap. Also (A) and (D) hospitals have the most gap and (C) hospital has the lowest.
Conclusion: The negative gap (expectations more than perceptions) in all dimensions of quality showed that it is necessary to improve service quality in all dimensions. in order to reduce the gap of all five dimensions of quality and provide desired services, it is recommended that hospital managers by planning and their optimal management take the patients’ needs into account.
Mahdi Farzadkia, Somayeh Golbaz, Haniye Sadat Sajadi,
Volume 14, Issue 1 (6-2015)
Abstract
Background: There are various departments in hospital that produce hazardous, infectious, pathological and radioactive wastes. Utilizing proper methods of waste management is of high priority in order to prevent from releasing these wastes to environment. This study aimed to evaluate waste management efficiency in Karaj hospitals.
Material & Methods: This cross - sectional study was conducted in Karaj during 2011-2013. All hospitals of Karaj had been selected as statistical population of this study (n=8) by census. The data had been collected by separating and weighting produced hospital wastes for 4 month (during one week at each month) and filling related checklists of health ministry. Collected Data had been analyzed using SPSS software.
Results: The daily capita of waste was 4.1 kg per active bed, 5.6 kg per occupied bed and 9.4 kg per patient. The overall percentage score of present status of hospital waste management was assessed 88% and in 12% which indicate moderate and weak levels respectively. Hospital waste management had been evaluated weak in terms of collection, transportation and personnel but seen from the viewpoint in the separation and temporary storage, it was assessed moderate. However, in terms of disposal, assessment of hospital waste management showed it is in a desirable status.
Conclusion: The present status of hospital waste management was far beyond the expectations among studies hospitals. Thus, developing an operational plan and monitoring its implementation is highly recommended to. Given the main weakness of hospital waste management was related to production, collection, separation, and transportation, taking these areas consideration is of high priority.
Javad Vatani Shoaa, Hossien Kardan Yamchi, Mirghani Seyyed Someah,
Volume 14, Issue 1 (6-2015)
Abstract
Background: Exposure to some volatile organic compounds such as benzene, toluene, ethyl benzene and xylene cause adverse effects on organs and nervous system and moreover causes spread of diseases such as cancer , leukemia which would result in increasing medical expenses. This study is aimed to detect and measure BTEX (benzene, toluene, ethylbenzene and xylene) in air and compare it with recommended standards for hospital.
Materials and methods: This study is a descriptive , cross - sectional study in which critical sectors of Imam Hossein hospital such as pathology and emergency had been examined initially.Air samples had been provided by using activated charcoal.During the next phase , identifying the pollutants and determining their amount had been done by using gas chromatography with mass spectrometry and flame detectors.
Results: In areas such as parts of the wards, operating room, emergency room and laboratory pollutants benzene, toluene, ethyl benzene and xylene had been identified .The toluene concentration of in waste elimination , landry and pathology parts had been observed at 0/1455 ppm, 0/1087 ppm and 0/215 ppm Respectively.The comparison of these pollutants with threshold limit value (TLV), indicates standard condition.
Conclusions:This study shows that selected pollutants exist in all parts of this hospital. Using control measures such as installing vapor recovery systems and monitoring the air of these areas can be useful in reducing the amount of pollutants.
Mohammad Heidari, Pejman Hassani, Mansureh Ghodusi ,
Volume 14, Issue 1 (6-2015)
Abstract
Background:Job burnout is an issue which often affects personnel`s mental health and quality of services in health systems. This study is aimed to investigate the correlation between burnout and mental health in medical staffs of Valyasr hospital in Borujene due the physical and mental health`s importance of hospitals personnel.
Materials and Methods: This is a descriptive and cross-sectional study which has been conducted during the year of 1391. 133 medical personnel of the Valy Asr hospital had been selected by census. All clinical personnel had been participated in the survey apart from physician.A triple questionnaire including demographic information, general health and questions of Maslach Burnout Inventory questionnaire had been used for data collection.The data had been analyzed by ANOVA, Spearman correlation coefficient, chi-square test and SPSS (version 16).
Results: The findings revealed that majority of Personnel involved in the survey felt a distinct lack of personal accomplishment and they showed symptoms of mental disorders. Few personnel showed a distinct emotional exhaustion. More than two-thirds of the patients showed mild depersonalization. Significant reverse correlation had been observed between all dimensions of burnout and mental health.
Conclusion:The medical profession has a stressful and arduous nature.As survey`s findings point to high prevalence of psychological disorders and reverse correlation between mental health and job burnout , it is highly recommended that managers identify sources of stress and plan for applying preventive interventions and solving current problems.
Mohamad Fahiminia, Elham Taherian, Abolfazl Mohammadbeigi,
Volume 14, Issue 1 (6-2015)
Abstract
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.
Mohammad Malakootian1, Maryam Sadeghi, Shidvash Dowlatshahi,
Volume 14, Issue 1 (6-2015)
Abstract
Background: Waste of health care centers is particularly important due to their major role in spreading various diseases and environmental pollution. Consequently, considering function of non-hazardous waste devices in hospitals seems vital. This study is aimed to assess function of non-hazardous non-incineration devices of waste in Kerman educational hospitals and Sirjan hospitals
Materials &Methods: This experimental study had been conducted between March and September in year 2013 at the engineering research center of environmental health affiliated with Kerman university of medical sciences. Physical, chemical and biological function of devices was examined. Mechanical function had been examined by monitoring and recording mechanical index through thermometers and registers of devices. Chemical and biological function had been examined by indicator strip and biological indicator strip respectively.
Results: Among hospitals in which the survey had been carried out, 96.3%, 85.3% and, 84% of non- hazardous waste devices had efficient function from mechanical , biological and chemical viewpoints respectively.
Conclusion: As the results show, mentioned waste devices are unable to decontaminate hospital waste from hazardous materials chemically and biologically. Although mechanical process is efficient enough by providing required temperature and time , hospitals waste are not yet defined non-hazardous. Thus the final functional assessment is identified as poor outcome.
Master Science Mohsen Afsahi, Dr. Mohammad Mehdi Sepehri, Master Ehsan Ameri,
Volume 14, Issue 1 (6-2015)
Abstract
Background: Deciding on the number of hospital beds is one of the most serious challenges managers face. More hospital beds result in higher running cost although less hospital beds might cause disorder in patients flow. Minimizing total cost besides maximizing the patients flow in a hospital network, considering the practical limitations is the main objective of this survey.
Materials & Methods: This study had main steps to investigate following: identifying current limitations of changing capacity of each ward, by conducting interview with hospital managers and other personnel of Modares hospital, analyzing cardiac patient flow analysis, simulating current flow, determining practical scenarios and choosing the best among them by mathematical modeling could minimize total cost and maximize patient flow.
Results: 31 practical scenarios have been determined and analyzed by surveying limitations among all existing scenarios. Finally, eight best scenarios had been selected. Results showed that decreasing the number of beds in CCU and increasing the number of beds in Post-CCU can improve patients flow, considering cost limitations.
Conclusion: A recommended approach in this study can be a general guide for capacity planning with taking practical limitations into consideration. This survey could be useful for the managers who are against the benefits of post CCU by comparing the patient flow with and without this ward.
Hosein Ebrahimipour, Ali Vajaee, Gholam-Abas Nouri, Habib-Allah Esmaeili, Sara Jamili,
Volume 14, Issue 1 (6-2015)
Abstract
Background: Process of discharging patients affects patient’s satisfaction .This is one of the serious challenges that hospital managers face. This study is aimed to determine the average waiting time of patient discharge process and identify influential factors of this process in Imam Reza Hospital in Mashhad in the year of 2014.
Materials & Methods: This is a cross-sectional survey in which waiting time of patients who had discharged from clinical wards of the Imam Reza hospital in Mashhad had been studied. 455 of patients had been selected as samples. The amount of time spent during discharge in six different departments such as inside each ward, from each ward to the medical records unit, inside the medical records unit, from medical records unit to accounting department , during cost calculation and also from cost accounting to cost payment unit) had been determined by using stop-watch method. The data had been analyzed by descriptive and analytical statistics in significant level of 0.05 using SPSS16.
Results: Results showed that waiting time was 504.26± 362.96 Minutes. Patients spent most and least proportion of their waiting time in ENT and Burns wards during discharge.
Conclusion: As noticeable number of minutes spent inside wards and cost payment unit by patients, calls for corrective interventions such as changing visit time and predicting schedules for sending medical record to accounting department could reduce waiting time.
Ali Jannati, Neda Kabiri, Mohammad Asghari Jafarabadi, Behrooz Pourasghari, Babak Bayaz,
Volume 14, Issue 1 (6-2015)
Abstract
Background: Pay-for-performance (P4P) is a payment model which tries to pay for the measured aspects of performance and encourage health care providers by providing financial incentives in order to achieve pre-defined goals. This research was done to assess the impact of P4P on efficiency of medical laboratory of Imam Reza hoapital in Tabriz in 2013.
Materials & Methods: This interventional research was a before-and-after study. In order to recognize any changes, efficiency indexes of laboratory were measured and compared whole the year. The data were collected manually assessing the related documents. For comparing efficiency before and after intervention, descriptive statistics were used.
Results: Findings showed that costs didn’t differ significantly after the intervention, but revenue was a little increased slightly (14364 to 16874). Laboratory errors were also increased after the intervention. (0 to 17 cases).
Conclusion: Regarding the results of survey , it seems that we can conclude that this bonus payment system can be used in all levels in which care is provided such as primary health care centers, drug stores, diagnostic centers and hospitals through setting pre-defined goals and considering negative point for any staff who makes an error.
Ghaseminejad, Tavafian, Heidarnia,
Volume 14, Issue 1 (6-2015)
Abstract
Introduction: Low back pain is a common problem among nurses. the purpose of this study was to assess effectiveness of physical health educational program on the quality of life of nursing staff with chronic low back pain working in hospitals in yazd.
Methood: This semi experimental study was carried over 119 employees with chronic low back pain working in hospitals in yazd in both intervention (n=60)and control (n=59) groups. The intervention group participated in a training program included a - 180 minutes education session. Data were collected through using the 36-item Short-Form Health Survey questionnaire (SF-36) at base line and 3- month follow up and analyzed using descriptive and analytical statistics.
Conclusion: This study showed the physical dimensions of quality of life including physical functioning , role physical , bodily pain and general health in the intervention group with mean age of 72/32,58/18,59/96,69/10 respectively were improved in compare with the same dimensions in control group with mean age of 60/50,47/88,38/05,51/27 at 3- month follow up (P<0/0001). There were no significant improvement in terms of mental component of quality of life in intervention (P=0/855).
Results: The results indicated the educational program could be effective on physical functioning, role physical, bodily pain and general health.
Mohammad Arab, Elham Movahed Kor, Mahmood Mahmoodi,
Volume 14, Issue 1 (6-2015)
Abstract
Introduction: Major consideration on hospital emergency services had been taken into account in recent years. This study is aimed to analyze contributory factors of clients' satisfaction in services provided in emergency unit of selected hospitals affiliated with Tehran and Shahid Beheshti University of Medical Sciences.
Materials and Methods: This is a descriptive-analytical and cross-sectional study. 768 clients of emergency departments of selected hospitals had been chosen during last year as samples . 3 general and 3 specialized hospitals had been chosen randomly among total hospitals affiliated with mentioned two universities . A questionnaire consisted of 54 questions in 2 sections had been used for data collection . Reliability and validity were confirmed by professors and 50-sample pilot study respectively. The alpha-cronbach was calculated at 0.87.Responsible rate had been determined at 97.66 % . The data had been analyzed by independent sample t-test, simple linear regression and linear multi-regression.
Results: The demographic characteristics of attendants were as follows: 57.3% women, 56.8% over 45 years old , 63.1% social insurance coverage, 92.7% urban residents , 56% married, 58.7% low education ( below high school level) and 68.4% complementary insurance coverage. Clients had to pay more for services provided by Shahid Beheshti University. Moreover, majority of the clients paid their expenditures by out-of-pocket and insurance. Clients were more satisfied with admission unit , gaurds, physicians, nursing cadre and environment provided by hospitals of Tehran university. On the other hand , in terms of management , clients were more satisfied with management approach provided by hospitals of Shahid Beheshti university . Totally , women , elderly people , urban residents , individuals who visited physicians out of referral system and also ones who came during physician presence felt more satisfaction .Generally , patients were more satisfied with services delivered by hospital affiliated with Tehran university .
Conclusion: Evaluating viewpoints of patients about quality of services result in promoting current trends of providing services.
Seyed Hadi Hosseini , Siavash Fazelian , Javad Heshmati , Mahdi Sepidarkish , Reza Pakzad , Abolghasem Pourreza ,
Volume 14, Issue 2 (8-2015)
Abstract
Background: nutrition department is one of the most important sectors of hospital to improve the patients' health and satisfaction. Lack of standards obsevance causes nosocomial infections and develops health risks. Establishing HACCP standards, many existing shortcomings will be omitted in the hospital nutrition department. This study aimed at assessing the mentioned nutritional standards system in the hospital nutrition department.
Materials and Methods: This cross - departmental study was conducted at Kermanshah University of Medical Sciences' teaching hospitals in 2013. HACCP questionnaire was used. Data collection performed using observation, interviews and questionnaire filling in from hospitals' nutrition department.5-point likert scale used which rating scale was from 1(lowest) to 5(highest).in order to data entry and analysis SPSS software version 18 utilized using tables, graphs and Kruskal-Wallis test.
Results: The mean score and percentage of five areas of HACCP standards were 3.58 and 70.23% respectively which were desirable in seven studied hospitals. There was no significant statistical relation between the mean scores of hospitals in the standards.
Conclusion: Although, the situation was assessed desirable, because of the importance of nutrition department, observance of optimum standards and quality improvement can prevent potential infections in food preparation and distribution and result in patients and staff satisfaction.
