فهرست مطالب roghayeh chamani cheraghtapeh

 Hospital and patient safety is a global necessity and efforts to evaluate the readiness of hospitals in emergencies and crises are essential in every country. The purpose of this study is to investigate the Farsi Hospital Safety Index (FHSI) in the teaching hospitals of Tehran University of Medical Sciences in a four- year period from 2018-2021.

 This research is quantitative, descriptive, cross- sectional and applied. By census method, all 14 teaching hospitals of Tehran University of Medical Sciences were selected from 2018-2021. The completed FHSI tool of these hospitals in the mentioned 4 years was examined. In this evaluation tool, there are 3 sections: structural safety (18 items); non- structural safety (93 items); and emergency and disaster management (40 items). In the analysis of the results, descriptive statistics indicators of average and percentage in spss 22 have been used. High safety score or category a (66% - 100%), medium safety score or category B (36% - 65%) and low safety score is grade C (0% - 35%).

 The average total FHSI index in these hospitals in the mentioned 4 years was 67.97% ± 0.97, which has increased from 67.49% in 2018 to 69.11% in 2021 and has increased in category A. The non- structural safety score has reached 66.44% ± 1.16% with an average of 4 years, from 64.84% in 2018 to 66.99% in 2021, the structural safety score is 70.27% ± 1.52% with a 4-year average. From 71.67% in 2018 to 70.77% in 2021 and the safety score of emergency and disaster management, with an average of 4 years of%64.52 ± 3.14, from 61.01% in 2018 to 68.12% it reached in 2021.

 Considering that the safety rating of university teaching hospitals in emergencies and disasters is at a high level and they are able to continue working, but considering the importance of these hospitals in Tehran 3 province and the country, it is recommended that policy makers of universities and hospitals, by improving safety in systems Fire protection and water supply, increasing communication channels, providing necessary training to managers and hospital staff, and allocating funds in three dimensions, structural, non-structural and emergency management, put preventive, mid- term and long-term measures on the agenda.

The necessity of assessing safety in hospitals lies with the fact that although accidents are rare, they impose considerable financial loads on hospital. Along with examining the risks, the managers of hospitals need to improve their capabilities and standards and reduce the hazards caused by accidents. The present study is aimed at assessing functional, structural, and non-structural safety in Farabi Eye Hospital between 2014 and 2016.
The study was carried out as an applied work using qualitative methods. Study population was comprised of different wards of the hospital and the data was collected by observing the wards in hospital field. The data was collected using Hospital Disaster Risk Assessment (WHO). This checklist studies 145 hospital safety indices in three scopes of performance, structural and nonstructural safety. Excel was used to analyze the collected data.
Findings: As the findings indicated Functional safety level (91.83%), Non-structural safety level (31.03%), Structural safety level (58.69%)and totally47.59% safety condition had followed a steady increasing trend over the three years period.
under study; still improvements are needed in each field. In addition, safety level must be examined frequently on yearly basis to achieve the world standards.

In postindustrial age، knowledge management is the newest management approach that knowledge workers are the essential in organizations; so their retention and productivity are the important challenges in human resource management. Also، hospitals are as a knowledge and expertized organization that the majority of personnel are nurses who are knowledge workers that their retention is very important for them. The aim of this study was assessing the effective factors on retention nurses as knowledge workers in hospitals. This study was an applied descriptive study that was done in 2011-2012. By stratified sampling، 388 nurses who worked in teaching hospitals of Tehran university of Medical Sciences were selected randomly. Data were gathered by researcher made questionnaire that it had 52 questions. They assessed statuesque، desirable situation and effective factors (personal، organizational and job). Its reliability was 95% for statuesque and 97% for desirable situation and also content validity was attained by expertized faculty member. Data Analysis was done by dependent t test and Friedman test by SPSS software. Data analyzing showed that effective factors on retention of nurses as a knowledge workers in status currenr and desired situation were as follows ranked. The first priority factor was organizational factors (corporation، motivation، organizational communication، and education and performance management). And then personal factors (power and skill، job satisfaction، competency) as a second priority and finally job factors (meaningfully and challenging of work، freedom، Authority and role clarity) was the latest. It is recommended that hospitals improve necessary conditions for corporation، motivation، organizational communication، and education for nurses. In addition، it is recommended to nurses who are knowledge worker improve their individual skills and team-work capabilities to increase their competence and job satisfaction.