Showing 6 results for Safety
Roya Malekzadeh, Fereshteh Araghian Mojarrad, Afshin Amirkhanlu, Sona Sarafraz, Ehsan Abedini,
Volume 1, Issue 1 (12-2016)
Abstract
Background: A structured error reporting system, has a warning and connecting role in practitioners in patient care. The aim of this study was to investigate the causes of medical errors in voluntary reporting system in hospitals of Mazandaran University of Medical Sciences in 2014.
Methods: This study is a cross-sectional study conducted in 2014. The population consisted of all the medical staff of hospitals affiliated to Mazandaran University of Medical Sciences. Data collection was conducted through review of medical errors reports. After classification, data were analyzed by Excell.
Results: According to the results, during the first 6 months of 2014, 1927 cases of medical errors were reported of which 820 cases were in clinical wards, 550 in Intensive Care Unit, 76 in operating room, 401 in paraclinical wards, and 80 in other parts of the hospital. Furthermore, in terms of repeatability, the highest number of errors had a moderate repeatability and in terms of the severity, the highest number errors were minor.
Conclusion: It is recommended to develop training programs for all employees to report medical errors. Aslo the findings of this study can help in planning for prevention of medical errors.
Mahdieh Torka Beydokhti , Kamran Hajinabi , Katayoun Jahangiri ,
Volume 3, Issue 1 (6-2018)
Abstract
Background: Patient safety is one of the most important and vital issues in the health systems of different countries. Team working and communication are very important in preventing and reducing medical errors. This Study aimed to investigate the relationship between the patient's safety and nurses' team working in surgical and intensive care units in Gilan province selected hospitals.
Methods: This analytical study was conducted in 30 selected hospitals in Gilan province in 2015. The statistical population of the study consisted of all nurses working in surgical and intensive care units (n = 600), and safety authorities of 30 selected hospitals. Team working data were collected by the teamwork assessment questionnaire and the patient's safety data by the checklist of mandatory standards of patient safety. Data were analyzed by spearman correlation and SPSS 16 software.
Results: According to the results, there was a significant relationship between the patient's safety and nurses' team working (p < 0.05).
Conclusion: According to relationship between team working and patient's safety, financing in teamwork culture promotion can prevent serious injuries and possible complications from patients and returns the investment to the hospital.
Pari Ranjbari, Khalil Alimohammadzadeh, Seyed Mojtaba Hosseini ,
Volume 3, Issue 3 (12-2018)
Abstract
Background: Relationship between physicians and nurses includes the interactive interactions to achieve a common treatment goal, i.e., improving the health and safety of the patient. The present study aimed to investigate the relationship of physician-nurses interaction with the patient safety incidents in Amir-Al-Momenin hospital in Tehran city, Iran.
Methods: This applied, analytical, and cross-sectional study was carried out in 2017. The study population consisted of all full-time physicians (N = 45) and nurses (N =186) of Amir-Al-Momenin hospital in Tehran city. They were selected using the census and convenience sampling methods. To collect data, we used a four-part questionnaire including demographic data, physicians' viewpoints about the nurse-physician interaction, nurses' viewpoints about nurse-physician interaction, and patients' safety events. Data were analyzed by SPSS 22 using Fisher exact test.
Results: We found that 45 physicians (100 %) and 174 nurses (93.54 %) completed the questionnaires. The physicians reported that the nurse-physician interactions were moderate (80.0 %), good (11.1 %), and bad (8.9 %). However, nurses believed that this relationship was moderate (74.7 %), good (18.4 %), and bad (6.9 %). A significant relationship was observed between the nurse-physician interaction and patients' safety events in 10 cases of events (p < 0.05).
Conclusion: Patients' safety events can be related to the type of nurse-physician interaction. So, improvement of the nurse-physician interaction should be considered more seriously as an effective factor in patients' safety.
Mahdi Hasani, Hasan Abolghasem Gorji, Asaad Ranaei, Srva Rezaee, Noureddin Niknam,
Volume 7, Issue 4 (3-2023)
Abstract
Background: Safety culture is the basis and dominant part of patient's safety, and is considered as the main axis of safety promotion programs and service quality. The purpose of this study was to explain the challenges of safety culture in Iranian educational centers with a qualitative approach.
Methods: This study was a contractual qualitative content analysis which conducted in 1400. The study population consisted of people who had 5 years of experience in taking care patient or working in the patient's safety and quality control unit in teaching and medical centers affiliated to Tehran University of Medical Sciences. Study data were saturated by purposeful snowball sampling and in-depth and semi-structured interviews with 25 participants. “Granheim and Landman approaches” and “Goba and Lincoln criteria” were used to analyze the data and solidify the research. The process of coding and analyzing research data was performed simultaneously; Finally, the extracted categories and subcategories were confirmed by the interviewees. MaxQDA 10 was used to analyze data.
Results: By analyzing the interviews, 331 codes, 7 categories and 20 subcategories were extracted. Lack of reporting errors, poor culture regarding no-blame, staffing issues, low understanding of patient safety, poor management support for patient safety, poor teamwork between units, and lack of open organizational communication were the main categories found and the most important challenges of safety culture in teaching and medical hospitals.
Conclusion: According to the findings of the research, developing codified and continuous educational programs, strengthening teamwork and communication, adopting a comprehensive approach to increase the presence of all members of the treatment team in the process of reporting, and analyzing and implementing error prevention programs are among the requirements for improving and promoting the safety culture and quality of service to patients.
Seyed Masoud Mousavi, Mahdi Raadabadi, Sajjad Bahariniya, Fatemeh Dehghan Niri,
Volume 9, Issue 2 (9-2024)
Abstract
Background: One of the most important effective factors in increasing patient satisfaction and improving health and treatment results is proper communication between physician and nurse, and the patient. The present study was conducted with the aim of determining the relationship between the communication skills of the medical staff and patient’s safety culture.
Methods: This was an analytical study conducted among 277 working medical staff including nurses, paramedics, full-time geographical employment doctors and anesthesia, and operating room technicians in Shahid Sadoughi Hospital in Yazd by stratified random sampling in 2022. The instrument used was the safety culture standard questionnaire made by the health care quality and research agency and communication skills of Barton J. Data analysis was done with SPSS 25 software, Mann-Whitney, Kruskal-Wallis, and multiple linear regression tests.
Results: The overall mean and standard deviation of patient safety culture was 3.04 ± 0.23, which indicates the average status of safety culture in the studied hospital, and the overall mean of communication skills among medical staff was 3.36 ± 0.40. Which reports a relatively strong level of this skill. The results of linear regression showed that 2 components of communication skills (listening and feedback) have a positive and significant effect on the improvement of patient safety culture, so that they are able to explain 33 percent of the variance of patient safety culture changes.
Conclusion: Based on the findings of the research, the communication skills of the medical staff have a significant effect on patient's safety culture. Therefore, in order to improve the patient’s safety culture among them, special attention should be paid to communication skills because effective communication is considered a vital element in effective care, and in the medical system it has a significant effect on the quality of care and consequently increases the satisfaction of patients.
Mohammad Ranjbar , Zahra Azmoudeh , Tahereh Shafghat , Arefeh Dehghani Tafti ,
Volume 9, Issue 2 (9-2024)
Abstract
Background: Moral intelligence in nurses is of particular importance due to the human and moral nature of their job and profession. Moral intelligence can provide a rule for the correct functioning of humans and is considered a predictive factor of behavior. The moral intelligence of nurses refers to their ability to distinguish right from wrong and adhere to ethical principles. Nurses with higher moral intelligence show more commitment to patient safety and adherence to professional protocols and have a more positive attitude toward patient safety. The purpose of this study was to investigate the relationship between moral intelligence and attitude towards patient safety in nurses working at Shahid Sadoughi Teaching Hospital in Yazd in 2023.
Methods: The present study was a descriptive-analytical one conducted cross-sectionally in 2023. The statistical population included 237 nurses working in Shahid Sadoughi Teaching Hospital, Yazd, who were selected by stratified random sampling. Two standard questionnaires with a 5-point Likert scale were used to collect data. Data were analyzed by SPSS24 using descriptive statistics, one-way analysis of variance and Pearson's correlation coefficient.
Results: The average moral intelligence of the studied nurses was 135.22 ± 22.30, and the average attitude of the nurses towards patient safety was 72.65 ± 17.32, indicating high moral intelligence and an average attitude towards patients safety in nurses in Shahid Sadoughi University. The results of Pearson's correlation coefficient showed that there is a positive and significant correlation between moral intelligence and nurses' attitude towards patient safety (r = 0.19, p = 0.003).
Conclusion: Moral intelligence plays a role in predicting nurses' attitude towards patient safety; therefore, it seems that by strengthening the moral intelligence of nurses, their attitude towards patient safety can be influenced. To strengthen the moral intelligence of nurses and improve their attitude towards patient safety, professional ethics training, development of critical thinking skills and creation of ethical organizational culture can be used. Also, holding workshops to discuss ethical issues and support from ethical management can strengthen nurses in making ethical decisions and more responsible behavior in the field of patient safety.
