توجه: محتویات این صفحه به صورت خودکار پردازش شده و مقاله‌های نویسندگانی با تشابه اسمی، همگی در بخش یکسان نمایش داده می‌شوند.
۱Esophageal Strictures in Children
اطلاعات انتشار: Journal Of Patient safety and quality improvement، دوم،شماره۳، ۲۰۱۴، سال
تعداد صفحات: ۳
Introduction: To evaluate main aspects of esophageal strictures in children. Materials and Methods:This cross–sectional study was performed on 43 cases of esophageal stenosis ranging from 1 month to 10 years of age who were admitted in Ghaem and Dr. Sheikh Hospitals from 1995 to 2003 in Mashhad, Iran. Results: Most cases were male (56%). The most common cause of esophageal stricture was anastomotic stricture after esophageal atresia surgery (34.9%) followed by strictures due to gastroesophageal reflux (25.6%), chemical burns (11.6%), and congenital a (11.6%). Proximal esophagus was the most common site of stricture (48.8%). Dilatation and operation had been chosen as the treatment of choice for most of our cases (42%). The majority of our patients recovered after receiving the proper treatment (60.5%). Conclusion: Anastomotic stricture after surgical repair of esophageal atresia comprised the most common cause of esophageal stricture. Proximal esophagus was the most common site of stricture. Most of the patients recovered with dilatation, surgery, or a combination of the two.

۲Medical Waste Management in the second largest City of Iran (Mashhad) with Three–Million Inhabitants
اطلاعات انتشار: Journal Of Patient safety and quality improvement، دوم،شماره۴، ۲۰۱۴، سال
تعداد صفحات: ۵
Introduction: One of the first and important steps to improve medical waste management is awareness and monitoring of the quality and quantity of medical waste. The aim of this study was to determine the present status of waste generation and the process of waste management in hospitals. Materials and Methods:This cross sectional study was performed in ten university hospitals in Mashhad. A standard questionnaire was prepared according to the National Health instructions and completed by the project team members who were environmental health experts. Results: The total waste which was generated in the studied hospitals was 7683 kg\day. The study showed total waste generation in selected hospitals as (61.85%) general medical waste, (34.90%) infectious waste and (3.25%) sharp waste. The average generation rate for total, general, infectious and sharp waste was (2.6, 1.5, 1.01) and (0.08) kg\bed\day, respectively. Mean scores of the different steps of waste management process with respect to National Health instructions were as follows: waste segregation (64%), waste storage (67%), waste transportation (76 %) and waste treatment 63%. There was no significant difference between the average rate of waste generation per bed in public and specialized hospitals (P=0.34). Conclusion: High rate of infectious waste shows the need for establishing executive rules and standards for medical waste management. Medical managers should update their knowledge and further educating their staff; implying careful and constant monitoring of waste management.

۳Evidence–Based Medicine: Studying the Attitude of Medical Residents in Mashhad
اطلاعات انتشار: Journal Of Patient safety and quality improvement، سوم،شماره۱، ۲۰۱۵، سال
تعداد صفحات: ۵
Introduction: Evidence–Based Medicine (EBM) means ensuring that the right patient has received the appropriate treatment and it strives to form a common scientific language for all doctors. It uses the combination of the best available knowledge (evidence) and clinical experience beside the patient values. This study was designed to investigate the attitude of medical residents of Mashhad University of Medical Sciences towards EBM. Materials and Methods: In this cross sectional study a self–designed questionnaire was used for data collection. The study was performed in the autumn of 2012 in Mashhad University of Medical Sciences, Mashhad, Iran. The study aimed at investigating the attitude of medical residents towards EBM and evaluating its use in medical practice. Questionnaires’ data were analyzed by the SPSS Version 13. Results: 49 (52.1%) residents were familiar with the concept of EBM whereas 45 (47.9%) were not. The rate of familiarity with EBM concepts was (26.5%) in the surgical fields and (73.5%) in the non–surgical ones, showing a meaningful difference (p=0.014). There was a significant correlation between the field of study and knowledge about the concepts of EBM, whereas a greater number of non surgical residents were familiar with its concept in comparison to surgical residents (73.5% vs. 26.5%, p=0.014). Conclusion: The concepts of EBM are familiar to (82%) of medical residents of Mashhad and regarding the increasing importance of this science, upgrading EBM concepts in a timely and accurate planning is highly recommended.

۴Surgical Causes in Lower Respiratory Tract Infection in Children
اطلاعات انتشار: Journal Of Patient safety and quality improvement، سوم،شماره۱، ۲۰۱۵، سال
تعداد صفحات: ۲
Introduction: To evaluate the surgical causes in pulmonary infection in children. Materials and Methods:In this cross sectional study 203 patients aged between one month and 12 years old were studied in pediatric wards at Ghaem hospital in Mashhad, Iran. Results: Most of patients were male and younger than one year old. Fever and cough were among the most common presentations. Foreign body aspiration, hydatid cyst, empyema and lung abscess were the most common causes that required surgical intervention. Conclusion: Foreign body aspiration and hydatid cyst, empyema and lung abscess are the most common causes of surgical intervention in children with pneumonia.

۵The Survey of Hospitals Managers’ Attitude about Patient Complaints Investigating System in Hospitals Affiliated to Mashhad University of Medical Sciences
اطلاعات انتشار: Journal Of Patient safety and quality improvement، سوم،شماره۴، ۲۰۱۵، سال
تعداد صفحات: ۵
Introduction: According to the importance of managers’ role in improving quality of health services, we performed this study to survey hospital managers attitude about patient complaints investigating system in hospitals affiliated to Mashhad university of Medical sciences in 2015. Materials and Methods: This descriptive cross–sectional study was performed in 12 hospitals affiliated to Mashhad University of Medical Sciences. One questionnaire that we had confirmed the reliability and validity of that was used to assess hospitals managers’ attitude about patient complaints investigating system. Study population was all hospital managers in all levels. We studied them as census. Finally 130 completed questionnaires were analyzed with SPSS Version 16. Results:20% of managers assessed the current status of patient complaints investigating system as improper. 35% of manager expressed not using information that derived from patients’ complaint as most defect in patient complaints investigating system. 60% of managers believed that the most impact of reinforcement patient complaints investigating system is improvement of services quality and system validity. Finally 56% of managers expressed staff dissatisfaction is the great reason for patient complaints. Conclusion: According to the findings and relatively positive attitude of managers, it is necessary to organize a team for improving and revising patient complaints investigating system in each hospital. Also managers’ attention to staff satisfaction and their educational needs is important for reducing patient complaints.

۶Evaluation of Plasma Soluble Human Leukocyte Antigen–G Level in Asthmatic Children Aged 2 to 14 Years Old in Ghaem Hospital
اطلاعات انتشار: Journal Of Patient safety and quality improvement، چهارم،شماره۳، ۲۰۱۶، سال
تعداد صفحات: ۲
Introduction: To evaluate serum level of plasma soluble human leukocyte antigen–G (sHLA–G) in asthmatic children aged 2 to 14 years old. Materials and Methods: This prospective, cross–sectional study was conducted on 83 patients aged 2–14 years in Ghaem Hospital, Mashhad, Iran, during 2013–2015. The participants were divided into two groups of asthmatic patients (n=29) and healthy children (n=54). Blood samples were drawn from the case (on admission) and control groups. Results: In the control group, 33 cases were male (61.1%) and 21 (38.9%) were female. In the case group, 18 patients (62.1%) were male and 11 (37.9%) were female (P=0.65). Mean ages of the control and case groups were 4.75±3.57 and 4.93±2.38 years, respectively (P=0.17). Mean serum levels of sHLA–G in the control and case groups were 396.51±279 U\ml and 184.58±302.08 U\ml, respectively (P0.001). Conclusion:Serum level of sHLA was significantly lower in the asthmatic children compared to healthy ones.
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