Journal of Health and Safety at Work

Introduction: There are risk of fire accidents in Operating rooms during surgery. Experts estimate annually around 100 fire accidents occur in the operating rooms of United States’s hospitals. 10 to 20 of these accidents lead to severe injuries and about 1 to 2 lead to death. Despite such accidents rarely happen, but they can lead to serious injury or death of patients.

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Material and Method: This Cross-sectional questionnaire based survey was conducted among several hospitals belonged to Shiraz University of Medical Sciences. In this study, all personnel of operating rooms were investigated. Questionnaire were used to collect information and the chi-square test was applied to examine the relationship between the Knowledge of operating room personels on fire prevention and control methods, jobs and work experience. For statistical analysis SPSS14 were used.

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Result: In this study from 220 participants, about 19.72% had full awareness, 19.62% had partial knowledge, 19.37% had low awareness and 40.97% had no knowledge on fire prevention methods, concerning fire control methods. However, 76% of the participate had full awareness and 24% had no knowledge. Test result Statistically showed that the relationship between the awareness of operating room personnel to fire control methods and work experience were significant (P-value <0.05). But, the relationship between the knowledge of operating room to fire control methods and the type of jobs were not significant. Also no significant relationship were found between the level of awareness in operating room personnel to fire prevention methods, work experience and job title.

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Conclusion: The results indicated that the operating room staff awareness of fire prevention and control methods are low. The results also showed that awareness of fires prevention are lower than the awareness of fire control among the studied personel. Regarding to the potential risk of fire in the operating room, it is suggested that in order to increase awareness of vulnerable patients and personnel in operating conditions, measures like educational need assessment, training workshops on fire prevention and control methods should be implemented.

Introduction: Patient safety is an important issue in regard to hospital servicesand any problem can cause adverse consequences. The purpose of this study was to assess the patients’safety culture at educational hospitals in Tehran.

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Material and Method: The present descriptive-cross sectional study was carried out among 312 health care workers in Baharloo, Amir Aalam, Shariati and Sina hospitals in Tehran, which were selected by cluster sampling. The participants were chosen randomly in each cluster. Safety Culture Survey questionnaire including 12 dimensions was used to assess patient safety culture. Cronbach’s alpha and test-retest coefficient were estimated 81 and 79 percent, respectively.

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Result: Nurses comprised 61 percent of participants in the study. 42% of staff had less than 5 years work experience. Of the 12 dimensions of patient safety culture, the frequency of reporting and exchange of information had the minimum average of 56 and 55, respectively. Moreover, the dimensions of organizational learning and expectations-management measuresobtained the highestmean score (69)among 12 dimensions of patient safety culture. Total mean patient safety culture in understudy hospitals was 63.

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Conclusion: It should be noted that paying more attention to the patient safety culture can lead to improve hospitals condition, as a whole, and to have a patient-friendly environment. Special attention should be paid to dimensions with the lowest mean score in order to strengthen them.

Introduction: Provision of high quality nursing care for patients, has made patient safety culture as an important issue for improving the quality of health care in the country. This study aimed to determine the relationship between nurses’ job satisfaction and patient safety culture in hospitals of Rasht city, Iran.

Material and Method: This research is a descriptive-analytical, cross-sectional, and field data collection study. Nurses working in public and private hospitals in Rasht City comprised the study population, of whom 322 subjects were selected randomly as the study sample. The Wakefield questionnaire and the Agency for Healthcare Research and Quality questionnaire were employed to investigate nurses’ job satisfaction and patient safety culture, respectively. The Pearson correlation coefficient was used for statistical hypothesis testing, employing SPSS software version 19.

Result: The results showed that according to the respondents’ viewpoints, scores of job satisfaction (Mean(SD):3.59±0.68) and patient safety culture (Mean(SD):54/0±31/3) Rasht city hospitals were at the average level. Furthermore, there was a significant direct relationship between nurses’ job satisfaction and patient safety culture with the correlation coefficient of 0.643 at the 0.01 level of significance.

Conclusion: According to the findings, it is necessary to improve study nurses’ job satisfaction and patient safety culture. Moreover, according to statistical correlation between research variables, increasing nurses’ job satisfaction results in improvement of patient safety culture.

Introduction: Annually, many accidents and preventable events happen for the patients hospitalized in treatment centers. Therefore, the related causing factors should be recognized in order to reduce the medical errors. Accordingly, the present study aimed to assess the relationship between patient’s safety culture elements and medical errors and also the ways to tackle them.

Material and Method: This cross-sectional study was conducted among 380 employees working in the education and treatment centers affiliated with Kermanshah University of Medical Sciences in 2015. The hospital version of patient safety culture questionnaire was used for data collection. Data were analyzed by SPSS software, version 19 using different statistical tests including multivariate analysis of variance and Pearson’s correlation.

Result: The patient safety culture was at an undesirable level in the study centers. Of the elements related to safety culture, the lowest positive scores belonged to ‘issues related to employees’, and ‘reporting’ with scores of 23% and 26%, respectively. On the other hand, ‘team working in the organizations’ (59%) and ‘organizational learning’ (57%) obtained the highest positive scores. Fifty-eight percent of the respondents did not report any errors.

Conclusion: The results of present study emphasize on creating a desirable organizational atmosphere, the need for staff participation in various levels of decision making, and creating the culture of reporting errors in order to recognize the causing factors and to promote patient safety culture.