Assessment of the Patient Safety Substructures in Selected Teaching Hospitals in the City of Mashhad Based on WHO Protocol
Irtiqa Imini Pishgiri Masdumiyat (Safety Promotion and Injury Prevention),
Vol. 9 No. 1 (1400),
20 April 2021
,
Page 65 - 55
https://doi.org/10.22037/meipm.v9i1.32598
Abstract
Background and Objectives: Patient safety is a global concern in the field of health services and an essential component of the quality requirements of health care, so the present study aimed to assess the level of patient safety substructures in three selected Mashhad’s teaching hospitals in 2017.
Materials and Methods: This Descriptive-Analytical and cross-sectional study was performed using WHO patient safety assessment protocol as a research tool. The study population consisted of senior and middle managers, staff, physicians, and patients of hospitals that a total of 54 sample people were selected by purposeful sampling method. Questionnaire data were collected by observation, review of documents, completion of checklists and structured interviews, and then analyzed through descriptive and analytical tests using version 21 of SPSS software.
Results: In this study, a total of 20 critical patient safety standards were evaluated, the overall average level to achieve the standards was calculated to be 75.8%. Among the four domains studied, the domain of governance and leadership with a ratio (83.3%) had the best and the domains of a safe environment and patient and community participation with a ratio (50%) had the weakest status. There was no statistically significant difference between the three hospitals in terms of the level of compliance with the standards (p <0.05).
Conclusion: In general, the overall situation of patient safety substructure hospitals was evaluated at a relatively good level. The commitment of senior managers to the priority of patient safety, improving staff training, and increasing the informed participation of patients and companions to eliminate weaknesses and improve the current situation, can qualify for the title of patient safety friendly hospital for these hospitals that have a special place in the field of health tourism in the region and country.
Keywords: Assessing; Patient Safety; WHO Protocol; Critical Standards; Hospital.
How to cite this article: 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 .
- Assessing, Patient Safety , WHO Protocol , Critical Standards , hospital.
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References
Razavi SM. Patient Safety common medical mistakes and prevention methods.In: Hatami H, and et al, editors. Persian Textbook of Public Health.4th ed.Tehran:Arjmand Press; 2019. P.2970-92
Taheri Namaghi M, Jahangiri K, Riahi L, Jabbari Gharebagh M. CLINICAL RISK ASSESING AND MANAGEMENT IN MEDICATION PROCESS OF CCU BY HFMEA. J of Urmia Nurs And Mid Fac. 2019 Oct 10;17(7):546-62.
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.
Ravaghi H, Sajadi HS, Research Priorities for Patient Safety in Iran. Hakim Research J 2014;16(4): 358- 66
Zarei E,DorMohammadi A,Akbari R, Jafari MJ, Mohammadfam E, editors.Understanding and Risk Management of Patient Safety.1 ed.Tehran:Fadak statis Publishers; 2016. chapter. 23.
Barati O, Khammar nia A, Sadeghi A, Sotoude zade F. Cognetive & Preventiv Approach to Medical Errors. Shirazh: Publication of Shirazh Unhversity of medical Scienc. 2015; p. 37- 61
Rockville, MD. 20 Tips to Help Prevent Medical Errors. Agency for healthcare Research and Quality [cited2014Dec.]Available from:URL:http://www.ahrq.gov/patients consumers/care-planning/errors/20tips/ index.html
World Health Organization. WHO patient safety research Better nowledge for safer care, [Cited 2013 Sep.9]Available from:URL:http://whqlibdoc.who.int/hq/2009/WHO_IER_PSP_2009.10_eng.pdf.
Department of Veterans Affairs. VHA National patient safety improvement handbook. Washington, DC: Veterans Health Administration; 2011.
Ravaghi H, Sadat S, Mostofian F, Vazirian S, Heydarpoor P, Translators. Assessment of Patient Safety in Hospital: a manual for evaluatours,WHO East Mediteranian Regional Office. Ministry of Health and Medical Education, Medical Affaires Deputy Hospital Management and Clinical Excellence Office. Tehran: mehravash press; 2011
Abdi Z, Maleki MR, Khosravi A. Perceptions Of Patient Safety Culture Among Staff Of Selected Hospitals Affiliated To Tehran University Of Medical Sciences.Payesh J 2011; 10 (4):411-19.
Haidarpour P, editor. Familiarity with the principles of clinical Governance [for] Department of clinical governance، clinical and service excellence in hospital management office of the Ministry of Health and Medical Education. Tehran: Tandis press; 2011.
Daillon B.S,editor. Patient Safety: An Engineering Approach.Ottawa, Ontario: CRC Press.Taylor & Francis Group; 2012. P.130 Available from: http://www.taylorandfrancis.com
NHS. South Central Strategic Health Authority Oxford Deanery Executive. Patient Safety Policy (including.Whistle blowing Guidance[On Line]2011.Available from: URL: http://www.oxforddeanery.nhs.uk
Najafpour J, Boroomandfar S, Zahiri M. Assessment Of The Patient Safety Indicators In The General Hospitals Of Ahvaz University Of Medical Sciences Based On Who Protocol Named “Assessment Of Patient Safety In Hospitals” J of healthcare manage 2014; 5(1): 47-58.
Janghorbani M, Raisi A, Dehghani S, Mousavi A. Assessment of Safety Status in Operating Rooms of Shahid Beheshti Hospital by the World Health Organization Standards for Safety-Friendly Hospitals. Health Information Management 2013; 9(7): 1066-72
Jabbari A,Raisi A, Rostami V.Patient Safety Status in Selected Training Hospitals Affiliated with Isfahan University of Medical Sciences. Health Inf Manage 2015; 12(1):108
Norozi M, Jahangiri M, Ahmadinezhad P, Zare Derisi F. Evaluation Of The Safety Conditions Of Shiraz University Of Medical Sciences Educational Hospitals Using Safety Audit Technique. payavard. 2012; 6 (1):42-51.
Najafpour J. Mahmoudi M. Pour reza A. Analysis of patient safety in hospitals of Tehran University of Medical Sciences: Recommendations for improving patient safety. J of Hosp, 2015; 51 (4):53-61
Asef zade S. Mehrabian F. Nikpey A. Kianmehr SH.Assessment of Patient Safety Based on Standards of Patient Safety Friendly Hospitals in Education and Treatment Centers of Rasht City in 2013.Res in Med Edu (2013) 4 (1): 37-45
Drosler SE, Klazinga NS, Romano PS, Tancredi DJ, Aoiz MAG, Hewitt MC, et al. Application of patient safety indicators internationally: a pilot study among seven countries. International J for Quality in Health Care;2009: 21(4):272-8.
Ebadifardazar F, Rezapoor A, Tanoomand Khoushehmehr A, Bayat R, Arabloo J, Rezapoor Z. Study of patients’safety culture in Selected Training hospitals affiliated with Tehran university of medical sciences. Jhosp 2012; 11 (2):55-64.
The National Accreditation Manual of Iranian Hospitals. Tehran: Third Edition; 2016.Available at: URL: http://accreditation.behdasht.gov
.CHallenge S. Clean care is safer care: the first global challenge of the WHO World Alliance for Patient Safety. Infection control and hospital epidemiology; 2005: 2- 35.
Nateghi Rostami M, Darzi F. The Prevalence of Sharp Object Injuries and Consequences in the Hospital Staff of the Qom Province. J Saf Promot Inj Prev. 2020; 8(2):58-64
Abbasi Sh, Tavakoli N, Moslehi M. Readiness of Hospitals with Quality Management Systems Based on Joint Commission on Accreditation Standards. Health Infoon Manage 2012; 9(4): 512.
Lippi G, Plebani M. Identification errors in the blood transfusion laboratory: a still relevant issue for patient safety. Transfusion and Apheresis Science; 2011:44(2):231-3.
Chung K. Elimination of medication errors through “Positive Patient Medication Matching” With additional benefits of compliance with the “Healthcare Insurance Portability and Compatibility” requirements and improved patient cares and services. [On Line]. 2001. Available from: URL:http://www.avantetech.com/media/pdf/Medical%20Errors.pdf
Marquard JL, Philip L. Henneman, Pham TA, Campbell MM, Donald L. Fisher. Efficiency, Thoroughness and the Patient Identification Process. [On Line]. 2012. Available from: URL:http://ioe.engin.umich.edu/class/ioe899/
Gibbs VC. Patient safety practices in the operating room: correct-site surgery and nothing left behind. Surg Clin North Am 2005; 85(6): 1307-19.
Yaghobi M. Study of medical waste management and waste associated with the selected hospitals in Isfahan,Gilan and Boyer Ahmad asserting in 2009. [Thesis]. Isfahan: Isfahan University of Medical Sciences; 2009
Rezaei F, Monavari M, Omrani Gh. An Assessment of Hospital Waste Management System in Areas of Waste Storage, Collection and Disposal in Private Hospitals of Tehran. Environ Sciences 2007;1(5):67-80
Majlesi M, kashitarash z, alizadeh s, forotani f, gachcar L. study of Hospital waste management status of martyr Beheshti University of Medical Sciences in 2005. Pazhohandeh 2007; 4(58):299-311
Nasiripoor A, Raissi P, Jafari M. The role of disclosure and reporting in medical errors prevention in hospitals: J Saf Promot Inj Prev.2014; 2 (2): 73-84 35. Ali Abdullatif A. The patient safety friendly hospital initiative: An entry point to building a safer health system the Eastern Mediterranean region.Int Hosp Perspect Reference Book 2007/2008. [On Line]. 2012. Available from:URL: www.ihf-fih.org
World Health Organization Regional Office for the Eastern Mediterranean. Patient safety assessment manual. [On Line]. 2011. Available from:
URL: ww.emro.who.int/dsaf/emropub_2011_1243.pdf
Sarkheil H, Alavi-Tabar A, Shayan Fard P. An Innovative Method for Identifying and Detecting Factors and indication of Fraud Occurrences in Health, Safety and Environmental Management System Audits. Case Study: J Saf Promot Inj Prev. 2019; 7(2):95-105
Kiani F,khodabakhsh MR,The role of supervisor in effectiveness of safety training session and changing employees’ attitudes toward safety issues. SPIP [Internet]. 2015Jul.1 [cited 2020Oct.28];3(1):56 -49.
Stuart A, A blended learning approach to safety training: Student experiences of safe work practices and safety culture: Saf Science 2014; 62: 409-17
Kiani F,khodabakhsh MR,The role of supervisor in effectiveness of safety training session and changing employees’ attitudes toward safety issues. SPIP [Internet]. 2015 Jul.1 [cited 2020 Oct.28] ; 3(1):56 -49. Available from: https://journals.sbmu.ac.ir/spip/article/view/931941
Allahyari T, Salimi Fard Z, Khalkhali HR, Mohebbi I,J of Saf Promot Inj Preve: 2014 2 (2):85-94 Published 16 September 2014.Available from: https://journals.sbmu.ac.ir/spip/article/view/703
Wachter RM. Understanding Patient Safety, 2nd ed. New York:The McGraw-Hill Companies; 2012.
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