khalil klvany

Cardiovascular diseases (CVD) are of the main causes of mortality in the world and impose a heavy economic, social, and health burden on society. Therefore, the objective of this study was to determine the barriers and strategies for identifying and managing risk factors of CVD in levels of preventing, screening, and treating.
During present qualitative study with phenomenological approach, 60 subjects of cardiologists, nurses, patients, and their relatives were selected based on purposive sampling from educational-medical cardiothoracic subspecialty centers. Data were collected using an open-ended questionnaire and was extracted and analyzed with content analysis method.
Barriers were divided into three groups of individual barriers (low awareness, delay in referring for treatment and screening, incorrect beliefs, and not caring about health), socio-economic barriers (high costs, lack of resources, mental and psychological pressures), and health care barriers (non-alignment of doctors, being therapy-oriented, managerial and planning weaknesses, and lack of health care facilities). The most important presenting strategies are: providing public educations, improving family physician program, reduction of costs, cooperation of patients, and using functional indices to evaluate and improve the quality of services.
Low awareness of people, high costs of services, lack of health care facilities, socio-cultural problems of people, and delay in referring of people, for treatment and screening are of the most important barriers of proper identifying and managing risk factors of CVD. Strategies provided in this study to overcome these barriers could be used.

healthcare organizations is being increasingly used. The aim of this study was to clarify PSC status in Iranian hospitals using a meta-analysis method.Nowadays, for quality improvement, measuring patient safety culture (PSC) in Methods SID and IranMedex using the search terms including patient safety, patient safety culture, patientsafety climate and combined with hospital (such as “hospital survey on patient safety culture”),measurement, assessment, survey and Iran. A total of 11 articles which conducted using HospitalSurvey on Patient Safety Culture (HSOPSC) questionnaire initially were reviewed. To estimateoverall PSC status and perform the meta-analyses, Comprehensive Meta-Analysis (CMA) softwarev. 2 was employed. Six databases were searched: PubMed, Scopus, Google Scholar, Cochrane Library, Magiran, units” dimension received the highest score of PSC (67.4%) and “Non-punitive response to error” the lowest score (32.4%). About 41% of participants in reviewed articles evaluate their hospitals’ performance in PSC as ‘excellent/very good’. Approximately %52.7 of participants did not report any adverse event in the past 12 months. The overall PSC score based on the random model was 50.1%. “Teamwork within hospital Among the 12 dimensions of HSOPSC questionnaire, the “Non-punitive response to error” achieved the lowest score and could be a priority for future interventions. In this regard, hospitals staff should be encouraged to report adverse event without fear of punitive action.The results of this study show that Iranian hospitals’ performances in PSC were poor.