Volume 22, Issue 2 (7-2023)
TB 2023, 22(2): 85-98 |
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Ethics code: IR.AJUMS.REC.1401.086
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Janaki Alizadeh N, sattar saram H, zahiri M. Evaluation of Patient Safety in Abuzar Teaching Hospital of Ahvaz Based on Patient's Safety-Friendly Standards in 2021. TB 2023; 22 (2) :85-98
URL: http://tbj.ssu.ac.ir/article-1-3480-en.html
URL: http://tbj.ssu.ac.ir/article-1-3480-en.html
Ahvaz jundishapur university of medical sciences, Ahvaz, Iran , zahiri-m@ajums.ac.ir
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Evaluation of Patient Safety in Abuzar Teaching Hospital of Ahvaz Based on Patient's Safety-Friendly Standards in 2021
Narges Janaki Alizadeh(B.S.)1, Hadis Sattar saram(B.S.)1, Mansour Zahiri(Ph.D.)2
1.bachelor of sciences student in health care management School of health, student research committee Ahvaz jundishapur university of medical sciences, Ahvaz, Iran
2.Corresponding author: Associate professor, department of health care management, School of health, Ahvaz jundishapur university of medical sciences, Ahvaz, Iran. Email: zahiri-m@ajums.ac.ir Tel: 09122143979
Abstract
Introduction:Patient safety is a fundamental principle in healthcare. Patient's safety-friendly standards are a set of requirements which are critical to the implementation of a hospital-wide patient safety program. This study aims to investigate patient's safety in Ahvaz Abuzar Hospital based on patient's safety-friendly standards.
Method: This was a cross-sectional descriptive study conducted in 1401 on 30 employees related to patient safety through a non-random and purposive sampling method. The required data were collected by the first two axes of the World Health Organization's patient safety-friendly standards checklist, including governance and leadership - participation and interaction with patient and society, and using observation, interview and hospital documentation techniques. Data were analyzed using statistical tests (mean and standard deviation) of SPSS26 software and scored on a three-point Likert scale.
Results: The level of the hospital's compliance with the first two axes of patient's safety-friendly standards (64 standards in total) was considered good with an average of 80/4%. Mandatory and basic standards were at a good level and advanced standards were at an average level. The group of attracting participation and interacting with the patient and society with an average of 82/7% showed more compliance than the governance and leadership group with an average of 78/09%.
Conclusion: The condition of Abuzar Hospital was considered to be at a good level in terms of compliance with patient's safety-friendly standards. It is better to focus on the level of compliance with basic and advanced standards in future studies.
keywords: Patient Safety, Patient Safety Friendly Hospital, Standard
References
1.Patient Safety: Making health care safer. Geneva: World Health Organization; 2017. Licence: CC BY-NC-SA 3.0 IGO.
2.Van Gelderen SC, Zegers M, Boeijen W, Westert GP, Robben PB, Wollersheim HC. Evaluation of the organisation and effectiveness of internal audits to govern patient safety in hospitals: A mixed-methods study. BMJ Open 2017 Jul 10;7(7):e015506.
3.Jha AK. Presentation at the “Patient Safety – A Grand Challenge for Healthcare Professionals and Policymakers Alike” a Roundtable at the Grand Challenges Meeting of the Bill & Melinda Gates Foundation, 18 October 2018 (https://globalhealth.harvard.edu/qualitypowerpoint, accessed 23 July 2019)
4.National Academies of Sciences, Engineering, and Medicine. Crossing the global quality chasm: Improving health care worldwide. Washington (DC): The National Academies Press; 2018 (https://www.nap.educatalog/25152/crossing-the-global-quality-chasm-improving-health-care-worldwide, accessed 26 July 2019).
5.Kang H, Gong Y. A novel Schema to enhance data quality of patient safety event reports. In AMIA Annual Symposium Proceedings 2016 (Vol. 2016, p.1840). American Medical Informatics Association.
6.Najafpour Zh., Boromand S, Zahiri M.Evaluation of patient safety indicators in public hospitals under the auspices of Ahwaz University of Medical Sciences based on the Patient Safety Assessment Protocol of the World Health Organization. Health Quarterly 2014.5(1):59-47.[Persian]
7.Masror D, Heydarikhayat D, Joolaee S. Assessing patient safety events and it’s correlation with nurse-physician interaction from nurses’ view. Quarterly Journal of Nursing Management 2012;1(2):37-45.
8.Marzban S, Maleki M, Nasiri pour A, Jahangiri K. Assessment of patient safety management system in ICU. J Qazvin Univ Med Sci 2013;17(5):4-12.
9.World Health Organization. Patient safety assessment manual, 2nd ed.: EMRO Publications; 2016. [Persian]
10.Christian CK, Gustafson ML, Roth EM, Sheridan TB, Gandhi TK, Dwyer K, Zinner MJ, Dierks MM. A prospective study of patient safety in the operating room. Surgery. 2006;139(2):159-73.
11.Mazhari Z, Adel A. Patient safety status in hospitals of Tehran-patient safety friendly hospitals standards: 2013. J Payavard Salamat 2015;8(5): 379-89. [Persian]
12.Norozi MA, Jahangiri M, Ahmadinezhad P, Zare Derisi F. Evaluation of the safety conditions of shiraz university of medical sciences educational hospitals using safety audit technique. J Payavard Salamat 2012;6(1): 42-51. [Persian]
13.World Health Organization. Patient safety assessment manual, 2nd ed.: EMRO Publications; 2016.
14.Taheri Namaghi M, Jahangiri K, Riahi L, Jabbari Gharebagh M. Assessment of the Patient Safety Substructures in Selected Teaching Hospitals in the City of Mashhad Based on WHO Protocol. J Saf Promot Inj Prev. 2021; 9(1):55-65[Persian]
15.Mehrtak, M., Mahdavi, A., Ebrahimi, K., n, A., Sorkhi, A. Operating Room Safety Status Based on Patient Safety Friendly Hospitals Standards at Ardabil University Hospitals. Journal of healthcare management, 2020; 10(no 34): 95-102. [Persian]
16.Sahebi A, Golitaleb M, Jahangiri K. Survey of critical standards of patient safety in hospitals of Iran: A systematic review and meta‑analysis. Int J Prev Med 2021;12:34 [Persian]
17.Farahani M, Esmaeili M, Ashrafizadeh H, Hajibabaee F, Haghani S, Ariyamloo P. Evaluation of Imam Khomeini Hospital of Tehran Compliance with the Standards of Patient Safety Friendly Hospital about the COVID-19 Pandemic: A Case Report 19 pandemic: case report study. IJN. 2021; 34 (129) :50-66. [Persian]
18.Hajibabaee F, Esmaeili M, Ashrafizadeh H, Farahani M, Haghani SH, Ariyamloo P. The Relationship between Patient Safety Friendly Hospital Standards and Nurses' Safety Performance during Corona Pandemic. Med Ethics J 2021; 15(46): e1. [Persian]
19.Jabbari, A., Raisi, A. Patient safety status in Selected Training hospitals Affiliated with Isfahan University of medical sciences. Health Information Management, 2015; 12(1): 99-108. [Persian]
20.habibzade H, Akbari F, qhavami H, Moradi K. A survey on the establishment of patient-friendly safety standards in Urmia university of medical sciences. Nursing and Midwifery Journal 2019; 17 (7) :525-534.[Persian]
21.Mondher Letaief, Ahmed Alboksmatya. commentary article about the implementationand advancement of the Patient Safety Friendly Hospital Initiative (PSFHI) in the Eastern Mediterranean Region. World Hospitals and Health Services Health services moving ahead in the East Mediterranean Region (EMRO) 2019; Vol. 55 No. 3
22.Ghazizadeh M, Ghazizadeh M. Obstacles to not establishing an operational budgeting system (a case study of Fatemeh Zahra (S) Sari Hospital), the first international conference and the second national conference on the third millennium and humanities, Shiraz, 2015. [Persian]
23.Rahmani Kh, Ebrahimi M, Abdi N. Evaluation of General Health and Sleep Quality of Nurses at Training Hospitals of Kurdistan University of Medical Sciences in 2018. Scientific Journal of Nursing, Midwifery and Paramedical Faculty. 2020: 6 (2): 31-42. [Persian]
24.Khajeh Hosseini Sh, Sayadi A, Mobini Lotfabad M, Heidari Sh. The effect of Benson’s relaxation technique on sleep quality among shift-working nurses in hospitals. Hayat, Journal of School of Nursing and Midwifery, Tehran University of Medical Sciences. 2020; 25(4): 415-428. [Persian]
25.Mohammadi M. Correct identification of patients during the provision of diagnostic, therapeutic and care services by clinical staff according to the instructions issued by the ministry. Quarterly Journal of Nursing Management 2019; 8 (1): 3-6. [Persian]
26.Sanatkar M, Sadrossadat S H, Ghassemi H, Ebrahim Soltani A R, Shaverdi M R, Bagheri H. The impact of a hospital ophthalmologic failures committee on patients' complaints to forensics medical council. Tehran Univ Med J 2019; 77 (2) :108-114.[Persian]
27.Manouchehri H, Zagheri-Tafreshi M, Nasiri M, Ashrafi H. Patients Participation in Health Care Decision Makings in Hospitals Affiliated with Saveh School of Medical Sciences, 2016. JHC 2018; 19 (4) :251-261[Persian]
28.Dastani M, Sattari M. Assessing the Quality of Hospitals’ Websites in Khorasan Razavi Province. Depiction of Health 2017; 8(1): 50-56.[Persian]
29.Amiri M R, Karami S, Farhadi A, Rezaei N, Zareian S. Evaluation of hospitals’ Websites of Hamedan University of Medical Sciences based on webometrics criteria in 2014. Pajouhan Sci J 2016; 14 (2) :53-61[Persian]
30.Jahanbakhsh, M., Matinfar, M., Saghaeiannejad-Isfahani, S., Hassanzadeh, A., Nikafraz, H. Comparative Assessment of Websites of Public and Private Hospitals in Isfahan, Iran. Health Information Management, 2017; 14(5): 199-204. [Persian]
31.Taghadosi M, Hosseini F. Removing the patient's name on the basis of patient's rights: a new plan for accreditation of hospitals. Short communication. J Manage Med Inform Sch 2018; 3(3):1-6.[Persian]
32.Willmington C, Belardi P, Murante AM, Vainieri, M. The contribution of benchmarking to quality improvement in healthcare. A systematic literature review. BMC health services research 2022 , 22(1), 1-20.
Narges Janaki Alizadeh(B.S.)1, Hadis Sattar saram(B.S.)1, Mansour Zahiri(Ph.D.)2
1.bachelor of sciences student in health care management School of health, student research committee Ahvaz jundishapur university of medical sciences, Ahvaz, Iran
2.Corresponding author: Associate professor, department of health care management, School of health, Ahvaz jundishapur university of medical sciences, Ahvaz, Iran. Email: zahiri-m@ajums.ac.ir Tel: 09122143979
Abstract
Introduction:Patient safety is a fundamental principle in healthcare. Patient's safety-friendly standards are a set of requirements which are critical to the implementation of a hospital-wide patient safety program. This study aims to investigate patient's safety in Ahvaz Abuzar Hospital based on patient's safety-friendly standards.
Method: This was a cross-sectional descriptive study conducted in 1401 on 30 employees related to patient safety through a non-random and purposive sampling method. The required data were collected by the first two axes of the World Health Organization's patient safety-friendly standards checklist, including governance and leadership - participation and interaction with patient and society, and using observation, interview and hospital documentation techniques. Data were analyzed using statistical tests (mean and standard deviation) of SPSS26 software and scored on a three-point Likert scale.
Results: The level of the hospital's compliance with the first two axes of patient's safety-friendly standards (64 standards in total) was considered good with an average of 80/4%. Mandatory and basic standards were at a good level and advanced standards were at an average level. The group of attracting participation and interacting with the patient and society with an average of 82/7% showed more compliance than the governance and leadership group with an average of 78/09%.
Conclusion: The condition of Abuzar Hospital was considered to be at a good level in terms of compliance with patient's safety-friendly standards. It is better to focus on the level of compliance with basic and advanced standards in future studies.
keywords: Patient Safety, Patient Safety Friendly Hospital, Standard
References
1.Patient Safety: Making health care safer. Geneva: World Health Organization; 2017. Licence: CC BY-NC-SA 3.0 IGO.
2.Van Gelderen SC, Zegers M, Boeijen W, Westert GP, Robben PB, Wollersheim HC. Evaluation of the organisation and effectiveness of internal audits to govern patient safety in hospitals: A mixed-methods study. BMJ Open 2017 Jul 10;7(7):e015506.
3.Jha AK. Presentation at the “Patient Safety – A Grand Challenge for Healthcare Professionals and Policymakers Alike” a Roundtable at the Grand Challenges Meeting of the Bill & Melinda Gates Foundation, 18 October 2018 (https://globalhealth.harvard.edu/qualitypowerpoint, accessed 23 July 2019)
4.National Academies of Sciences, Engineering, and Medicine. Crossing the global quality chasm: Improving health care worldwide. Washington (DC): The National Academies Press; 2018 (https://www.nap.educatalog/25152/crossing-the-global-quality-chasm-improving-health-care-worldwide, accessed 26 July 2019).
5.Kang H, Gong Y. A novel Schema to enhance data quality of patient safety event reports. In AMIA Annual Symposium Proceedings 2016 (Vol. 2016, p.1840). American Medical Informatics Association.
6.Najafpour Zh., Boromand S, Zahiri M.Evaluation of patient safety indicators in public hospitals under the auspices of Ahwaz University of Medical Sciences based on the Patient Safety Assessment Protocol of the World Health Organization. Health Quarterly 2014.5(1):59-47.[Persian]
7.Masror D, Heydarikhayat D, Joolaee S. Assessing patient safety events and it’s correlation with nurse-physician interaction from nurses’ view. Quarterly Journal of Nursing Management 2012;1(2):37-45.
8.Marzban S, Maleki M, Nasiri pour A, Jahangiri K. Assessment of patient safety management system in ICU. J Qazvin Univ Med Sci 2013;17(5):4-12.
9.World Health Organization. Patient safety assessment manual, 2nd ed.: EMRO Publications; 2016. [Persian]
10.Christian CK, Gustafson ML, Roth EM, Sheridan TB, Gandhi TK, Dwyer K, Zinner MJ, Dierks MM. A prospective study of patient safety in the operating room. Surgery. 2006;139(2):159-73.
11.Mazhari Z, Adel A. Patient safety status in hospitals of Tehran-patient safety friendly hospitals standards: 2013. J Payavard Salamat 2015;8(5): 379-89. [Persian]
12.Norozi MA, Jahangiri M, Ahmadinezhad P, Zare Derisi F. Evaluation of the safety conditions of shiraz university of medical sciences educational hospitals using safety audit technique. J Payavard Salamat 2012;6(1): 42-51. [Persian]
13.World Health Organization. Patient safety assessment manual, 2nd ed.: EMRO Publications; 2016.
14.Taheri Namaghi M, Jahangiri K, Riahi L, Jabbari Gharebagh M. Assessment of the Patient Safety Substructures in Selected Teaching Hospitals in the City of Mashhad Based on WHO Protocol. J Saf Promot Inj Prev. 2021; 9(1):55-65[Persian]
15.Mehrtak, M., Mahdavi, A., Ebrahimi, K., n, A., Sorkhi, A. Operating Room Safety Status Based on Patient Safety Friendly Hospitals Standards at Ardabil University Hospitals. Journal of healthcare management, 2020; 10(no 34): 95-102. [Persian]
16.Sahebi A, Golitaleb M, Jahangiri K. Survey of critical standards of patient safety in hospitals of Iran: A systematic review and meta‑analysis. Int J Prev Med 2021;12:34 [Persian]
17.Farahani M, Esmaeili M, Ashrafizadeh H, Hajibabaee F, Haghani S, Ariyamloo P. Evaluation of Imam Khomeini Hospital of Tehran Compliance with the Standards of Patient Safety Friendly Hospital about the COVID-19 Pandemic: A Case Report 19 pandemic: case report study. IJN. 2021; 34 (129) :50-66. [Persian]
18.Hajibabaee F, Esmaeili M, Ashrafizadeh H, Farahani M, Haghani SH, Ariyamloo P. The Relationship between Patient Safety Friendly Hospital Standards and Nurses' Safety Performance during Corona Pandemic. Med Ethics J 2021; 15(46): e1. [Persian]
19.Jabbari, A., Raisi, A. Patient safety status in Selected Training hospitals Affiliated with Isfahan University of medical sciences. Health Information Management, 2015; 12(1): 99-108. [Persian]
20.habibzade H, Akbari F, qhavami H, Moradi K. A survey on the establishment of patient-friendly safety standards in Urmia university of medical sciences. Nursing and Midwifery Journal 2019; 17 (7) :525-534.[Persian]
21.Mondher Letaief, Ahmed Alboksmatya. commentary article about the implementationand advancement of the Patient Safety Friendly Hospital Initiative (PSFHI) in the Eastern Mediterranean Region. World Hospitals and Health Services Health services moving ahead in the East Mediterranean Region (EMRO) 2019; Vol. 55 No. 3
22.Ghazizadeh M, Ghazizadeh M. Obstacles to not establishing an operational budgeting system (a case study of Fatemeh Zahra (S) Sari Hospital), the first international conference and the second national conference on the third millennium and humanities, Shiraz, 2015. [Persian]
23.Rahmani Kh, Ebrahimi M, Abdi N. Evaluation of General Health and Sleep Quality of Nurses at Training Hospitals of Kurdistan University of Medical Sciences in 2018. Scientific Journal of Nursing, Midwifery and Paramedical Faculty. 2020: 6 (2): 31-42. [Persian]
24.Khajeh Hosseini Sh, Sayadi A, Mobini Lotfabad M, Heidari Sh. The effect of Benson’s relaxation technique on sleep quality among shift-working nurses in hospitals. Hayat, Journal of School of Nursing and Midwifery, Tehran University of Medical Sciences. 2020; 25(4): 415-428. [Persian]
25.Mohammadi M. Correct identification of patients during the provision of diagnostic, therapeutic and care services by clinical staff according to the instructions issued by the ministry. Quarterly Journal of Nursing Management 2019; 8 (1): 3-6. [Persian]
26.Sanatkar M, Sadrossadat S H, Ghassemi H, Ebrahim Soltani A R, Shaverdi M R, Bagheri H. The impact of a hospital ophthalmologic failures committee on patients' complaints to forensics medical council. Tehran Univ Med J 2019; 77 (2) :108-114.[Persian]
27.Manouchehri H, Zagheri-Tafreshi M, Nasiri M, Ashrafi H. Patients Participation in Health Care Decision Makings in Hospitals Affiliated with Saveh School of Medical Sciences, 2016. JHC 2018; 19 (4) :251-261[Persian]
28.Dastani M, Sattari M. Assessing the Quality of Hospitals’ Websites in Khorasan Razavi Province. Depiction of Health 2017; 8(1): 50-56.[Persian]
29.Amiri M R, Karami S, Farhadi A, Rezaei N, Zareian S. Evaluation of hospitals’ Websites of Hamedan University of Medical Sciences based on webometrics criteria in 2014. Pajouhan Sci J 2016; 14 (2) :53-61[Persian]
30.Jahanbakhsh, M., Matinfar, M., Saghaeiannejad-Isfahani, S., Hassanzadeh, A., Nikafraz, H. Comparative Assessment of Websites of Public and Private Hospitals in Isfahan, Iran. Health Information Management, 2017; 14(5): 199-204. [Persian]
31.Taghadosi M, Hosseini F. Removing the patient's name on the basis of patient's rights: a new plan for accreditation of hospitals. Short communication. J Manage Med Inform Sch 2018; 3(3):1-6.[Persian]
32.Willmington C, Belardi P, Murante AM, Vainieri, M. The contribution of benchmarking to quality improvement in healthcare. A systematic literature review. BMC health services research 2022 , 22(1), 1-20.
Type of Study: case report |
Subject:
managment
Received: 2022/09/7 | Accepted: 2023/03/5 | Published: 2023/07/22
Received: 2022/09/7 | Accepted: 2023/03/5 | Published: 2023/07/22
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