فرشید برخورداری

Occurrence of medical error by medical staff can endanger patients' safety. Meanwhile, nurses play a role both as one of the main factors in the occurrence of errors and as a barrier against errors, and sometimes face obstacles to reporting errors. In this regard, this study attempted to identify these barriers and provide corrective solutions.

This qualitative quantification study was conducted in two stages. In the first stage, a researcher-made questionnaire was completed by 214 nurses working in teaching hospitals in Kerman. In the second stage, to provide a suitable solution to increase reporting by 23 experts, the centralized group discussion method was used and then the data were analyzed through the framework analysis method.

In the first stage, fear of prosecution and criminal punishment was identified as important obstacles to reporting. In the qualitative stage, three major axes of education, culture and organization and 15 sub-axes including: change of attitude, motivation, job culture, religion, belief of officials, appropriate reward system, use of software, planning, respect, environment, public education and media, use of cyberspace, model presentation, advertising, communication skills of officials were identified.

Because the barriers and issues raised in the reporting of clinical errors, it seems that hospitals with the help of cultural, educational, and structural solutions presented in this study, have the ability to remove barriers to report clinical errors. This way, by increasing error reporting hospitals can improve the quality of health services by reducing individuals' errors.

Introduction:

Urban health centers provide primary health services in cities. In recent years, comprehensive urban health services centers have undergone changes in structure, function, and area of activity; however, these changes cannot address all the problems in this area. This study endeavored to identify the challenges facing Integrated Health Services after implementing health transformation plan.

Methods:

 In this qualitative case study, the target population was managers and staff of Kerman City comprehensive health services centers in Iran. Semi-structured interview was conducted with 8 managers and 7 staff members of Kerman comprehensive health centers. The interview guide was employed to gather information, including some general questions based on the literature review, and to clarify specific topics. The content analysis method based on Colaizzi’s seven stages of rapeseed was used to obtain data as well.

Results:

 In this study, after analyzing the challenges of comprehensive urban health centers, four main themes of human, organizational, functional, and clients were identified.

Conclusion:

It is possible to offset these problems through strategies such as reforming the payment system and incentive system, expanding physical departments of the centers, reviewing programs, and effective implementation of family physician plans.

Unfortunately, in our country, in the optimistic state of universities in the second generation, there are research-based universities and they have little activity in becoming the third generation of universities, that is, universities of entrepreneurship. At the current time, considering that the economic, cultural, social and political conditions have changed, there is a system in universities that needs to educate and promote the creativity and spirit of entrepreneurship and innovation to talented students as well as faculty members. . This study was carried out in two stages. In the first stage, using the review of scientific literature, the characteristics of the entrepreneurial university were identified and then a valid checklist was prepared and in the second stage of the checklist in Kerman University of Medical Sciences, the data were analyzed and analyzed by descriptive statistics.
Findings: According to this research, the information obtained in the areas of administrative bureaucracy, the status of graduates, the level of people's ability, the status of education and research in the field of study, as well as the relationship with industry and knowledge-based companies should be more effort. The findings show that the Kerman University of Medical Sciences, considering the content of the checklist designed, has focused on entrepreneurship and has begun moving to a third-generation university, although these are not enough, but the sign Start this process.