محمد ناصر شفیعی

The collection of sufficient data regarding the customer perception of the quality of services can help organizations identify the areas and dimensions that affect the competitive advantage of the organization. Therefore, the present study aimed at evaluating the quality of services provided in the Department of Cardiac Surgery at the state and private hospitals in Mashhad, Iran, based on the SERVUSE model during 2018.

In this descriptive-analytical study, 145 patients hospitalized in the heart surgery departments of three public hospitals and four private hospitals in Mashhad, Iran, were evaluated using the servise questionnaire in 2018. The questionnaire consists of several dimensions, inlcuidng tangibility, reliability, accountability, assurance, empathy, and usability. The validity of the questionnaire was confirmed through content validity, and its reliability was evaluated using Cronbach's alpha coefficient. The data were collected in a field and analyzed in the SPSS software using nonparametric tests at a significant level of 0.05.

In the public hospitals, the greatest gap was attributed to the tangible factors with a score of 0.52, while the lowest gap was related to the empathy domain with a score of 0.06. In addition, the gap between total expectations and perceptions was -0.22. In the private hospitals, the greatest gap with a score of -1.14 was related to empathy. Furthermore, the gap between total expectations and total perceptions was obtained as -0.73. The results of Wilcoxon test showed that the gap and difference were statistically significant between the public and private hospitals (P<0.05).

To reduce the existing qualitative gap, managers need to pay more attention to the improvement of the physical environment of the hospital, utilization of appropriate equipment, enhancement of human resource management, and promotion of organizational motivation and commitment.

Regarding the patient's vital conditions in Intensive Care Unit (ICU) for burns, preventing medicinal errors is of utmost importance. This study evaluates the processes of prescribing and consuming drugs in ICU for burns in Imam Reza Hospital of Mashhad by using the failure modes and effects analysis (FMEA).
This was a qualitative and quantitative study based on the 9-by-steps explanation of the failure modes and effects analysis (FMEA) and the criteria of National Center for Patient Safety. Brainstorming and cause and effect diagram, are the main used instruments in the procedure. We applied the standard scoring Table to determine the risk priority number (RPN). We used descriptive statistics and content analysis with consensus views of the team members, for quantitative and qualitative data analysis, respectively.
Sixty eight failure modes were identified in two processes of prescribing and consuming drugs in ICU for burns. From which, Twenty seven percentages were determined as high risk. Therefore, suggestions were proposed to reduce or eliminate these errors
This study showed the importance of FMEA in assessment of errors during the medication administration process. Moreover, it showed the role of employees in errors reduction in burns ICU.

Maintaining a huge elderly health, health promotion and community development is very important. Worker's health status is largely influenced by their working conditions and job. Work in mines, including those considered threats to worker's health.
A number of 45 workers in each of the control and intervention groups participated in a quasi-experimental study. Demographic information and data related to HAM constructs and safety were collected through a HAM questionnaire and the safe operation checklist 3 months after the intervention. Cronbach's alpha coefficients were used to confirm properties of the tools. Educational intervention accompanied was applied in the form of four training classes. The Data were analyzed based on distribution of variables.
Before the intervention, there was no significant difference between the two groups in terms of demographics and the study main variables. After training, however, results showed significant changes of mean scores of attitude (P The research results show that HAM educational intervention is able to change workers’ awareness, attitude, norm, belief, and intention towards unsafe behavior and improve their safety performance.

Evaluation of the effects on environment is an executive view for sustainable development. Solid waste is one of the factors that pollute the environment and the management, control and proper hygiene play a key role in promoting the health of society. So, in establishing the composting plants, the environmental issues should be considered and a proper place for these plants must be chosen. This can be one of the most important tasks in waste management programs in developing countries. The aim of this study was to determine the effects of these plants on environment and the procedures to be carried out in this field.
This research was a review study. By Using the key words (such as compost plants, environmental impact assessment, Iran) the related articles on Web sites google schoolar, iranmedex , SID, Magiran and civilica were searched and studied.
In this study, Articles in the period 1995 to 2016 were studied and 40 papers were selected. One paper Environmental impact assessment study methods, One paper method Adkins and Brooke,7 paper method Leopold matrix, one paper matrix math,one paper matrix method of rapid, 2 paper Matrix interactions, the Check list for assessing and one paper matrix type III.
In most reviewed studies, the method of Leopold matrix has been used to assess the environmental impact of compost plant. Leopold matrix method has been considered by researchers and experts because of its accuracy, surveying in the construction and operation phases, using two-dimensional tables to express the effects of a compost plant project on the environment, determining suitable place And finally scoring waypoint is placed by specialists for more Compost Plant