توجه: محتویات این صفحه به صورت خودکار پردازش شده و مقاله‌های نویسندگانی با تشابه اسمی، همگی در بخش یکسان نمایش داده می‌شوند.
۱The Relationship between Matrons' Knowledge, Attitude, and Performance in Clinical Governance Domain and Mashhad Hospitals Fulfillment of Clinical Governance: 2013
اطلاعات انتشار: Journal Of Patient safety and quality improvement، دوم،شماره۳، ۲۰۱۴، سال
تعداد صفحات: ۴
Introduction: Clinical Governance (CG) is a systematic approach to the maintaining and improving the quality of provided services for patients in the health system. With regards to the implementation of clinical governance in hospitals affiliated to Mashhad University of Medical Sciences and the role of matrons in ensuring quality care, little is known about the relationship between matrons’ participation in this plan and hospital success in clinical governance fulfillment. Materials and Methods:This cross–sectional, analytic–descriptive study was conducted to investigate the relationship between matrons’ knowledge, attitude, and performance in clinical governance and Mashhad hospitals'' fulfillment of clinical governance. A researcher–made questionnaire was used for data collection on matrons’ knowledge, attitude, and performance. The standard checklist of the health ministry and observation were used to assess hospital clinical governance fulfillment. Data was analyzed at the hospital level by SPSS16. Results: The mean scores of matrons'' knowledge, attitude, and performance were above average. Matrons'' attitude towards clinical governance achieved the highest mark (4.46). There was no significant correlation between matrons'' knowledge\attitude\performance and hospital scores for clinical governance fulfillment (P>0.05). Conclusion: While the levels of matrons'' knowledge, attitude, and performance were satisfactory, there is still a need for improving matrons'' knowledge. Absence of any statistically significant relationship between matrons'' knowledge, attitude, performance and hospitals scores for clinical governance fulfillment may be due to the study small sample size.

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.

۴Comparison of Two Methods for Measurement of HbA1c in Two University Hospitals of Mashhad
اطلاعات انتشار: Journal Of Patient safety and quality improvement، سوم،شماره۳، ۲۰۱۵، سال
تعداد صفحات: ۴
Introduction: The aim of this study was to compare the two analytical techniques for determination of Glycated hemoglobin (HbA1c), consisting immunoturbidimetric and enzymatic methods. Materials and Methods :A total of 140 out–patients were included in this study. Measurements of HbA1c were done in blood samples using immunoturbidimetric and enzymatic assay. The two methods were used by clinical laboratories of Ghaem and Emam Reza hospitals in Mashhad, respectively. Results:Our results indicate that there was no significant difference between two methods, though; the average of HbA1c measured by enzymatic method was rather higher than the other method (7.38 and 7.34, respectively). The two methods correlated well with correlation coefficient of 0.967. Conclusion: Both techniques were proved to be sufficiently reliable and the results of the two methods show strong correlation though, the enzymatic method has an additional advantage of simultaneous measuring total Hb which can omit the undesired effect of hemolysis occurring during sampling.

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.
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