جستجوی مقالات مرتبط با کلیدواژه « بیمارستان ها » در نشریات گروه « پزشکی »

Covid-19 was declared a public health emergency by World Health Organization in jan 2020. Public fear, quarantine, and shutdown created an unpredictable situation for healthcare services worldwide, which created a great challenge for blood transfusion services.

In a cross-sectional study, the data about the request, distribution, and waste of blood products were collected and compared in two time periods (March and February 2019 and March and February 2020) before and at the time or Covid-19 pandemic with test of proportion. The poisson regression test was used to compare the amount of waste, request, and distribution of blood products in two consecutive years.

The request for red blood cells before the pandemic was 920,591 units, but it decreased by 18% to 754,052 units, and the distribution of red blood cells decreased by 17.3% at the time of pandemic, because of the cancellation of surgeries and general quarantine. The RBC wastage decreased from 25878 to 12837 units, a reduction of 50.3% (p = 0.03). However, the demand for leukoreduced red blood cells rose by 10.8%, yet wastage also increased by 8.8%. Waste in red blood cell bags for infants quadrupled during the pandemic. Plasma requests decreased by 4.9%, with a 7.2% decline in distribution, yet plasma waste increased by 6.8%. At pandemic time, Platelet requests decreased by 19%, distribution decreased by 15.6%, and waste decreased by 32.3%.

Conclusions  :

During the COVID-19 pandemic, the waste of RBCs and platelets was reduced. The distribution-to-demand ratio remained relatively stable throughout the pandemic time.

Abuse of substances such as alcohol as a social issue affects the health of human life. In this study, we decided to address the prevalence of alcohol poisoning and its effective factors among patients referred to Amir Al-Momenin Hospital in Zabol.

In this cross-sectional study, 110 patients with alcohol poisoning who had referred to Amir Al-Momenin Hospital in Zabol in 2016-2019 participated. Necessary information was collected through a questionnaire. Finally, the obtained data were statistically analyzed by T-test, Chi-square and Fisher's exact tests.

In the present study, 110 patients with alcohol poisoning were included in the study, of which 91 (82.72%) had ethanol poisoning and 19 (17.27%) had methanol poisoning. The mean age of patients was 27.08 ±3.2 years and 95.45% of them were male. Unemployment and lack of entertainment, mental disorders, alcoholic friends, psychological dependence were the most common causes of alcohol consumption in patients. In this study, decreased level of consciousness (57.27%) and gastrointestinal complications (43.63%) were the most common symptoms of alcohol poisoning in the studied patients.

In the present study, male gender was significantly associated with alcohol poisoning (P). While the variables of age, sex and marital status were not significantly associated with the type of ethanol or methanol poisoning. The results of the study showed that male gender, social status and low education of parents, psychological problems and alcohol friends were risk factors and influential factors in alcohol poisoning

Satisfaction of hospitalized elderly can indicate the success of health system in providing health care. The study aimed to determine the hospitalized elderly's satisfaction and related factors with the physical structure of hospitals affiliated to Kashan University of Medical Sciences, 2022.

This cross-sectional study was conducted on 650 elderly admitted to hospitalsinKashan from2022 to 2023. Sampling was the Convenience method. The developed researchers' valid and reliable questionnaires were used to collect data. Data were analyzed with Pearson's correlation coefficient, independent t-test, one-way analysis of variance (ANOVA), and linear regression tests in SPSS version 16.

The mean age of the elderly was 71.7±6.2 years. The mean score of elderly satisfaction was 24.6 ± 3.8 points on a scale of 0 to 45. The increasing age of the elderly had a statistically significant with theelderly satisfaction with the structure of hospitals (r = -0.12, P= 0.003). Multiple regression showed that the hospital specialization (P>0.001) or being general (P>0.001), marital status (P=0.001), having movement problems (P=0.001), educationlevel (P>0.001) and type of insurance (P=0.005) as predictor variables explains 36% of the variance of elderly people's satisfaction with the physical structure of hospitals.

The inappropriateness of the physical structure of hospitals causes dissatisfaction among the older adults.Hospital specialization, literacy level, marital status, movement problems, and insurance support are related to the hospitalized elderly’s satisfaction. It is necessary reforms the structure of hospitals to increase the satisfaction of older adults and prevent possible risks

Knowledge, as the most valuable asset of the organization, should include social factors as well as economic and technological factors. This study aimed to investigate the relationship between organizational culture and knowledge management by considering the mediating variable of unlearning.

This study was a descriptive correlational study, and its initial statistical population included 450 employees of the support area from public hospitals in Tehran province, out of which 420 people participated in the research. The standard organizational culture, knowledge management, and unlearning questionnaires were used to collect the required data. Data analysis was performed using structural equation modeling in SPSS 16 and AMOS software.

The study results confirmed the assumed structural relationships, so that the organizational culture affected the knowledge management directly (0.34) and indirectly through unlearning (0.78). In addition, the unlearning variable had a significant and positive effect on the knowledge management (0.55).

Considering the positive relationship between organizational culture and knowledge management and the role of unlearning as a mediating variable in this relationship, it was suggested that organizational culture development and unlearning dimension improvement may have facilitated implementing knowledge management and its development in hospitals. This, in turn, may have increased the patient satisfaction and improved the quality of services provided by the medical centers.

Medications are the most common therapeutic intervention, and the safe use of medication and the existence of processes to improve the safety of medicine are of prime importance. Since nurses have a major role in implementing medication orders, they play a vital role in promoting safety and reducing medication harm to patients. Therefore, the present study was conducted to determine the barriers to reporting medication errors by nurses of teaching hospitals affiliated with Gorgan, Iran, in 2021.

In this cross-sectional study, 340 nurses from Gorgan teaching hospitals were selected by a randomized stratified method in 2021. The data collection tool was a demographic information checklist and a valid questionnaire of barriers to reporting medication errors. The collected data was analyzed using SPSS software (version 16). Moreover, descriptive statistics, Kolmogorov-Smirnov tests, Spearman, Mann-Whitney, and Kruskal-Wallis correlation coefficients were used.

The average age of the nurses was 33.11 ± 7.36 years, and 290 (85.3%) participants were female. The average score of reporting obstacles in the area of "fear of management factors" was higher than other areas (3.20±0.50), followed by the areas of "fear of reporting consequences" (3.17±0.35) and "factors related to the reporting process" (2.87±0.63) were in the next ranks. The highest average in the areas of "fear of the consequences of reporting", "factors related to the reporting process" and "fear of managerial factors", were respectively related to "fear of legal issues" (3.94±1.11), "unclear definition of medication error" (3.54±1.05), and "disproportionality of the officials' reaction with wrong hierarchy of importance" (3.75±0.96). The service sector had a significant relationship with the overall score of barriers to reporting medication errors (P=0.020) and the area of fear of managerial factors (P=0.017) in a way that the barriers to reporting medication errors by the nurses of the Emergency Department were higher than the other parts.

Among all reporting barriers, "fear of legal issues" had the highest score. Due to the existence of factors such as fear of judicial issues and the inappropriate reaction of hospital officials, it is suggested to define the error reporting process and how to handle medication errors and train hospital managers on how to deal with the person at fault.

 Health promotion is a new concept in the country's hospitals, and the status of these services in military hospitals is unclear. Therefore, the purpose of this study was to evaluate the status of health promotion standards in a military hospital.

 This cross-sectional descriptive study was conducted in a military hospital in Iran in 2022. Health promotion self-assessment tools were used for the data collection, and four standards of management policy and program, health promotion of patients and family, health promotion of staff and the health promotion of hospitals and surrounding were measured. Data were analyzed using SPSS software and descriptive statistics.

 The average health promotion score in the hospital was 5.47 from 10. The highest average of standards was the standard of health promotion of hospitals and surrounding with an average score of 8 and the lowest score was for the health promotion of patients and family with an average score of 1.58.

 In general, the hospital's health promotion score was at a medium level. The low score of the standard of management policy and program indicates non-organized implementation of some health promotion activities in the hospital. Therefore, organizing and reviewing running activities, regular self-monitoring of health promotion activities, and designing interventions based on self-assessment are essential.

The Accreditation program has been increasingly expanding around the world. Implementing the Accreditation program directly affects patients' quality and safety. Also increasing the productivity of the manpower to reach the predetermined goals of the organization, is of the utmost importance. As a result, this research was conducted to assess the effect of the Accreditation program on job productivity from the nurse's point of view.

This descriptive-analytical study was conducted cross-sectionally in 2021. A total of 250 nurses working in a military hospital were included in the study and all subjects completed the questionnaire. To collect the data related to the Accreditation program, the Scholarly inquiry created by Jardali was used the validity and reliability of which were assessed and confirmed. The data related to the productivity of the nurses was collected using the Standard Hersey and Goldsmith inquiry (ACHIEVE). Also, the data was analyzed using analytical statistics in the form of Confirmatory Factor Analysis and the path analysis was done using Structural Equation Modeling based on the Partial Least Squares method with the Smart-PLS3 software.

The results show that Accreditation has a meaningful effect on the productivity of nurses. The average score of the total accreditation and productivity was equal to 3.03±0.75 and 2.47±0.64. From all the different accreditation dimensions the highest score belonged to the qualitative results of accreditation (3.23±0.83) and the lowest score they have belonged to the leadership, commitment, and support dimension (2.80±0.96). Also in the productivity dimensions the highest score belonged to the capability (2.77±0.84) and compatibility (2.75±1.12) dimension and the lowest score belonged to the motivation dimension (2.08±0.86).

The accreditation program has had an impact on the productivity of nurses. Hospital managers can increase their productivity by strengthening dimensions such as leadership, commitment, support of nurses, use of production factors and existing technology, and work better towards achieving organizational goals. Managers and policymakers should provide conditions where nurses can participate in determining the strategies and goals of the organization and consider themselves a part of the organization.

Acknowledging that preventing accidents and natural disasters is not always feasible, the presence of a well-prepared hospital can significantly mitigate fatalities and injuries resulting from such events. This study aimed to evaluate the readiness of naval hospitals in responding to accidents and natural disasters.

A descriptive cross-sectional study was conducted in 2019-1400 at three selected Navy hospitals using Heydaranlou et al.'s (2015) functional preparedness tool for handling natural disasters and accidents.

Hospital A scored 465, Hospital B scored 442, and Hospital C scored 378, placing them in the average range (60%-41%). The study assessed 17 dimensions across the hospitals. Hospital A excelled in risk assessment and rapid warning systems with a perfect score (100%), while Hospital B lagged in security preparedness with a score of 13.91%. Hospital C demonstrated weak recovery capabilities post-disaster with a score of 27/27, falling within the weak category (40%-21%). Hospital A scored exceptionally well in risk assessment (100%) but poorly in security preparedness (2.27%).

The evaluation of the three naval hospitals indicates they are moderately prepared compared to civilian hospitals. The findings suggest a focus on hospital accreditation standards. Collaboration among these hospitals could enhance preparedness, reduce costs, and improve future evaluations to achieve higher scores.

Hospital wastes contain a wide range of microorganisms and require special management due to their dangerous properties, and their improper disposal is considered a serious threat to the environment and public health. Therefore, the purpose of the present study was to determine and influence the educational intervention based on the theory of planned behavior on the behaviors of employees in the waste management of Hafez Hospital of Shiraz, Iran.

The present interval study was conducted in 2018 on all healthcare personnel (170 people) and service workers (32 people) of Hafez hospital of Shiraz, Iran. The statistical population of the present study was completed by enumeration. The measurement tool in the present study was a questionnaire based on the theory of planned behavior and knowledge assessment which its validity and reliability were estimated and used by experts. Other tools included a waste management evaluation checklist which included management infrastructure, separation, collection, transportation, temporary storage, disposal, and weighing form of hospital wastes. The present study was conducted in two stages before and after the educational intervention. In the first stage, before the educational intervention, information was collected through questionnaires, a waste management evaluation checklist, and waste weighing continuously for a week. Then the educational content was designed. Two months after the educational intervention, in the second stage, the health care and service workers completed the questionnaires once more. Moreover, the checklist was completed and the waste was weighed over again. Obtained data were analyzed using SPSS software version 22 and parametric (paired t-test) and non-parametric (Wilcoxon) tests.

The findings indicated a significant difference in the mean score of knowledge, attitude, subjective norms, perceived behavioral control, and behavioral intention among both group health care workers and service workers after the intervention (P<0.001). After educational interventions, a significant difference in normal waste per capita was found (P<0.05). No significant difference was observed in infectious waste, sharp waste, and pharmaceutical chemical waste per capita(P≥0.005). There was a significant difference in waste management in terms of separation, collection, transportation, and disposal (P<0.001). The infrastructure management and temporary maintenance were the same before and after the educational intervention.

The findings of the present study indicated that educational interventions based on the theory of planned behavior are effective in raising the awareness of health care and service workers and improving hospital waste management. Furthermore, the use of educational strategies and appropriate educational content can increase the quality of educational interventions.

The Internet of Things (IoT) essentially refers to the connectivity of various objects through the internet to facilitate a more efficient and intelligent experience. However, due to the emerging nature of this technology in Iran, instances of its full deployment in service organizations, including hospitals, are rare or infrequent. Therefore, the aim of this study is to identify the key success factors for the deployment of IoT and assess the readiness for implementing this technology in Milad Hospital, Tehran.

This research is a descriptive-survey study conducted in two phases. In the first phase, 30 key success factors were identified through a review of previous studies. In the second, survey phase, 93 managers and staff members of Milad Hospital formed the statistical population, and data was collected through a researcher-made questionnaire. The comparison of the current and ideal states of success factors for IoT implementation, and their ranking, were done using the t-test and Friedman test in SPSS software.

Based on this study, factors such as information technology, organizational culture, organizational structure, and human resources were identified as the most crucial for successful IoT deployment in the hospital. Additionally, the results showed that there is a significant gap between the hospital's current state and the desired state for IoT implementation in these identified areas.

Successful implementation of IoT requires enhancement in readiness, both in terms of technological and organizational-cultural infrastructures

Public health is important in all aspects of life, including personal, social, and professional. Nurses not in good physical and mental condition faced problems in managing their organization. This study aimed to investigate the general health status of nurses in Kerman hospitals. This study had a descriptive-analytical design. The statistical population included all hospital nurses in Kerman; 500 nurses were selected using proportional sampling. The instruments included the Goldberg General Health Scale (GHQ-28) and a demographic and background information questionnaire. Descriptive statistics, Pearson correlation coefficient, independent t-test, and one-way analysis of variance were used to analyze the data using SPSS-24 software.   The mean and standard deviation of nurses’ general health score was 1.25±0.71. Most nurses (77.6%) suffered from some degree of physical and mental problems and, consequently, did not have the necessary general health. Also, male nurses had higher general health than female nurses (P<0.001). However, there was no significant relationship between general health and other variables.  More than half of the nurses suffered from some degree of physical or mental problems and were not in good general health. Therefore, it is suggested that the relevant officials at the Ministry of Health and nurses at the studied hospitals prioritize specific programs and strategies.

Patient satisfaction is one of the indicators for measuring the efficiency and quality of services provided to clients. The purpose of this study was to determine the level of patients' satisfaction with the services provided in one of the selected military hospitals.

This descriptive study was conducted on 260 patients discharged from one of the naval hospitals, which was selected and conducted by available sampling method in 2018. The data collection tool was a 48-question patient satisfaction questionnaire whose validity and reliability were confirmed in previous studies. Descriptive statistics (frequency, percentage) were used for data analysis, and independent t-tests, one-way analysis of variance, and Pearson were used for the relationship between satisfaction and demographic characteristics.

The level of satisfaction in medical and non-medical departments was at a high level. Facility services and reception services had the lowest level of satisfaction. The variables of age, gender, marital status, and number of hospitalizations had no significant statistical relationship with satisfaction, while the number of referrals and reason for referral had a significant statistical relationship with satisfaction.  

Considering the low satisfaction of patients with health and hygiene services in medical departments and admission in non-medical departments, it is necessary to investigate the management method of these departments to improve satisfaction by searching for the causes of dissatisfaction based on the cause.

This study aims to introduce a specialized clinic for adults with autism spectrum disorder (ASD) launched in Roozbeh Hospital, Tehran, Iran, in 2019. The target group is male and female adults (age>18) with ASD. The main goal of this clinic is the diagnosis, comprehensive evaluation, and evidence-based treatments, including medication therapy and psychotherapy. In addition, the academic department of this clinic pursues research and educational programs. Due to the prevalence of ASD in adults, we expected many clients to visit the clinic, but the number of cases recorded in this clinic so far has been much lower than expected. The reasons were discussed in this study. The launch of this clinic can be the starting point for creating a coherent ASD screening and diagnosis system and providing lifetime services to adults with ASD in Iran. We provide recommendations in this regard at the end of this paper.

Varicocele is the most prevalent clinical condition in infertile men. The exact mechanism of varicocele that causes testicular dysfunction is not fully known. This study, therefore, aimed to determine the prevalence of impotence and testosterone levels before and after varicocelectomy in patients referred to Sina Hospital (Tehran, Iran) from 2018 to 2019.

This study was conducted on 115 patients, selected through available sampling, who had varicocele and were candidates for varicocelectomy. A checklist of demographic characteristics was completed before and three months after the surgery. Clinical examination and ultrasound were performed before and three months after the surgery to determine the grade of varicocele and blood test to examine the serum level of testosterone. Afterward, the data were entered into the SPSS software (version 26) for statistical analyses.

The mean testosterone levels before and after the surgery had a significant difference of about 124 ng/dL (23.6±7.8% on average). Erectile dysfunction significantly improved three months after surgery. The number of severe and moderate erectile dysfunctions was significantly reduced, and the number of mild or no erectile dysfunction significantly increased.

In general, it can be concluded that varicocelectomy surgery in people with varicocele can increase serum testosterone levels. It can also be said that varicocelectomy surgery can significantly improve sexual satisfaction and erectile dysfunction in people with varicocele, compared to preoperative conditions.

Considering the importance of wisdom in medical centers, this study aims to explain the main roles (managers, doctors, nurses, and patients) in hospitals based on the basics of wisdom. This research reviewed articles in Google Scholar, SID, Magiran, Scopus, and PubMed databases from 2000 to 2021. Searched Persian keywords included wisdom, foundation wisdom, management, hospital, nurse, patient, and their English equivalent in MeSH. The findings showed that wisdom refers to human and social dimensions such as creativity, emotions, and spirituality. In service organizations such as hospitals, these dimensions have double importance because the output of the health service delivery system prioritizes the preservation of human life, but it does not consider illness a catastrophe that requires adaptation and care but an event in a person's life that a person and the service delivery system will face wisely, resulting in improvement and excellence in spirit of patient and staff. In these organizations, the managers’ management style and how health workers deal with patients play a fundamental role in improving patients' health. Also, the feeling of security and peace induced by the organization management style can make employees satisfied with their work and help them do it with enthusiasm.  It seems that organizations with wise management and ways to transfer and facilitate wisdom can help solve the basic problems of organizations in this field.

The era of the "imposed war" by the Ba'ath regime of Iraq against the territorial integrity of the Islamic Republic of Iran, was undoubtedly the scene of one of the largest violent and comprehensive military aggressions in the 20th century. At that time, the Ba'ath regime not only enjoyed the financial, intelligence, and weapons support of many superpowers of the world as well as the Persian Gulf states, but in order to achieve its aggressive goals, it violated accepted human rights laws, totally (including the prohibition of the use of chemical weapons, sometimes called "The 1925 Geneva Protocol"). This issue, along with the coincidence of the beginning of the imposed war with the change of the government system in Iran, complicated the situation for military officials of the Islamic Republic of Iran Army, to provide medical equipment, supplies, and medical staff to the Islamic Republic of Iran Army. However, the Army of the Islamic Republic of Iran, specifically the ground forces, was able to do this with the round-the-clock efforts of the commanders, officers, and even the soldiers working in the hospitals.

Rapid advancement of industry and technology in recent decades has led to emergence of the concept of smart hospitals. New technologies are used in smart hospitals to improve healthcare quality, safety, and productivity. This study was conducted to investigate the prerequisites and challenges of implementing smart hospitals in Iran.

This analytical review was conducted in the summer of 2023. For this purpose, relevant articles about smart hospitals were searched in PubMed, Scopus, and SID databases. Subsequently, the prerequisites and challenges of implementing smart hospitals in Iran were identified and extracted via reviewing and analyzing these articles,. Finally, the obtained results were categorized and presented in this paper.

The most important technological and infrastructural prerequisitesinclude full implementation of electronic health records, utilizing artificial intelligence and machine learning algorithms, establishing clinical decision support systems, deploying the internet of things and sensors, developing proper networking and hardware infrastructure, and adopting international standards. Also, existing challenges comprise cultural and organizational resistance, lack of financial resources, shortage of skilled workforce, poor technical infrastructure, and limitations due to sanctions.

Implementing smart hospitals in Iran requires providing infrastructure and fulfilling technological prerequisites as well as overcoming the existing challenges. Given the current situation, it is suggested that this objective be achieves gradually with a focus on certain areas or processes. Moreover, meticulous strategic planning involving all stakeholders is essential.

Hospitals use natural resources; All of which have a negative impact on the environment. But they spread the concept of green hospital in the world by intelligent and sustainable use of natural resources. The purpose of this research is to investigate the factors affecting the implementation of the green hospital standards in the hospitals of the Social Security Organization in 1401 in GGHH model.

research was applied, quantitative and descriptive with targeted sampling (manager, quality improvement, environmental/professional health) in social security hospitals (sample: 210). The questionnaire was researcher made and the statistical method is Shapiro-Wilks, Wilcoxon and Friedman test in SPSS (0.001: p-values).

Components with more than average (CI: 95%) are of sufficient importance. The effectiveness of components in the energy sector has the highest rating (20.27) related to the use of energy efficient devices and the lowest rating (7.09) related to the minimum use of artificial heating. The effectiveness of the components in the food sector is the highest rating (10.83) related to the use of reusable food containers and the lowest rating (4.79) related to the supply of food inside the hospital. The effectiveness of the components in the water sector has the highest rank (8.35) related to the use of wastewater recycling and the lowest rank (3.42) related to the use of "water curtain".

According to the findings of the current research, with optimal planning and provision of resources to the standards of the Green Hospital, the GGHH model was implemented in hospitals.