Comparison of undesirable events reported by nurses and hospital information systems in Tehran Hasheminejad Hospitals in 2013

Background and aims: The importance of undesirable events in hospitals is an issue that has been considered in the health system from a long time ago, but effective action has not been taken to reduce them. So, if the potential risks systematically identified and controlled by risk management tools, achieving to this importance will be facilitate. This study was aimed to compare undesirable events reported by nurses and hospital information systems in Tehran Hasheminejad hospitals in 2013. Methods: This study was a cross-sectional study that conducted in Tehran Hasheminejad hospital in 2013. The population of this study was all of 350 hospital nurses staff. A sample of 100 patients was included in this study. The data were gathered using a valid and reliable questionnaire in 3 parts, nursing care process, patient transfer process and data recording process. Data were analyzed by using SPSS software, descriptive statistics and Z statistical test. Results: The mean scores of reported events by nurses for care services, patients transfer events, and recording events were 16.69, 9.78 and 13.20, respectively. According to hospital information systems reports, the frequencies of reported events in this system for care services, patients transfer events, and recording events were 24, 6 and 43, respectively. There was a significant difference between events reported by nurses and events reported in the hospital information system (P=0.030). Conclusion: Based on the results, most of the errors in the hospital made by nurses who are not recorded in hospital information system. Creating a friendly condition among staff and making a job security for them will provide suitable conditions for them to record any kind of error which occurred in the hospital in hospital information system without fear of reprimand or loss of a job

Comparison of the health indicators of the state health sites and health indicators which have been outsourced to private sector healt facility south of Tehran, Iran in 2009

Background and aim: After 4 years of delegating health services to private health centers in south of Tehrant, it is necessary to evaluate reaching the goals. The aim of this study was to examine the outcomes of delegating health service to private sector via comparing the private sector with governmental ones. Methods: In this analytical study, 2 sites from the number of non-governmental sites were chosen and checked and its health indicators were addressed. A form was used to collect data from the findings of these paper-based information services units and data were analyzed using descriptive statistics and χ 2 test in the minitab software. Results: Among the health indicators of children, those that were related to infants under 2 months and 5-year children were more favorable in private sector and those differences were statistically significant (P<0.05). In other children age groups, the public sector indicators were more favorable (P<0.05). In addition, the coverage of family planning programs and under 1- year vaccination were significantly lower in private sector (P<0.05). But, maternal care was significantly igher in private sector (P<0.05). h Conclusion: According to the results of this study, it seems necessary to promote the programs related to under 5-year care and family planning and vaccination. So, financial regulations with the aim of improving service delivery seems essential

Factors associated with control of type 2 diabetes mellitus in North Iran

Backround. Diabetes is an important public health problem, one of four priority noncommunicable diseases targeted for action by world leaders. The aim of this study was to investigate the factors affecting diabetes control in patients with type 2 diabetes in the rural areas of northern Iran. Methods. This study was conducted following a descriptive-analytical cross-sectional study design based on the data of 308 patients with type 2 diabetes in the rural areas of Golestan province. The samples were selected through two-stage stratified random sampling. Data were collected using a questionnaire (completed by the interviewer) and by measuring the blood glucose, blood pressure, and lipid profile of patients and also using data from patients’ records. Data were analyzed using descriptive and analytical statistics and SPSS version 19. Results. The mean age of patients was 57 ± 15 years and 220 patients (71%) were female. Fifty-five percent of patients had a family history of diabetes and 69% had comorbidity. The mean vegetable intake in patients was 3 days a week with 1.5 servings per day and only 20% had exercise at least three times a week. The proportion of patients with adequately controlled glycated hemoglobin (HBA1c), blood pressure (BP), triglyceride (TG), low-density lipoprotein (LDL), and high-density lipoprotein (HDL) were 27, 91, 31, 41 and 55.5%, respectively. There was also a significant relationship between the controlled blood glucose with increasing age, absence of comorbidity, the number of nutrition counseling, and lowering blood triglycerides. Conclusion. The results of this study showed poor blood glucose control in the studied geography. Therefore, considering these data, it seems necessary to review the national plan for the prevention and control of diabetes

Animal bites management in Northern Iran: Challenges and solutions

Objectives: Animal bite is considered a serious social, economic, and health risk for societies with poor animal bites and population management. The objective of this study was to propose a model for animal bites management in Golestan Province. Methods: The present study is a multi-method study conducted quantitatively and qualitatively. First, as a cross-sectional study, the animal bites in Golestan Province and the country were calculated and their trend was predicted. Secondly, in the qualitative study (content analysis), the challenges, barriers, and methods of animal bite control were extracted through conducting semi-structured interviews and focused group discussion meetings. Finally, the model of animal bite management was developed and it was confirmed by Round Delphi. The data were analyzed via content analysis using MAXQDA18. The participants in this study consisted of university professors, managers, and executive officers involved in animal bite and rabies control plans. Results: This study revealed that the animal bite in Golestan Province had an upward trend, as in the country, and dogs were the main cause of bites (90%). The obstacles and challenges of current animal bites control program in eight areas were expressed by the participants. Also, the animal bite management model, which was obtained from the data of different stages of this study, included nine fields and 41 sub-fields. The fields of the animal bite management model included: providing a cultural package, resolving barriers to animal population control plans, wide coverage of dog vaccination, passing and enacting preventive laws, attracting financial support, constructing standard equipment, providing proper medical services, enhancing inter-departmental coordination, and controlling rabies in the wild. This model was confirmed in a Delphi round. Conclusion: Our study indicated that Golestan Province with an average bite higher than twice the country's average is one of the leading provinces in this regard. Thus, revising the animal bite and animal population control plans in this province is necessary. The model designed in this study can be used as a practical guide by policy makers and officials to manage animal bite and related consequences in this province