Hospital Patient Safety Culture in Developing Countries: A Comparative Study in Ilam City, Iran.

Aims: In this study, patient safety culture was assessed in four educational hospitals in Ilam city, Iran. Study Design and Setting: A cross-sectional study was carried out in four educational hospitals (Imam Khomeini, Mustafa Khomeini, Taleghani and Kowsar hospitals) in Ilam city (Iran). Study Duration: The study was conducted over 2014. Methods: The data collection was conducted via the Iranian version of Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire. The questionnaire contains 42 items that evaluates 12 dimensions of patient safety culture. Results: The results showed that 47% of the participants had 1- 5 years of work experience and 71.1% of them worked more than 40 hours per week in hospital. The mean positive answers score of the safety culture in this study was obtained 40% that was much lower than the benchmark (64%). The highest and lowest percentages of the positive answer were attributed to teamwork within units (70%) and non-punitive response to error (11%), respectively. Conclusion: In order to increase the patient safety culture in the hospitals, the number of professional staff should be increased and a practical plan about the patient safety culture should be provided. Moreover, the hospitals management should support the staff to report errors without fear of the punishment

Promotion of Medication Adherence Program among AIDS Patients: Application of the I-Change Model

Background and Objective: Medication adherence has a critical role to play in the control and treatment of Acquired Immunodeficiency Syndrome (AIDS). The present research aimed to develop, implement, and evaluate an interventional program to promote medication adherence among AIDS patients referred to Behavioral Diseases Counseling Centers in Kermanshah using the I-Change model. Materials and Methods: The present research was conducted based on a quasi-experimental design on a total of 150 AIDS patients in Kermanshah in 2021. They were randomly selected and assigned to intervention and control (n=75 in each group) groups. The intervention development was based on the I-Change model needs assessment and intervention mapping approach. The collected data was evaluated before and three months after the implementation intervention. Data were analyzed in SPSS software (version 16). Results: The mean age of patients was 39.11±6.07 years (range: 22-51 years). After implementing the intervention, the intervention group obtained significantly higher mean scores in regular medication adherence behaviors (P<0.001, d=0.48) and knowledge (P=0.028, d=0.31), as well as lower scores in perceived barrier (P=0.020, d=0.35) compared to the control group. Conclusion: As evidenced by the results of the present study, the I-Change model can be used as a basis for the development of interventional programs to improve medication adherence among AIDS patients