A Qualitative Investigation into Components of Patient Safety Organizational Culture in the Medical Education Centers: A Medical Errors Management Approach

The patient safety is a subset of organizational culture and is defined as a set of individual and organizational priorities, values, attitudes and behaviors which look for minimizing errors and damages arising from the process of patient treatment. This study seeks to describe the experiences of patients and their companions about the patient safety organizational culture and medical errors management. Methods: This qualitative study was conducted in the health and medical education centers affiliated with Isfahan University of Medical Sciences in 2017. A total of 15 patients and companions receiving health services in medical education centers were selected using purposive sampling and in-depth interviews were conducted with the participants. Conventional qualitative content analysis was used to analyze the data. Results: 186 initial codes, 23 sub-subcategories and 6 main themes were extracted from the data which are as follows: culture of errors acceptance vs. non-acceptance, culture of disclosing vs. hiding errors, psychological and physical consequences and financial burden of medical errors, learning from errors, the culture of patient participation and training, developing the culture of safety and all-inclusive quality improvement. Conclusion: The results of the present study indicate a vast array of culture of nonacceptance vs. acceptance of errors and disclosing vs. hiding errors. Thus, it is imperative for the organization's senior managers to make corrective interventions so as to maintain and promote the culture of learning from errors and patient education and participation in the process of their treatment and ultimately the culture of safety and all-inclusive quality improvement

Study of privatization practices in education in selected countries in order to provide the appropriate perceptual framework for privatization in Iranian education.

The purpose of this study was to study the privatization methods in education in selected countries in order to provide an appropriate conceptual framework for privatization in Iran education. The research method was quantitative (quantitative). The method of research in the qualitative section, qualitative content analysis of the type of inductive and purposeful categories was an applied research that was carried out in three phases. The first phase reviewed the articles and sources. In the second phase, the distribution of the questionnaire was performed and in the third phase of the analysis And data analysis. The field of research was in the qualitative section of the articles and documents of privatization in the education of the countries of the world. The sampling method in the qualitative section of this research was targeted formally from among the 60 countries that, according to international reports, had the best educational system and carried out privatization in the educational system. The method of data collection in the qualitative section of this study was extraction of items from articles and library studies. Opinions of professors were also used to determine the content validity while using books and documents on privatization in education. The data gathering tool in this research was in the small part of the questionnaire and the sampling method was selected for selected cities in a multi-stage cluster. In order to estimate the internal consistency of the items, an introductory performance was performed on 30 individuals. For reliability of the questionnaire, in this section, the coefficient of 0.84 was calculated using Cronbach's alpha. Data were analyzed using SPSS and Emo software. From the exploratory analysis of questionnaires, privatization methods in education, 37 methods were divided into four categories: privatization through external All-outsourcing "," Management and Educational Services, "" Financial Dimensions, "and" Physical-Physical "frameworks. The status of framework fitting indicators was favorable by modeling structural equations