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  • 1
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    Online Resource
    The relationship between succession and intellectual capital with entrepreneurship in hospitals
    Springer Science and Business Media LLC ; 2023
    In:  BMC Health Services Research Vol. 23, No. 1 ( 2023-05-11)
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    In: BMC Health Services Research, Springer Science and Business Media LLC, Vol. 23, No. 1 ( 2023-05-11)
    Abstract: The hospital environment is very dynamic and faces many internal and external changes. Healthcare knowledge and technology are developing at a swift pace. This study investigated the relationship between succession and intellectual capital with entrepreneurship at the Qazvin University of Medical Sciences hospital, Iran. Methods The number of employees working in six hospitals was 2256, and according to Morgan’s table, the required number of samples was 331. We distributed three hundred sixty-five questionnaires considering 10% of sample loss. We used a multi-stage stratified sampling method. In the first stage, each hospital was considered a stratum. After that, occupational groups were considered the next stratum within each hospital, and based on the ratio, the required number of samples for each occupational group was randomly selected. We used the Sobel test to investigate the mediating role of intellectual capital and the structural equation model to fit the research model. Results Succession aspects, including culturalization, meritocracy, job promotion path, and the role of senior managers, have a positive and significant effect on intellectual capital. Succession is only effective on intellectual capital and does not affect the personnel’s entrepreneurship directly or through intellectual capital. Conclusion Conducting training classes and intervention programs and using localized succession models can create a suitable platform for increasing organizational creativity and entrepreneurship, motivating the hospitals’ personnel, and increasing intellectual capital.
    Type of Medium: Online Resource
    ISSN: 1472-6963
    URL: Article
    DOI: 10.1186/s12913-023-09435-2
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 2050434-2
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  • 2
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    Weight Status and its Relationship with Corona Fear, Food Diversity, and Physical Activity in Children and Adolescents
    Medknow ; 2023
    In:  Asian Journal of Social Health and Behavior Vol. 6, No. 4 ( 2023-10), p. 174-181
    Details
    In: Asian Journal of Social Health and Behavior, Medknow, Vol. 6, No. 4 ( 2023-10), p. 174-181
    Abstract: The social restrictions implemented during the COVID-19 pandemic likely influenced children's and adolescent's lifestyles and nutrition. This study sought to assess student dietary quality and physical activity levels during the pandemic, as well as examine their association with overweight risk. Methods: Four hundred and fifty-eight students aged 7–12 years old in Karaj, Iran, completed online self-administered questionnaires assessing diet, physical activity, and coronavirus fear. Using Kant's method and the Food Frequency Questionnaire, we obtained diversity scores for five food groups. Data were analyzed using R statistical software. Statistical significance was set at P 〈 0.05. Results: The mean dietary diversity score (DDS) was the lowest for the meat group and highest for the fruit group. A significant inverse relationship was observed between the meat group diversity score and student weight status ( P = 0.02). The interaction of coronavirus fear and weight status with the meat group DDS was also significant in multivariate adjustment modeling ( P = 0.018). Among overweight students, body mass index had a meaningful negative correlation with physical activity levels ( r = −0.018, P = 0.016). In addition, a significant inverse association was detected between coronavirus fear and physical activity in univariate modeling (β = −145.47, 95% confidence interval: −248.81–−42.12, P ≤ 0.006). Conclusion: A significant association between coronavirus fear and reductions in physical activity as well as weight gain was observed. The study group also did not demonstrate sufficient dietary diversity. Therefore, we recommend promoting diet variety and physical activity for students as part of health-focused school curricula.
    Type of Medium: Online Resource
    ISSN: 2772-4204
    URL: Article
    DOI: 10.4103/shb.shb_222_23
    Language: English
    Publisher: Medknow
    Publication Date: 2023
    detail.hit.zdb_id: 3074272-9
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  • 3
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    Online Resource
    Proactive agenda setting in creation and approval of national action plan for prevention and control of non-communicable diseases in Iran: The use of multiple streams model
    Springer Science and Business Media LLC ; 2020
    In:  Journal of Diabetes & Metabolic Disorders
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    In: Journal of Diabetes & Metabolic Disorders, Springer Science and Business Media LLC
    Type of Medium: Online Resource
    ISSN: 2251-6581
    URL: Article
    DOI: 10.1007/s40200-020-00591-4
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2020
    detail.hit.zdb_id: 2680289-2
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  • 4
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    The relationship between patient safety culture and adverse events in Iranian hospitals: a survey among 360 nurses
    Springer Science and Business Media LLC ; 2023
    In:  Patient Safety in Surgery Vol. 17, No. 1 ( 2023-07-26)
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    In: Patient Safety in Surgery, Springer Science and Business Media LLC, Vol. 17, No. 1 ( 2023-07-26)
    Abstract: Adverse events have become a global problem and are an important indicator of patient safety. Patient safety culture is essential in efforts to reduce adverse events in the hospital. This study aimed to investigate the status of the patient safety culture, the frequency of adverse events, and the relationship between them in Qazvin's hospitals in Iran. Methods The present study is a descriptive-analytical study conducted in six hospitals in Qazvin, Iran, in 2020. The study population was nurses working in Qazvin hospitals. We collected data via a patient safety culture questionnaire and an adverse event checklist. Three hundred sixty nurses completed questionnaires. Multiple logistic regression was used to investigate the relationship between variables. Results The highest mean of patient safety culture was related to the organizational learning dimension (3.5, SD = .074) and feedback and communication about errors (3.4, SD = 0.82). The participants gave the lowest score to dimensions of exchanges and transfer of information (2.45,=0.86) and management support for patient safety (2.62,Sd = 0.65). Management's support for patient safety, general understanding of patient safety culture, teamwork within organizational units, communication and feedback on errors, staff issues, and information exchange and transfer were significant predictors of adverse events. Conclusion This study confirms patient safety culture as a predictor of adverse events. Healthcare managers should provide the basis for improving the patient safety culture and reducing adverse events through methods such as encouraging the reporting of adverse events and also holding training courses for nurses.
    Type of Medium: Online Resource
    ISSN: 1754-9493
    URL: Article
    DOI: 10.1186/s13037-023-00369-6
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 2409244-7
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  • 5
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    A framework for elderly participation in Primary Health Care in Tabriz Health complexes
    Springer Science and Business Media LLC ; 2023
    In:  BMC Geriatrics Vol. 23, No. 1 ( 2023-08-21)
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    In: BMC Geriatrics, Springer Science and Business Media LLC, Vol. 23, No. 1 ( 2023-08-21)
    Abstract: A framework for increasing elderly participation in Primary Health Care (PHC) is a vital issue considering the growing population. After examining the situation and elderly participation in the provision of PHC in the health complexes of Tabriz City, the present study presents the framework of elderly participation in PHC. Methods This is a mixed-method study. First, we reviewed the models of elderly participation in PHC worldwide using a comprehensive search of literature. Then, we extracted the service providers’ and the elderly's views regarding the obstacles and solutions for the elderly participation in PHC in Iran using the interviews and focus group discussions (FGD). We conducted three FGDs (8–10 people) and seven individual interviews. Data were analyzed using the content analysis method. We developed the proposed framework for the participation of the elderly in PHC using a panel of experts and checked and confirmed the framework's validity using the Delphi technique with 11 experts from the content validity index and modified kappa coefficient. Results Based on the result of included studies in the systematic review, the characteristics of the participation models were classified into five areas: the characteristics of the service user, the main facilitator of the intervention, the type of ownership of the center, the subject and the method of participation. The solutions and obstacles, and problems presented by the service providers and users in different areas include 12 themes (elderly participation, home care, and self-care, respect for the elderly, cooperation of different organizations, service package for the elderly, referral system, planning for the elderly, considering insurance for the elderly, the role of informing the elderly, mental health of the elderly, physical space of centers and training of elderly caregivers) and 46 sub-themes. The final framework also includes five themes (approaches and strategies to attract participation, indicators, and consequences of participation of the elderly, implementation strategies of elderly care, implementation infrastructure and goals and areas of participation of the elderly) and sub-themes. Conclusion The results of the study indicate that the final framework obtained should be used based on a systematic model for elderly participation in PHC and should be implemented and followed up based on local strategies and specific indicators, considering all capacities.
    Type of Medium: Online Resource
    ISSN: 1471-2318
    URL: Article
    DOI: 10.1186/s12877-023-04217-1
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 2059865-8
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  • 6
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    The burden of preventable hospitalizations before and after implementation of the health transformation plan in a hospital in west of Iran
    Cambridge University Press (CUP) ; 2019
    In:  Primary Health Care Research & Development Vol. 20 ( 2019)
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    In: Primary Health Care Research & Development, Cambridge University Press (CUP), Vol. 20 ( 2019)
    Abstract: Increased number of preventable hospitalizations (PHs) for ambulatory care sensitive conditions (ACSCs) represents less efficiency and low access to outpatient and primary health care, leading to waste of health system resources. Aim: The purpose of this study is to assess the quality of outpatient and primary health care using the rate of PHs for ACSCs and to estimate the economic burden of ASCS before and after the implementation of the health transformation plan (HTP) in Iran. Methods: This research was a before–after quasi-experimental study. The study population included all patients hospitalized in the largest general hospital of Kurdistan province with five diseases such as asthma, diabetes, hypertension, congestive heart failure, and chronic obstructive pulmonary disease in 2014 (before the implementation of the HTP) and 2015 (after the implementation of the HTP). Data were analyzed by SPSS v.20 using Chi-square test. Findings: Total number of hospitalizations before and after the implementation of the HTP was 1501 and 1405, respectively. Moreover, the proportion of PHs in all types of the hospital admissions before and after the implementation of the HTP was 47% and 49%, respectively. There was no statistically significant difference between the number of PHs before and after the HTP. In total, PHs imposed 885 798 US$ and 9920 bed-days on health system before and after the implementation of the HTP. Conclusion: Despite the previous expectations of policy makers for improving quality, efficiency, and access to primary health care through implementation of the HTP, proportion of PHs is considerable and it imposes a lot of costs and bed-days on the health system both before and after the HTP.
    Type of Medium: Online Resource
    ISSN: 1463-4236 , 1477-1128
    URL: Article
    DOI: 10.1017/S1463423618000841
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2019
    detail.hit.zdb_id: 2027892-5
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  • 7
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    Evaluation of errors related to surgical pathology specimens of different hospital departments with a patient safety approach: a case study in Iran
    Springer Science and Business Media LLC ; 2023
    In:  Patient Safety in Surgery Vol. 17, No. 1 ( 2023-04-18)
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    In: Patient Safety in Surgery, Springer Science and Business Media LLC, Vol. 17, No. 1 ( 2023-04-18)
    Abstract: Most surgical specimen errors occur in the pre-analysis stage, which can be prevented. This study aims to identify errors related to surgical pathology specimens in one of the most comprehensive healthcare centers in Northeast Iran. Methods The present study is descriptive and analytical research conducted cross-sectionally in 2021 at Ghaem healthcare center in the Mashhad University of Medical Sciences on the basis of a census sampling. We used a standard checklist to collect information. Professors and pathologists evaluated the validity and reliability of the checklist using Cronbach’s alpha calculation method of 0.89. We analyzed the results using statistical indices, SPSS 21 software, and the chi-square test. Results Out of 5617 pathology specimens studied, we detected 646 errors. The highest number of errors is the mismatch of the specimen with the label (219 cases; 3.9%) and the non-compliance of the patient’s profile in the specimen sent with the label (129 cases; 2.3%), and the lowest errors are the inappropriate volume of the fixator(24 cases; 0.4%), and they accounted for insufficient sample size (25 cases; 0.4%). Based on Fisher’s exact test results, there was a significant difference between the proportion of errors in different departments and months. Conclusion Considering the frequency of labeling errors in the stage before the analysis in the pathology department, the use of barcode imprinted in specimen containers, the removal of the paper request for pathology, the use of radio frequency chip technology, the use of the rechecking system and improving communication in different departments can be effective in reducing these errors.
    Type of Medium: Online Resource
    ISSN: 1754-9493
    URL: Article
    DOI: 10.1186/s13037-023-00360-1
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 2409244-7
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  • 8
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    Online Resource
    Frequency and potential causes of medication errors from nurses’ viewpoint in hospitals affiliated to a medical sciences University in Iran
    Emerald ; 2019
    In:  International Journal of Human Rights in Healthcare Vol. 12, No. 4 ( 2019-08-29), p. 267-275
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    In: International Journal of Human Rights in Healthcare, Emerald, Vol. 12, No. 4 ( 2019-08-29), p. 267-275
    Abstract: The purpose of this paper is to investigate the prevalence of medication errors (MEs) and the factors affecting them among nurses of hospitals affiliated to Kurdistan University of Medical Sciences (KUMS) in 2016. Design/methodology/approach This is a cross-sectional and descriptive-analytic study. In total, 503 nurses were selected using census method from six hospitals affiliated to KUMS. A self-constructed questionnaire was employed to collect information on nurses’ socio-demographic characteristics (6 items), the prevalence and type of MEs (21 items) and their perceptions about the main causes of MEs (40 items). Data were collected from August 15 to October 15, 2016. In addition, nonparametric and linear regression tests were used to describe the descriptive statistics and analyze the data. Findings The response rate was 73 percent and the monthly reported MEs per nurse was 6.27±11.95. Giving medication at non-scheduled time (28.4 percent), giving multiple oral medications together (22.4 percent) and giving painkillers after operation without physician’s prescription (15.3 percent) were three types of repetitive MEs, respectively. Gender, work experience, and having a second job affected the total number of MEs. “Long and unconventional nursing shifts,” “changing the dosage of medications for patients under observation due to multiple consultations and different doctors’ orders” as well as “failure to give feedback about the causes of errors to nurses by supervisors” were the three prioritized factors for MEs. Originality/value There is a need to reduce MEs in order to improve patient safety. It seems that in order to reduce MEs, systemic and managerial reforms such as reducing the working hours and workload of nurses, giving feedback about the causes of MEs to nurses, and using initiatives to reduce the stress in nurses are necessary.
    Type of Medium: Online Resource
    ISSN: 2056-4902
    URL: Article
    DOI: 10.1108/IJHRH-11-2018-0072
    Language: English
    Publisher: Emerald
    Publication Date: 2019
    detail.hit.zdb_id: 2813769-3
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  • 9
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    Mortality rate, patient length of stay and medical cost prediction in different priority levels for patient admission to an intensive care unit
    Emerald ; 2022
    In:  International Journal of Human Rights in Healthcare ( 2022-08-23)
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    In: International Journal of Human Rights in Healthcare, Emerald, ( 2022-08-23)
    Abstract: This study aimed to compare mortality rate, length of stay (LOS) and hospitalization costs at different priority levels for a patient admitted to an intensive care unit (ICU) at a public tertiary hospital in Qazvin, Iran. This study also aimed to predict influencing factors on patients’ mortality, ICU LOS and hospitalization costs in different admission groups. Design/methodology/approach The authors conducted a retrospective cohort study among patients who mainly suffered from internal diseases admitted to an ICU of a public hospital. This study was conducted among 127 patients admitted to ICU from July to September 2019. The authors categorized patients into four groups based on two crucial hemodynamic and respiratory status criteria. The authors used a logistic regression model to predict the likelihood of mortality in ICU admitted patients during hospitalizations for the four prioritization groups. Furthermore, the authors conducted a multivariate analysis using the “enter” method to identify risk factors for LOS. Findings Results showed a statistically significant relationship between the priority of being admitted to ICU and hospitalization costs. The authors’ findings revealed that age, LOS and levels of consciousness had a predictability role in determining in-hospital mortality. Besides, age, gender, consciousness level of patients and type of the disease were mentioned as affecting factors of LOS. Originality/value This study’s findings emphasize the necessity of categorizing patients according to specific criteria to efficiently use available resources to help health-care authorities reduce the costs and allocate the budget to different health sectors.
    Type of Medium: Online Resource
    ISSN: 2056-4902 , 2056-4902
    URL: Article
    DOI: 10.1108/IJHRH-10-2021-0192
    Language: English
    Publisher: Emerald
    Publication Date: 2022
    detail.hit.zdb_id: 2813769-3
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  • 10
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    Assessing unmet health-care needs of the elderly in west of Iran: A case study
    Emerald ; 2021
    In:  International Journal of Human Rights in Healthcare Vol. 14, No. 5 ( 2021-11-23), p. 452-464
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    In: International Journal of Human Rights in Healthcare, Emerald, Vol. 14, No. 5 ( 2021-11-23), p. 452-464
    Abstract: The purpose of this study is to investigate the status of perceived need, seeking behavior and utilization of health services in the elderly population of Sanandaj (west of Iran). Design/methodology/approach This is a cross-sectional study conducted on 800 elderly people in Sanandaj. Subjects were selected using multistage sampling and data were collected using self-report questionnaires. A multivariate logistic model with odds ratios (ORs) was used to determine the relationship of independent variables with seeking perceived need. Also, the concentration index was used to measure the inequality in using health services. Findings The perceived need for outpatient (during the last 30 days) and inpatient health-care services (during the past 12 months) was 69.7% and 29.7%, respectively. Among them, the unmet need for outpatient and inpatient health-care services was 46.6% and 17%, respectively. Having health insurance (adjusted OR 12.08; 95% confidence interval [CI] 1.04–140.11), middle economic status (adjusted OR 5.18; 95% CI 1.30–20.51) and being in an age group of 65–70 years (adjusted OR 7.60; CI 1.42–40.61) increased the chance of seeking inpatient care. Also, being in an age group of 60–65 years (adjusted OR 0.41; 95% CI 0.18–0.95) reduced the chance of seeking outpatient care. There was also a pro-rich inequality in using outpatient health services. Originality/value The elderly population suffers from unmet health-care needs, especially in outpatient services. The most important reason for not seeking outpatient and inpatient services was financial barriers and self-medication, respectively. So, designing targeted policies and interventions to address barriers in the conversion of need to demand in the elderly population is essential.
    Type of Medium: Online Resource
    ISSN: 2056-4902 , 2056-4902
    URL: Article
    DOI: 10.1108/IJHRH-09-2020-0083
    Language: English
    Publisher: Emerald
    Publication Date: 2021
    detail.hit.zdb_id: 2813769-3
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