mohammad ali yaghobifar

The cost of hospital services has increased sharply, so we must pay attention to the proper management of costs in hospitals and the need to make optimal use of available facilities and resources by using economic analysis. This study aimed to investigate the types of efficiency of hospitals in Sabzevar University of Medical Sciences before and after establishing the Health System Reform.

This descriptive-analytical study was conducted to measure hospitals' technical, scale, and managerial efficiency under the auspices of Sabzevar University of Medical Sciences using the comprehensive data analysis model and Pabon Lasso model in 2014 and 2018.

Hospitals' average technical efficiency and scale had increased from 0.945 in 2014 to 0.924 in 2018. Also, the average change in total productivity was equal to 0.978, which indicates an improvement in the productivity situation during the study period.

One of the reasons for the increase in the number of hospitals with technical efficiency and scale 1 is the start of Heshmatieh Hospital and the optimal use of resources by the above hospital. In this study, the Malmquist index and Pabon Lasso model show that hospitals' performance has improved after establishing the Health Reform Plan. Still, the values of various types of performance calculated through data envelopment analysis show a slight decrease in performance. Sabzevar hospitals are after the implementation of the Reform plan. Therefore, the correct distribution of resources effectively improves the hospital's function.

Background and The important role of proper sterilization of surgical instruments and accessories of patient safety and infection control in hospitals to hygiene standards is a proven fact. Therefore, evaluating the quality control of sterilization in hospitals in Sabzevar is the aim of this study.
This investigation cross-sectional was studied in the 2014-2015 on the three hospitals Vasei, Emdad and Mobini. In this study, a questionnaire workplace health center of the Ministry of Health and Medical Education was used by using a check list of the sterilization units were survey and compared in four dimensions: personnel, physical condition, devices and equipment, and packs features reviews. Then the results were analyzed using SPSS 11.
The results showed that the sterilization unit in Sabzevar hospitals, as then staff is the highest with 96.66% and then sterilization equipment with a 76.66% had the lowest quality.
Sterilization and infertile can reduce hospital infection rate, increase efficiency indicators, and avoid imposing additional financial burden. Therefore, considering the health centers to provide management, credit systems and equipment, increased physical space, and workshops for staff seem necessary for sterilization units.

Libraries are the main levers of supporting educational programs in any university. A university without a good library cannot be successful in fulfilling its educational and research programs. The current condition of a library should be studies to find out whether it plays its part well as one of the main components of the university.
In the present research, the condition of the central library of the Medical University in Sabzevar was studied based on four quantitative indices of budget, human resources, collection, building and equipments. The library condition in 2011 was investigated and descriptive statistics (the mean, standard deviation, percentage and frequency) were used to obtain the required information.
The findings showed that the library has complied 71.42 and 38.5 percent of the required standards of human resources and collection, respectively. On the other hand, the reported budget index was 3.2 times higher than the standard amount (320%). The standard index of building and equipments has been observed up to 51.48 percent.
In general, among the four quantitative standards (budget, human resources, collection, building and equipments), only the budget standard has been completely observed by the central library of the Medical University of Sabzevar and other aspects are far from the standards.

improving patient safety culture in healthcare organization is the first step for reducing medical errors and improvement of patient safety. This study was conducted to survey the patient safety culture based on staff point of views in Sabzevar hospitals. This cross-sectional and descriptive study was conducted during July- September 2011، by using Hospital Survey Of Patient Safety Culture questionnaire (HSOPSC). 385 of clinical staff (physicians، nurses، midwives and stuff working in lab and radiology departments) as census were included in the study. The patient safety culture questionnaire was used for data collection. “teamwork within unit” and “organizational learning - continuous improvement” had the highest percentages of positive responses with respectively 73. 65 ± 6. 4 % and 69. 16 ± 8. 7 % whereas “nonpunitive response” to errors (13. 03 ± 7. 1%) and “staffing” (22. 37 ± 6%) had the chosen lowest percentages of positive responses. 89% of staff noted that they have not reported any medical errors during past 12 months. Only 31% of staff reported the patient safety status in their units as excellent or very good. Hospitals can attempt to create safety environment for patients by applying the strengths of their patient safety culture and removing the weaknesses. Therefore hospitals should eliminate the staff fear of blame for their mistakes and create an atmosphere of open communications and continuous learning.