Search published articles


Showing 8 results for Patient Safety
Patient Safety Status In Hospitals Of Tehran-Patient Safety Friendly Hospitals Standards: 2013
Zohreh Mazhari , Amin Adel ,
Volume 8, Issue 5 (1-2015)
Abstract

 Background and Aim: Patient safety standards are a set of requirements that are crucial for the implementation of patient safety in hospitals. Process evaluation of patient safety in hospitals has developed a mechanism to determine the level of patient safety. This mechanism can also start a program aimed at improving patient safety and evaluate programs that are being used. 

 Materials and Methods: This analytic study was to determine the status of compliance with critical safety standards for patients in 10 hospitals in Tehran in May to August 2013. All segments of the population are hospitals in Tehran and were selected randomizely. Research tool was a checklist and its validity and reliability was approved. SPSS version 16 software for data evaluation and statistical techniques were used.

 Results: According to the data of this study, the mean level of standards was 76.69%. Also, according to the average standards, the highest level of respect in Group D (80.40%) and minimum standards in group B (56.33%) were observed. Hospitals that had more than 400 beds (71.73%) and hospitals with less than 200 beds (66.22%) have been met with standards.

 Conclusion: According to these results, we can increase patient safety standards of our country by establishing the culture of patient safety, patient-centered approach to service delivery, training of staff and patients and legal barriers.


The Analysis Of Safe Clinical Services Indicators Of Tehran University Of Medical Sciences Selected Hospitals
Zhila Najafpour, Abolghasem Pourreza,
Volume 9, Issue 6 (3-2016)
Abstract

Background and Aim: The analysis of patients’ safety clinical indicators is considered as one of the safety improvement instruments. Therefore, the present study is aimed to analyze the indices of safety clinical services in selected hospitals of Tehran University of Medical Sciences (TUMS).

Materials and Methods: The present descriptive-analytical study was conducted in 11 TUMS hospitals in 2013. The study tool was the patient safety evaluation protocol of the World Health Organization (WHO). A checklist was completed following interviews, observations, and documentation reviews. The data were analyzed with descriptive and analytical tests, and SPSS software version 13.

Results: The average scores of the studied hospitals were 96.6, 85.6 and 66 for the required, basic and advanced indices, respectively. The figure was not acceptable in required standards, but it was acceptable in basic and advanced ones. In the studied hospitals, numbers 7, 2, 4, 11, and 9 enjoyed the highest amount of conformity with standard, and were placed in rank 2 according to the ranking protocol. Finally, there was no meaningful statistical difference among hospitals in their observance of standards.

Conclusion: Conformity with necessary standards was low in 6 studied hospitals, but in 5 hospitals, it was acceptable in basic and advanced standards. Hospitals need enhancement programs in statements of information management system, drugs management system, infection reduction system, and effective clinical system.


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 of Quality Improvement and Patient Safety with Performance Indicators in Shahid Beheshti University of Medical Science Teaching Hospitals
Amir Ashkan Nasiripour, Shirin Jafari,
Volume 10, Issue 4 (9-2016)
Abstract

Background and Aim: In health sector, improving quality of treatment services and patient safety are considered as vital. The objective of this study was to determine the relationship between the quality improvement and patient safety (QPS) and the hospital performance indicators. 
Materials and Methods: In this descriptive analysis research, the statistical population included managers, matrons,  one of the members of the quality improvement committee and one of the clinical governance office members of Shahid Beheshti University of  Medical Science teaching hospitals (N=44). In order to evaluate QPS, data were gathered through questionnaire and the hospital performance indicator data were gathered through interview and observation. Also independent T test was used to determine the relationship between the quality improvement and patient safety and performance indicators.
Results: All five areas of (QPS) including leading and planning, designing clinical and managerial processes, collecting the data, analyzing the data and improvement were significant in QPS score and   according to independent T-test, the relationship between (QPS) and bed occupancy percentage, average length of inpatient stay, bed turnover interval, bed turnover rate and gross death rate was significant (p-value<0/05).
Conclusion: Considering (QPS) standards can improve hospital performance indicators.


Practice and Procedural Errors and their Management Methods by Nurses
Mohammad Zoladl, Abolfazl Dehbanizadeh, Esmat Nouhi,
Volume 12, Issue 2 (7-2018)
Abstract
Background and Aim: Providing safe healthcare services by medical groups, especially nurses, is a legal and human duty. Planning to prevent errors is of great importance, and the first step in this regard is to identify different types of errors and methods of error management. For this purpose, this study was conducted to examine the procedural and function errors of nurses working in Yasuj Shahid Beheshti Hospital.
Material and Methods: This study is a descriptive, cross-sectional research. The sampling method was complete enumeration and the target population included all nurses working at Yasuj Shahid Beheshti Hospital. The data collection tool was a researcher-made questionnaire. The validity and reliability (0.81) of the questionnaire were confirmed. The data were analyzed using SPSS software version 19.
Results: According to the findings of this study, 79.5% of nurses have procedural error. The most frequent error was the one made in the use of medical equipment in the ward (203 cases). Among the methods of error management, reporting and consulting with colleagues had the highest frequency (151 cases) and reporting to the patient had the lowest (8 cases).
Conclusion: The results showed that procedural and function errors by nurses were high and that nursing managers should organize training courses to identify and deal with nursing errors.
Compilation of Patient Safety Dashboard Indicators
Reza Safdari, Mahboubeh Mirzaee, Mahni Mehdibagli,
Volume 12, Issue 2 (7-2018)
Abstract
Background and Aim: Since safety, performance and outcome indicators can improve the quality of care, patient safety indicators are required to monitor and provide safety in care. The aim of this study was to compile a set of patient safety indicators for monitoring in patient safety dashboard.
Materials and Methods: A set of patient safety indicators was collected by reviewing such indicators presented in Australia, England and OECD, ESQH, and AHRQ organizations. Then, the indicators were validated during Delphi process in two stages by the staff of patient safety and quality improvement unit of governmental hospitals and patient safety experts at Tehran University of Medical Sciences treatment deputy office. Data analysis was performed by SPSS version 13 and descriptive statistics.
Results: The present study was conducted on 62 patient safety indicators and eight main categories were classified as follows: safe hospital indicators, childbirth indicators, surgery-related indicators, mortality indicators, infection-control indicators, drug and prescription error indicators, falling indicator, and other special indicators.
Conclusion: Considering the identification of patient safety indicators in different dimensions, measuring the importance of these indicators and using them in the form of dashboard software in health centers will have a significant role in improving patient safety and the quality of health care.

Survey of the Performance of Operating Room Personnel Regarding the Observance of Surgical Safety Principles in Hospitals of Mazandaran University of Medical Sciences in 2019
Omid Zadi Akhule, Mojgan Lotfi, Ebrahim Nasiri, Saba Chalangari, Yasna Torkali Pur,
Volume 14, Issue 6 (1-2021)
Abstract
Background and Aim: In order to improve patient safety, countries are seeking to monitor the safety of health systems and since surgical safety is an important part of patient safety, this study aimed to determine performance of Operating Room Personnel regarding the observance of surgical safety principles.
Materials and Methods: This cross-sectional descriptive study was conducted on operating rooms of hospitals of Mazandaran university of medical sciences in 2019. Research population included 271 personnel of operating room selected via stratified random sampling. Data were collected using demographic characteristics questionnaire and Surgical Safety Checklist of the World Health Organization. The data was analyzed using SPSS software.
Results: The mean scores of performance of surgical technologists in the circulating and scrub roles and anesthesia technologists regarding the observance of surgical safety principles, were 23.2±3.1, 18.4±3 and 28.2±3.5 respectively. The performance level of all three specialties was moderate. Findings showed that there was a significant difference between performance score with educational level. The mean score of performance was significantly higher in the technologists with bachelor’s degree as compared to the technologists with associate degree (p<0.05).
Conclusion: Considering that the performance of the participants of the study regarding the observance of surgical safety principles, it was not at a desirable level, thus it is recommended to encourage operating room personnel to upgrade their education and to continue monitoring the performance of them regarding the observance of surgical safety principles.

Solutions for Preventing Patient Falls in Hospitals: A Scoping Review
Marziyeh Najafi, Roya Rajaee, Hojjat Rahmani, Behrooz Pouragha, Nazanin Sheikh Mohammadi, Ghasem Rajabi Vasokolaei,
Volume 18, Issue 1 (3-2024)
Abstract
Background and Aim: Patient falls are common in hospitals, leading to financial loss and potential harm to patients, staff, and the organization. They can often be prevented with proper planning. This study aims to identify strategies to prevent patient falls and provide evidence to develop safety initiatives.
Materials and Methods: Our review used the Arksey and O’Malley scoping review model to identify strategies for preventing patient falls. We conducted searches with relevant keywords in the PubMed and Web of Science databases until May 25, 2024. In the final stage, we consulted with 18 experts using the Delphi method to gather their opinions. The data were analyzed using the thematic analysis method.
Results: Out of the 4202 studies initially found, 19 articles were chosen. The solutions to prevent patient falls can be grouped into six general categories: planning (which includes quality improvement programs, establishment of patient safety culture, patient fall prevention guidelines and programs), physical space (involving patient room design and the location of treatment staff), equipment (such as monitoring and alarms, pressure sensors, and standard beds), human resources (including communication networks between nurses and other treatment staff, as well as factors like self-efficacy and responsiveness of nurses, and their motivation and job satisfaction), training (covering education and patient participation, training of nurses and treatment staff, and electronic training), and control of executive processes (involving evaluation of risk factors and process control). The highest level of agreement among the members was on the equipment dimension (9.76), and the lowest was on the human resources dimension (8.65).
Conclusion: Patient falls are a common safety concern in hospitals and can be prevented with proper planning. Each hospital should use a combination of prevention methods tailored to its specific conditions.

Page 1 from 1     

© 2024 , Tehran University of Medical Sciences, CC BY-NC 4.0

Designed & Developed by: Yektaweb