Strategic Planning for Agriculture Section using Swot, QSPM and Blue ocean- case Study: Eshraq Agro-industry company

Strategic management is defined as a set of management decisions and actions that determine a company's long-term performance and lead and control the organization so that it can quickly respond to some internal and external environmental changes. Obviously, the agricultural sector and natural resources are one of the most significant economic sectors of the country because of their vital role in providing the required food and nutritional safety. The present study aims to determine the appropriate strategies for Eshraq agro-industry Company. In this study, agricultural sector and animal husbandry strategies are determined simultaneously. The SWOT analytical framework has been used to determine the appropriate strategies. Eventually, after assessing the situations and strategic actions by the SPACE method using the QSPM strategic approach, the determined strategies have been sorted according to importance and priority which include small livestock, aviculture, aquaculture, establishing dairy plants and value-added production, developing the existing dairy cattle, increasing milk and meat production and changing land uses from farms to gardens respectively

The Relationship between Patient Safety Culture and Barriers to Medical Errors Reporting Among Nurses in Tehran Hospitals

Background & Objectives: According to World Health Organization, patient safety is a serious public health issue, an important aspect of the quality of health care, and a vital prerequisite for universal health coverage. The objective of this study was to investigate nurses' perceptions of patient safety culture (PSC), barriers to medical error reporting, as well as the relationship between the two. Methods: This descriptive-analytical study was conducted in six public hospitals in Tehran on 420 nurses who were selected using multistage sampling. The Hospital Survey on Patient Safety Culture (HSOPSC) and a researcher-made questionnaire on barriers to medical error reporting were utilized. Data were analyzed using correlation tests, t-test, analysis of variance (ANOVA), and multivariate regression analysis using SPSS software (version 20). Results: The mean score of patient safety culture was 52.01 and the mean score of barriers to error reporting was 3.13. Manager expectations and actions had the highest mean score (69.8) and non-punitive response to errors had the lowest mean score (23.6) among the dimensions of patient safety culture. Fear of the consequences of reporting an error was the most important perceived barrier to error reporting (3.37). There was a significant negative correlation between safety culture and perceived barriers to error reporting (P<0.001). Conclusion: Setting up an anonymous reporting system as well as increasing managers' support for error reporting and providing positive feedback to nurses are essential steps to improve error reporting. Key¬words: Patient Safety Culture, Error Reporting, Medical Error, Teaching Hospital Citation: Daneshkohan A, Mahfoozpour S, Palesh M, Fazli Ouchhesar B, Fazali Ouchhesar F. The Relationship between Patient Safety Culture and Barriers to Medical Errors Reporting Among Nurses in Tehran Hospitals. Journal of Health Based Research 2020; 5(4): 435-50. [In Persian

The Prevalence of Musculoskeletal Disorders and its Predictors among Iranians’ Housewives

ABSTRACT Background and aims: Musculoskeletal disorders (MSDs) are common among housewives. Therefore, this study aimed to estimate the prevalence of MSDs and its predictors among a group of Iranian housewives. Methods: This cross-sectional study carried out on 600 Iranian housewives in 2014 that were selected using multistage random sampling from three cities including Karaj, Kashan and Yazd. The data were collected using Nordic questionnaire and were analyzed in SPSS software using chi-square and multiple linear regressions with Hosmer-Lemshow method. Results: The total prevalence of MSDs was 53 and was not different in three cities (P>0.05). The highest prevalence of pain was found to be in the back region (51.33), followed by neck (51) and shoulder (41.5) and least at wrist (40.5). The possibility of pain in neck was related to husband’s job (governmental compared to self-employed OR=1.6, CI 95:1.09-2.63), older age (OR=1.06, CI 95:1.01-1.11), higher height (OR=1.09, CI 95:1.03-2.09), and more marriage duration (OR=1.08, CI 95:1.01-2.05). The possibility of pain in back was related to educational level guidance (OR=0.38, CI 95%:0.15-0.95) and high school (OR=0.31, CI 95%:0.13-0.94) compared to primary school and heavier weight (OR=1.07, CI 95%:1.04-2.19), and finally the possibility of pain in shoulder was related to dominant hand right hand compared to both hand (OR=4.6, CI 95%:1.2-17.8). Conclusion: Present study showed that the prevalence of MSDs in Iranian housewives is high and the educational level, height, weight and having husband with governmental job are as important predictors of MSDs among housewives. However, ergonomic training and informing the housewives about the risk factors of MSDs could prevent and postponed the occurrence of these disorders

An investigation of safety attitude in a number of manufacturing companies in Urmia

Introduction: Positive safety attitude of employees is directly associated with workplace safety, and it can decrease occupational accidents through increasing the number of safety acts. Assessment of employees&rsquo; safety attitude in workplaces can be more helpful to identify underlying causes of unsafe acts. The main aim of this study was to assess safety attitude and its&rsquo; relationship with different personal and occupational variables in a number of manufacturing companies, located in Urmia City, Iran. &nbsp; Material and Method: In this study, the safety attitude of 194 employees was measured in 9 manufacturing companies using a questionnaire with acceptable validity and reliability. The questionnaire consisted of two parts: participants&rsquo; personal and job related information, as well as 46 safety attitude related questions. The questions of safety attitude was measured using a five-point Likert scale in form of ten main aspects.&nbsp; &nbsp; Result: The results indicated that majority of participants (78.9 %) had a moderate safety attitude level and the mean (&plusmn;SD) score of total safety attitude was 3.19 (&plusmn;0.25). &ldquo;Commitment to safety and participation in safety activities&rdquo; and &ldquo;safety talk and risk information communication&rdquo; obtained the highest and lowest scores of safety attitude factors, with mean (SD) of 3.97(&plusmn;0.52) and 2.53(&plusmn;0.58), respectively. In addition, the participants from private companies showed a better safety attitude than those of governmental companies (P-value<0.05). Managers and workers, who had previously received safety training, reported a different attitude toward various factors of safety attitude, in comparison with untrained groups. Conclusion: Since the majority of participants had a moderate safety attitude, this research suggests the study companies to attempt in order to increase the quantity and quality of safety training courses, as well as safety communication of managers and supervisors with workers for improving their attitude toward safety and subsequently decreasing occupational accidents

Job Stress and its Relationship with the Musculoskeletal Disorders among Office Workers of Zahedan University of Medical Sciences, Iran

Background and Purpose: Job stress is an important psychological factor. Musculoskeletal disorders are among the most common causes of disability in industrialized and developing countries. Therefore, this study aimed to assess job stress and its relationship with the prevalence of musculoskeletal disorders in office workers of Zahedan University of Medical Sciences, Iran. Materials and Methods: A total of 234 office workers from Zahedan University of Medical Sciences were selected by census sampling. Data were collected using the Health and Safety Executive&rsquo;s Management Standards Indicator Tool and the Cornell Musculoskeletal Discomfort Questionnaire. Pearson&rsquo;s correlation coefficients, independent t-test, analysis of variance, and chi-square tests were performed to analyze the data. Results: The mean age and work experience of the participants were 35.25 &plusmn; 8.37 and 9.20 &plusmn; 2.64 years, respectively. The mean stress scores of men and women were 95.6 &plusmn; 13.1 and 95.2 &plusmn; 14.8, respectively. Stress showed a significant relationship with pain intensity in the middle and lower back, shoulders, and wrists. It was also significantly related with the frequency of pain in the neck, upper back, middle back, lower back, (left) shoulder, and both wrists (P &le; 0.050). Conclusion: There were significant relationships between stress and pain in different parts of the body among office workers. In fact, high levels of stress were associated with musculoskeletal disorders and pain in different limbs of the subjects. Hence, stress reduction programs should be implemented to control the levels of stress and the incidence of musculoskeletal disorders among the studied workers

Quality of work life among surgeons and its association with musculoskeletal complaints

Quality of Work Life (QWL) can affect health and safety of individuals. The aim of the present study was to evaluate QWL among surgeons and investigate its association with musculoskeletal complaints. This cross-sectional study was conducted among surgeons working in hospitals located in Zahedan, Iran. QWL was assessed using the Walton’s 35-item questionnaire and the Nordic Musculoskeletal Questionnaire (NMQ) was used for assessing musculoskeletal complaints. The effects of age, gender, BMI, working hours, and working posture were adjusted. Univariate and multivariate binary logistic regressions and independent T-test were employed for analyzing data. Seventy-four surgeons participated in this study. They were mostly male (60.8%) and married (73.00%) with the mean age of 37.9 years (±5.3) and the mean experience of 7 years (±4.23). Most of them (87.8%) had a moderate level of QWL and 90.6% of them had musculoskeletal complaints in at least one part of their body. “Development of human capacities” and “the total life space” had the highest and lowest scores, respectively. QWL was a significant predictor of pain and discomfort complaints in the neck, shoulders, upper back, elbows and legs. Alongside improving workstations and tools used by surgeons, interventions aimed at promoting QWL may be necessary to reduce musculoskeletal complaints among them

Attitude toward the Patient Safety Culture in healthcare systems

Introduction: Patient Safety Culture (PSC) involves a harmonious pattern of individual and organization behaviors based on common beliefs and values. This study aimed to evaluate the attitude of healthcare providers toward PSC in the hospitals and clinics of Zabol city, Iran. Materials and Methods: This descriptive cross-sectional study was conducted in 2015. Sample population consisted of the physicians, nurses, and paraclinical staff (radiologists and laboratory experts) engaged in different healthcare centers of Zabol city, Iran. Data were collected using the Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire. Data analysis was performed in SPSS V.22 at the significance level of 0.05. Results: In total, 231 healthcare practitioners were enrolled in this study. Participants were divided into three groups of physicians, nurses, and paraclinical staff (n=77, 33.33%). Mean of age and clinical experience was 29.94 and 6.23 years, respectively. Among the main aspects of PSC, “general understanding of patient safety” had the highest mean score (13.53), and the lowest mean score was achieved in “non-punitive response to error” (8.89). In the aspect of “manager expectations and actions promoting safety”, a significant difference was observed in the mean scores of the study groups (P=0.030). Moreover, our results showed a significant difference between the mean scores of physicians and nurses in the aspect of “openness and honesty in communication” (P=0.023). Conclusion: According to the results of this study, improvement of PSC is necessary for the efficient management of hospitals and clinics. This is attainable through collaborative and instructive workshops, developing educational programs, and designing incident reporting systems

Evaluation the posture of bank employees by using two methods RULA and OCRA

Bank employees are at risk of musculoskeletal problems because of the physical and mental requirements of the job. Studies show that more than 60 percent of bank employees have been directly or indirectly involved in many factors, such as personal characteristics, conditions and workstations, stress and repetitive movements. The aim of this study was to evaluate the RULA and OCRA methods of risk factors for musculoskeletal disorders in the bank staff. This study was carried out in order to assess the physical status of 80 the bank employees using two methods: RULA and OCRA. According to the results, the average score RULA and OCRA are 4.13±1.14 and 0.300±0.088, respectively. Statistically significant t - tests show differences between RULA and OCRA assessment methods. The RULA scores for the three age groups were also not significantly different, as they also apply to the OCRA score. Though, there are similarities between the two methods especially in assessment of repetitive motion in upper limb, but OCRA method propose as appropriate method to MSDs risk evaluate, so is not recommended to use two method instead of each other

Safety and outcomes of intravenous thrombolytic therapy in ischemic stroke patients with COVID-19: CASCADE initiative

BACKGROUND: There is little information regarding the safety of intravenous tissue plasminogen activator (IV-tPA) in patients with stroke and COVID-19. METHODS: This multicenter study included consecutive stroke patients with and without COVID-19 treated with IV-tPA between February 18, 2019, to December 31, 2020, at 9 centers participating in the CASCADE initiative. Clinical outcomes included modified Rankin Scale (mRS) at hospital discharge, in-hospital mortality, the rate of hemorrhagic transformation. Using Bayesian multiple regression and after adjusting for variables with significant value in univariable analysis, we reported the posterior adjusted odds ratio (OR, with 95% Credible Intervals [CrI]) of the main outcomes. RESULTS: A total of 545 stroke patients, including 101 patients with COVID-19 were evaluated. Patients with COVID-19 had a more severe stroke at admission. In the study cohort, 85 (15.9%) patients had a hemorrhagic transformation, and 72 (13.1%) died in the hospital. After adjustment for confounding variables, discharge mRS score ≥2 (OR: 0.73, 95% CrI: 0.16, 3.05), in-hospital mortality (OR: 2.06, 95% CrI: 0.76, 5.53), and hemorrhagic transformation (OR: 1.514, 95% CrI: 0.66, 3.31) were similar in COVID-19 and non COVID-19 patients. High-sensitivity C reactive protein level was a predictor of hemorrhagic transformation in all cases (OR:1.01, 95%CI: 1.0026, 1.018), including those with COVID-19 (OR:1.024, 95%CI:1.002, 1.054). CONCLUSION: IV-tPA treatment in patients with acute ischemic stroke and COVID-19 was not associated with an increased risk of disability, mortality, and hemorrhagic transformation compared to those without COVID-19. IV-tPA should continue to be considered as the standard of care in patients with hyper acute stroke and COVID-19