جستجوی مقالات مرتبط با کلیدواژه "بخش زنان و زایمان" در نشریات گروه "پزشکی"

Medical malpractice is an act committed by a medical or healthcare professional who deviates from the standards in his or her profession and causes harm to the patient. Meanwhile, medical malpractice in the field of obstetrics and gynecology includes a wide range of complaints against physicians, and prevention of this type of malpractice requires an understanding of its epidemiology. In this study, medical errors in gynecology and obstetrics departments of Jahrom city were investigated.

A cross-sectional-descriptive study was conducted to investigate medical errors related to referral cases to Jahrom Forensic Medicine Organization in the gynecology and obstetrics departments between 2002 and 2018. The method of data collection was based on the questionnaire and the use of the information in the files in the medical commission of the General Directorate of Forensic Medicine of Jahrom city. The data were analyzed in SPSS software.

Sixteen complaints have been lodged against Obstetrician and gynecologist specialists in the evaluated period; Of the 14 cases (82.35%) related to childbirth, 1 case (5.88%) was related to genital infection and 1 case (5.88%) was related to breast tumor. The average age of the plaintiffs was 29.81. The youngest complainant was 24 years old and the oldest was 45 years old. Votes issued for 9 cases (52.94%) of complaints leading to failure to prove negligence, 3 cases (17.64%) indicating negligence of obstetrician and gynecologist, 2 cases (11.76%) of the ban on prosecution due to the time, 1 case (5.88%) resulted in a written cautation to gynecologist and 1 case (5.88%) resulted in the plaintiff's consent to the obstetrician. There were three cases of negligence, one involving the placement of surgical instruments during a cesarean section, one involving the death of a baby during childbirth, and one involving the absence of a diagnosis of a breast tumor.

Most of the medical malpractice charges in cases against obstetricians and gynecologists are related to labor management. This demonstrates the need to provide courses based on complex cases leading to complaints for the obstetrics and gynecology department.

Aim: One of the recent reimbursement methods implemented by insurance organizations is the global system, where the accuracy of estimated tariff by this organization, especially in the field of drugs and medical consumables toward the real costs of the cases, is questioned. The purpose of this study is comparing the drugs and medical consumables’ cost in global system over the insurance tariff.
In this descriptive-analytical study the average cost of drugs and medical consumables of two university tertiary affiliated with gynecological hospitals of Tabriz university of medical science, were evaluated with global tariff; and reasons of different cost of drugs and medical consumables between two hospitals was reviewed. In this research we study 8 common gynecological surgeries for 320 patients in the first quarter of the year, and the related information is extracted from hospital information system (HIS). We used Spss software for statistical analysis.
The total cost of drugs and medical consumables in caesarean, Myomectomy, accouchement, Hysterectomy and abortion is significantly more than Global tariff, and in ectopic pregnancy the total cost is significantly lesser than the Global tariff for the cases (P-Value005). By comparing the two hospitals, it can be investigated that, in caesarean, accouchement and Myomectomy surgeries the costs of "A" hospital is statistically significantly more than "B" hospital (P-Value It seems that, drugs and medical consumables tariff in global surgeries is not commensurate with its real costs in governmental hospitals. Our findings show that, these tariffs will need to be reviewed in order to avoid financial loss in governmental hospitals

Indicators are information that can be widely used for decision making in management. There are different indicators that can measure the performance of health institutions. These indicators can be used as an accurate strategy to remove obstacles of the development of medical services. This study aimed to evaluate the performances indicators of obstetrics and gynecology department of Motahari Hospital in 2013.
This study is a cross-sectional research that has been done in the obstetrics and gynecology wards. Tools for data collection were surveys and statistical forms, and the method of data collection was using questionnaires, sample forms, direct observation and interviews.
The following results were obtained: inpatient bed occupied rate (81.8%),bed turnover interval( 0.4) & mean length of stay( 1.6), patient per nurse in month (32 ), meanwhile service education ( 15), staff per active bed (1 for 9 ) , midwife for obstetric ( 52) , staff ( 55%) and patient satisfaction ( 60%), rooming in technique (100% ), breast feeding (100% ), patient information access from HIS system (100% ), emergency and hostelling medicine access ( 100%), round and morning reports (100% ) , the mean admitted time in the ward ( 40 minute), infant and maternal mortality rate per total deliveries are(3.09% ) and (0%) , and the percentage of trained patient ( 100%), expert physician per active bed (1 for 9 ) and C/S per total delivery ratio is ( 50.91%).
Indicators show hospital performance in various fields .Therefore, it is necessary to consider all aspects of the markers which should be evaluated at regular periods.
These findings indicate that a number of performance indicators are not in good condition, and they should be evaluated and corrected to improve the status of these indicators and the performance of the sector.

One of the most important educational method in medical sciences is Morning Report. Evidence Based Medicine (EBM) is a new approach that has been considered to improve the quality of clinical care. The aim of this study was to evaluate and compare of morning report in regular & Evidence Based Medicine from the viewpoint of medical students.
A cross-sectional study was carried out on 87 students in OB&GYN departments of Besat hospital in Sanandaj in 2014. Sampling was done through consensus. Data was collected by a researcher- made questionnaire that include 3 Section and 26 Items including Demographic and educational factors, information about Structure and content of morning report, and Section about Improving students skills in regular and EBM method. The reliability of the questionnaire using Cronbach's alpha coefficient was 0.85. Data was analyzed by SPSS software and T-test and Chi-square test.
The results showed that 85 students (97%) declare 8 (A.M) as suitable time of holding morning Report in Routine and EBM group. The average duration of Morning Report in EBM group was 42.10 minutes and in Routine group was 38.6 minutes. There was significant difference between EBM and regular in presenting feedback (P0.05). In EBM group students ability was promoted more than routine group (p Conditions of Morning Report structure was observed within acceptable level in two groups. To improve Morning Report it should be more emphasized on the structure and content of meetings such as feedback, participation and interaction between the audiences and subjects about promoting the ability of students.

Nursing process is a deliberate problem solving approach for meeting people's health care needs. Using nursing process helps to improve the quality of patient care. The aim of this study was to determine the effect of nursing process implementation on quality of nursing care of patients hospitalized in surgical wards at Shahid Beheshty hospital in Yasuj city in 2012. Method and Material: This was a quasi- experimental study with befor-after design. The sample of the consisted of 48 nurses working in surgical wards of teaching hospitals affiliated to Yasoj Medical University. The samples were selected by using purposive sampling. The nursing care quality was evaluated by using the quality patient care scale (Qual PacS) checklist, that its validity were determined by face and content validity and its reliability was determined by using inter-observer (ICC=0.86). Initially the nursing care quality was evaluated. Nurses participated in an educational program on nursing process and its implementation. After one month the quality of nursing care was assessed again. Data were analyzed by SPSS 16 software and using paired t-test. This study showed a significant difference between the quality of nursing care in meeting psychosocial needs (p=0.031) communication needs (p=0.012), physical aspects of care (p=0.047) and the overall quality of nursing care (p=0.001) before and after implementation of nursing process. The results of this study showed that nursing process implementation can improve the quality of nursing care of patients in surgical wards.

Pre-identification of practical educational objectives and provision of equal learning opportunities، corresponding to the objectives، for students are among the needs of the educational system that should be fulfilled using the clinical handbook (Logbook). The current research tried to assess the effect of using this handbook on the learning of the students of the department of obstetrics and gynecology.

This quasi-experimental study was carried out on 117 medical students composed of trainees and interns in the academic year 2010-2011. The students were randomly divided into an experimental group and a control group. The experimental group participants were trained with the help of the logbook while the control group''s training followed the normal established method. The skills of the two groups were evaluated at the end of the term through direct observation based on a checklist.

The average of the total scores of the trainees and the interns of the experimental group was significantly higher than that of the control group (P < 0. 05). However، with regard to a number of skills، there was no difference between the scores of the trainees of the two groups.

The Logbook is efficient but not sufficient for teaching clinical skills، and therefore، there should be an appropriate ground for a more efficient usage of the book.

The existed difference statistical indicators is necessary to measure the efficiency of the health organization and as an exact strategy, could be removed the developed problems in heath services sectors. This is a descriptive research as a cross sectional study throughout obstetric and gynecology wards in the general hospital of RASOOL. The questionnaires and statistical Forms applied for data gathering. The methods were completed questionnaires, statistical Forms, face to face interviews and observation. The Delphi technique, standardized questionnaires and references’ textbooks used to determining the reliability and validity. Data analysis was done by using likret ranking. The results showed that some indicators, such as inpatient bed occupied rate (63%), bed turnover interval(5) & mean length of stay(4), patient per nurse(19), meanwhile service education(10),staff per active bed(1for 12), midwife per delivery bed(0), staff(50.9%) and patient satisfaction(89%)were lower than expected. Some indicators such as rooming in technique(100%), breast feeding(100%), patient information access from HIS system(100%), emergency and hostelling medicine access(100%), round and morning reports(100%), the mean admitted time in the ward(30 minutes), Infant and maternal mortality rate per total deliveries(0), and the percentage of trained patient(100%) were as expected. Some indicators such as expert physician per active bed (1 for 7) and C/S per total delivery ratio (69%) which was higher than expected, and the necessary data for calculating book & papers per assistant professor & non colonial infection rate were not found. Hospital indicators showed the performance of hospitals in the various bases. Therefore,the broad attentions to these indicators are necessary. Meanwhile, it should be compared them and to distinct time periods.

Students as the major part of education are one of the best sources of information in each educational system. One of the uses of this source of information is studying the achievement of educational goals. To determine the adequacy rate of presented trainings in achieving educational goals of Obstetrics & Gynecology ward from the point of view of interns. All interns of Kerman University of Medical Sciences in 2005- 2006 including 93 ones were enrolled into the study. Data gathering was done by using a questionnaire including the subjects of training materials in Obstetrics & Gynecology ward. Participants were asked to determine the adequacy of presented trainings for each subject. From 93 interns, 63.7% were female, 71.1% were single and 52.2% have started their medical education program before 2000. Mean age of participants was 25.7 ± 2 years. From all, 46.6% have seen the approved program of Obstetrics & Gynecology ward and 52.9% asserted that they had been informed of the educational goals at the beginning of the course. The highest adequacy rates were obtained for determining gestational age and estimated delivery date based on LMP (90.7%), fetal heart rate controlling (87.3%) and prenatal cares (81.6%), while the lowest adequacy rates were related to inserting and removing Norplant (respectively 16.8% and 16.2%) and inserting IUD (19.8%). Mean total percentage of training adequacy in two domains of diagnosis & therapeutic activities and emergency activities showed no significant difference based on age, year of enrolling, marital statue and sex. Mean total score of training adequacy in diagnostic &therapeutic domain including 31 cases was 55.8 ± 14.3 and in emergency activities including 8 cases, it was 52.23 ± 2.1 that shows a significant difference (P= 0.002). From the point of view of studied interns, based on the approved educational goals, presented trainings in Obstetrics & Gynecology ward had not been adequate. Therefore improving the quality of clinical training and its continuous evaluation in order to make it compatible with educational goals and changing needs of community is necessary.