Showing 10 results for Standard
Smh Mousavi, F Faraji Khiavi, R Sharifian, G Shaham,
Volume 2, Issue 4 (3-2009)
Abstract
Background and Aim: General Store department is responsible for on time preparing commodities for hospitals departments. It's a place for saving materials and resources. Safety in store department and its materials has importance due to preserving high quality and continuous services.
General Store department safety should be audited by assessment System to reduce waste materials and human resources such as building, commodities and patient and personnelُ s lives and in case of facing with a problem, try to solve it. The aim of this study was determination of safety standards in hospital general stores in TUMS.
Materials and Methods: This research was conducted as a cross-sectional study safety and usage of management principles was advised and measured in hospitals of TUMS sampling was nُ t performed.
Results: Safety rate in research population was more than 85/42 percent. Score in safety aspects like as physical spaces, preventing robbery, blazing materials appropriate storing, commodities arrangement, utilizing suitable tools was more than 80%. Protection against fire and storing rote able materials estimated 79% and 77%.
Safety rate in several aspects was assessed in the study hospitals.
Discussion and Conclusion: Although, hospital store rooms assessed as safe but they should try to develop fire protection systems and store rote able materials preservation appropriately.
R Safdari , Zs Azad Manjir ,
Volume 3, Issue 2 (9-2009)
Abstract
Background and Aim: Development and evaluation of rehabilitation services as a section of health system, which plays an important role in the improvement of the quality of life, needs a mechanism for information management as well as other healthcare levels. The effectiveness of information management has been assured through standardization & ongoing evaluation of rehabilitation centers. There is no standardization on rehabilitation information management processes in Iran, Therefore we surveyed the standards of information management at Commission on Accreditation for Rehabilitation Facilities and compared them to same English & Australian rehabilitation services evaluation & standardization organizations. At the end, we present a framework for necessary standards for this field.
Materials and Methods: In this literature review article CARF standards in axis of information management infrastructural standards, data gathering, content of records, documentation principles, information reveal for confidentiality policies of standard classification has been investigated. We used reliable electronic references in this article.
Discussion and Conclusion: The CARF information management standards are included a standardized outcome-oriented program evaluation & management systems as a fundamental & infrastructural requirement, data gathering standards, internal content of patient records, the framework for complete documentation and maintenance of information confidentiality. Therefore CARF standards in term of information management are the most complete model and have enough details in compare to the others. The results indicate that CARF standards can be a proper model for standardization activities and evaluation rehabilitation centers.
Smh Mousavi, H Dargahi, M Hasibi, Z Mokhtari, G Shaham,
Volume 5, Issue 2 (9-2011)
Abstract
Background and Aim: The operating room is one of the main units in a hospital, where the most important phase of treatment is performed. Due to the physical properties, use of gases, and different electric devices in the operating room, the safety of both the patients and the staff should be considered carefully. This study aims to estimate the safety standards of the operating rooms in Tehran University Hospitals and to provide solutions to the existing problems.
Materials and Methods: This is a descriptive, cross-sectional study conducted in the operating rooms of TUMS hospitals. The research instrument was a checklist used by interviewers while observing the place. The safety standards were studied in terms of physical environment, protection against fire, personnel safety, patients' safety, and infection control. The data were analyzed by SPSS software.
Results: The overall safety of the operating rooms of TUMS hospitals was found to be 84.9 percent. The figures for infection control and personnel safety, however, were lower.
Conclusion: The operating rooms of Tehran University of Medical Sciences hospitals were studied in terms of five safety standards. Considering the physical environment, fire protection, and patient safety, they were quite safe but as to infection control they were relatively safe. However, they were found to be unsafe regarding the safety of their staff. Tehran Heart Center with an overall safety of 97.5% for its operating rooms can be considered as a model for the other TUMS treatment centers.
Fateme Monjazebi , Rahim Rozbahany , Arezo Memarian, Parisa Farnia ,
Volume 7, Issue 3 (9-2013)
Abstract
Background and Aim: Peripheral and intermediate laboratories have an important role in diagnosis, treatment and prevention of tuberculosis. Today, without these laboratories, maintaining health and preventing the spread of tuberculosis is not possible. The aim of this study was Evaluation of manpower, equipment and quality control standards in peripheral and intermediate laboratories assessment checklist within seven selected provinces in year 2011.
Materials and Methods: This study was a cross-sectional survey. In this study eighty tow peripheral and intermediate laboratories from seven selected provinces were studied in year 2011. A standardized checklist was used to assess peripheral and intermediate laboratories.
Results: The result showed that Esfahan with 20 labs and 8870000 population had the highest number of labs and coverage people between other provinces. Khorasan Razavi with an average of 263 per month has the highest number of admission number and Golestan, with an average of 139 positive cases per month, had the highest number of positive cases between other provinces. In 82 labs 117 laboratory technicians were engaged providing services to patients.
Conclusion : The results of this study showed that conditions of most peripheral and intermediate laboratories are optimum and nearly standard. Control and evaluation of peripheral and intermediate laboratories, expert personnel, facilities and equipment are necessary to improve the TB control program in the country.
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.
Irvan Masoudi Asl, Taha Nasiri, Nooredin Dopeykar, Lida Shams,
Volume 9, Issue 2 (7-2015)
Abstract
Background and Aim: Health tourism is considered a national strategy to
increase the income of the country and also is considered one of the pillars of
national security. This aim of this study was to determine the impact of observing
the standards of Joint Commission International (JCI) related to Patient-oriented on
attracting health tourists.
Materials and Methods: This research is an applied descriptive- analytical
study that is conducted cross-sectional in selected hospitals in Tehran during year
2012. Five hospitals with using purposive sampling were selected as the sample
size in this study. The instrument of data gathering is Commission standard
checklist JCI which has seven patient-oriented areas. Reliability and validity of this
checklist have demonstrated in previous studies. Data was collected by
observation, interview and document review. After collecting the data, data
analysis using descriptive and inferential statistics such as mean and Pearson
correlation coefficient were used in the statistical software SPSS 16.
Results: The rate of observance of the Patient-oriented standards in hospitals
was different in this study. The overall average of standard observance was 3.16
.Anesthesia and surgical care areas and also standards of Patient and family rights
have highest (3/60) and lowest (2/93) mean scores respectively. Results of this
study showed a positive correlation (r=0/341) between the observance of JCI
standards with attraction of health tourist.
Conclusion: Establishments of mechanisms for accreditation of care centers
such as JCI standards enhance the quality of health services and will attract more
Health tourists.
Marjan Ghazi Saeedi , Leila Shahmoradi, Safieh Ilati Khangholi, Mahdi Habibi-Koolaee ,
Volume 10, Issue 3 (7-2016)
Abstract
Background and Aim: Computerized physician order entry system is the process of entering orders electronically. It is a replacement for manual system and is considered as a part of a clinical information system. The appropriate design of this system leads to the enhancement of its capabilities, ensures orders accurately and comprehensively, and transfers information to different parts rapidly. Therefore, transfer time and the error related to the wrong path or misinterpretations will be omitted; in the end, efficiency will increase. This study aims to present different perspectives on design principles of computerized physician order entry system for stakeholders.
Materials and Methods: In this review article, Google, Google Scholar, Pub Med, Web of Science and Scopus databases were searched with some keywords related to design principles of computerized physician order entry system.
Results: Based on the performed studies, factors such as inappropriate design of links, display page, set of orders content, drug database, structure of order environment, rules, formats, mechanism of getting reports of errors, and finally clinical decision support system have led to the decrease of doctors’ performance, increase of new errors, and reduction of patients’ safety.
Conclusion: Inappropriate design leads to the increase of new errors after the implementation of system; therefore, proper and principled design of this system can lead to the improvement of practitioners’ function, decrease of prescription errors and drug side effects, reduction of costs, efficiency increase, workflow
Azadeh Chatrooz, Leila Goudarzi , Mohammad Roshani, Seyed Hadi Hosseini, Aslan Nazari, Ghasem Rajabi Vasokolaee,
Volume 10, Issue 4 (9-2016)
Abstract
Background and Aim: Safety is an important component in the quality of health care that lack of attention to it leads to harmful results. This study was conducted to estimate the safety management status in selected hospitals affiliated with Tehran University of Medical Sciences.
Materials and Methods: This analytical-descriptive cross-sectional study was conducted in four selected hospitals affiliated to Tehran University of Medical Science in 2012. Data collection was performed through a valid and reliable questionnaire (Safety management) involved 112 questions in 3 parts: organization, safety and event committee’s management, investigation of organization and hospital’s structure and evaluation standards for surgery rooms by safety management views, in 5 options of Likert criteria. SPSS software frequency, mean and standard deviation and Kruskal–Wallis were used for statistical analysis of data’s.
Results: In the evaluation of the hospital organization factor and its structure from safety management approach, each hospital’s organizational structure form safety management view was in a suitable condition (72.50). The result also showed that in respect to evaluation of surgery rooms for safety management, the highest average of calculated score was for hospitals number 1 (90.00) and the lowest was related to hospital number 4 (69.09).
Conclusion: According to the results, safety in hospital was in an acceptable level. But it seems that continuous monitoring and safety management training courses is essential.
Fariba Razeghi , Masoud Yunesian, Saharnaz Nedjat , Gholamreza Jahed Khaniki ,
Volume 11, Issue 4 (12-2017)
Abstract
Background and Aim: Food handlers have an important role in food contamination. This study determined validity and reliability of the world health organization questionnaires about five essential principles of food safety in food handlers for assessment of their knowledge, attitude and practice (KAP).
Materials and Methods: For standardization, these steps were performed: 1) Getting permission of the world health organization 2) Translating the questionnaire twice in Persian and again in English 3) using expert ideas and determination of inter rated agreement (IRA), relevancy and clarity of each question and the tool as a whole 4) measuring Reliability with Cronbach’s alpha, and repeatability was measured with intra-cluster correlation through repeated test-piloting after 1 month.
Results: Using a conservative approach, the IRA for the overall relevancy and clarity of the tools were 81%, 90% and 90%, and 95%, 95%, 97.5% respectively. The overall Cronbach’s alpha for KAP were 70%, 73%, 99% respectively and the intra-cluster correlation (ICC) that was obtained through comparing the overall score of the questionnaire in the pre-test and test phase were 0.69%, 0.75%, 0.99% respectively.
Conclusion: These new tools have good reliability and validity and they have very important, simple and clear principles of food safety so researchers, managers and food handlers can use them.
Hossein Dargahi, Farugh Nomani, Mohammad Rahim Ghohestani,
Volume 15, Issue 2 (5-2021)
Abstract
Background and Aim: Managers’ sufficient awareness about rules and regulations and the legal issues of health system may lead to their optimal performance in organizations. Therefore, this study is conducted to determine senior managers’ level of knowledge about legal rules and regulations related to the health system in Tehran University of Medical Sciences (TUMS).
Materials and Methods: The present descriptive-analytical cross-sectional study was conducted in 2017. The sample consisted of 75 senior managers. The research tool was a researcher-made questionnaire whose face validity was confirmed using the opinions of 7 specialists and experts in the field of medical law, health care and medical services management; besides, regarding its reliability, Cronbach's alpha and test-retest reliability coefficients were 0.89 and 0.79, respectively. With SPSS software, data analysis was performed using descriptive statistics including absolute and relative frequency and inferential statistics including Pearson and Ka-square correlation tests.
Results: The level of knowledge of the studied managers was below average in most legal areas and legal standards related to the health system. There was a significant inverse relationship between the level of knowledge of organizational, financial and transactional areas, and administrative and employment of managers with passing relevant training courses (P=0.01 and P=0.04).
Conclusion: TUMS senior managers' level of knowledge in the three areas of organizational, financial, and rules and regulations is at medium and lower than medium levels. To raise the awareness of managers, necessary arrangements such as holding training courses with new methods such as simulation, screenwriting, case study and experimentation and using new technologies such as hybrid knowledge management and technology integration are suggested. Also, creating managers' strategic competency system at the levels of general and specific skills, along with continuous training and monitoring the accountability and feedback provided in management processes, will ensure future reforms.
