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A Survey On Frequency Of Defensive Medicine Among General Practitioners Of Kerman City
Mohammadreza Amiresmaili , Mahmood Nekoueimoghadam , Mahmood Moosazadeh , Fatemeh Esmaili , Mahboobeh Mirtajeddini ,
Volume 7, Issue 5 (1-2014)
Abstract

 Background and Aim: Defensive medicine is a potential social problem which can bring about consequences for public health regarding the quality of personal care and wastage of limited health resources. In this study, the frequency of positive and negative defensive medicine behaviors was examined among general practitioners of Kerman city.

 Materials and Methods: This cross-sectional study was conducted among general practitioners in the city of Kerman. As data collection instrument, a questionnaire was given to a sample of 100 subjects. The obtained data were entered into SPSS 20 and analyzed using such descriptive statistics as frequency percentage and mean, and applying analytical tests such as chi-square and t-test.

 Results: In this research, 100 general practitioners were studied. The frequency of positive and negative defensive medicine behavior was 99% and 47%, respectively. Besides, the positive defensive medicine behavior in men was more than that in women (100% vs. 97.2%) on the contrary, the negative defensive medicine behavior in women was more than that in men (52.8% vs. 43.8%). Explaining in more detail about taking medicines properly and on time and avoiding the prescription of risky behaviors which might be useful to patients had the highest frequency among positive and negative defensive medicine behaviors, respectively.

 Conclusion : The present study showed that the frequency of defensive medicine was high in the studied population and that the application of factors related to this phenomenon by the participants of the present study was prevalent.


A Survey on Patient Safety Using the Farsi Version of the Safety Attitudes Questionnaire in Iran
Sogand Tourani, Rahim Khodayari Zarnaq , Jalal Arabloo, Anvar Esmaili, Sanaz Taghizadeh , Omid Khosravizadeh,
Volume 10, Issue 1 (4-2016)
Abstract

Background and Aim: Patient safety is a critical element of health care quality, and is a priority of health system that pursue to improve the quality of health services. This study aims to determine the attitude the nurses about patient safety in hospitals of Tehran University of Medical Sciences.

Materials and Methods: Nurses employed in 7 emergency and intensive care ward specialty and subspecialty hospital affiliated with Tehran University of Medical Sciences was invited to anonymously complete safety attitudes survey. Reliability of the questionnaires was evaluated by calculating Chronbach’s alpha. ANOVA were used to compare the score means between the wards. Spearman correlation test was used to analyze the correlation between the safety dimensions and the outcome variables.

Results: The results showed that the highest score was dedicated to stress recognition, and the lowest score was related to management perception and working conditions. No significant difference was between the perceptions of emergency department nurses and intensive care nurses with various aspects of safety culture in hospitals.

Conclusion: Patient safety status described as acceptable in emergency and intensive care wards. There is a need to understanding of the atmosphere and the culture of safety by hospital executives deeply.


The Relationship between Experimental Use of Antibiotics and Length of Stay in Premature Infants Admitted to NICU of one of Educational Hospitals in Tehran
Fatemeh Esmaili, Najmeh Ashouri, Seyedeh Mahboobeh Hosseini Zare,
Volume 17, Issue 1 (3-2023)
Abstract
Background and Aim: Antibiotics are one of the most commonly used drugs that help to heal and treat diseases, but improper administration and excessive use of them can increase length of stay and cost of hospitalization. The purpose of this study was to analyze relationship between experimental use of antibiotics and duration of stay of premature infants admitted to Mahdiyeh hospital in Tehran.
Materials and Methods: This descriptive-analytical and cross-sectional study was carried out in 2019 on 159 premature infants admitted to intensive care ward of Mahdiyeh hospital in Tehran were investigated. The study tool was a questionnaire that validity of questionnaire was measured by content analysis method and reliability of questionnaire was measured by Cronbach’s alpha method. Data analysis was done using SPSS software, with help of descriptive statistics of frequency and percentage and statistical test of one-way analysis of variance and independent t-test.
Results: The results showed that 52.2% of infants were girls and 79.9% of deliveries were performed by cesarean section. The average length of stay of infants was 31.47 days and average birth of infants was 30 weeks. According to results of study, there was a significant relationship between length of hospitalization of infants with duration of antibiotic treatment and number of periods of receiving antibiotics (P<0.05). The duration of hospitalization of infants with a period of receiving less than 14 days of antibiotics was almost half of duration of hospitalization of infants with more than 14 days of receiving antibiotics. Also, there was a significant relationship between number of antibiotic courses and length of hospitalization of patients (P<0.05). With increase in number of antibiotic sessions, duration of hospitalization of infants increased significantly. The results of study showed that there was a significant relationship between birth weight of babies, cost of bed, and total cost of experimental administration of antibiotics (P<0.05).
Conclusion: Considering that rational use of antibiotics reduce length of stay of hospitalized infants, Ministry of Health should develop an updated and transparent antibiotic adminstration protocol for premature infants and awareness physicians to inform particularly prescription of antibiotics and implementation of stewardship antibiotic programs in neonatal intensive care unit. Also the publication of standard treatment guidelines, instructions including importance of prescribing antibiotics with correct dose and clinical education of physicians are necessary.
 

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