ORIGINAL_ARTICLE
An Audit of Perioperative Antimicrobial Prophylaxis: Time to Take Action
https://ijhr.iums.ac.ir/article_44654_d41d8cd98f00b204e9800998ecf8427e.pdf
2016-09-01
82
86
Antibiotic prophylaxis
Clinical guideline
Medical practice
Surgery
Health care
Sarah
Mousavi
1
Department of Clinical Pharmacy and Pharmacy Practice, Faculty of Pharmacy and Pharmaceutical Sciences, Isfahan University of Medical Sciences, Isfahan, Iran
LEAD_AUTHOR
Elham
Zamani
2
Faculty of Pharmacy and Pharmaceutical Sciences, Isfahan University of Medical Sciences, Isfahan, Iran
AUTHOR
Faranak
Bahrami
3
Department of General Surgery, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
ORIGINAL_ARTICLE
Professional Practices Promoting Health of Healthcare Workers: Comparison of Public and Private Hospitals in Pakistan
https://ijhr.iums.ac.ir/article_44655_1678dd601f3640ea0a9730e3ea2fc1e9.pdf
2016-09-01
87
92
Healthcare Workers
Health promotion
promotional activities
communication
Nourin
Jivany
nourin.jivany@aku.edu
1
Department of Health and Hospital Management, Institute of Business Management, Karachi, Pakistan
AUTHOR
Javed
Yakoob
yakoobjaved@gmail.com
2
Department of Medicine, Aga Khan University, Karachi, Pakistan
LEAD_AUTHOR
Shazia
Bana
shazia.bana@aku.edu
3
Department of Health and Hospital Management, Institute of Business Management, Karachi, Pakistan
AUTHOR
Asima
Faisal
asima.faisal@iobm.edu.pk
4
Department of Health and Hospital Management, Institute of Business Management, Karachi, Pakistan
AUTHOR
Humeira
Jawed
5
Department of Health and Hospital Management, Institute of Business Management, Karachi, Pakistan
AUTHOR
ORIGINAL_ARTICLE
Managers’ Perspective toward Responsiveness in Non Clinical Services
Background and Objectives: Responsiveness is a measure of how well a healthcare organization performs in accordance with patients’ expectations and is a central factor to patient satisfaction. To enhance responsiveness in a health facility, the first step is to identify its current situation. This study was conducted to evaluate the responsiveness of a sample of hospitals in Yazd Province (Central Iran) as perceived by their managers. Methods: Three hospitals of various types (one public, one private and one charity) were selected for survey, based on simple sampling. All hospital administrators, matrons, supervisors and head of the departments were asked to complete the study questionnaire. Based on an adapted version of WHO-proposed assessment model, responsiveness was measured in seven dimensions, including respect and dignity, informed choice, confidentiality, patient education and provider-patient communication, access to prompt services, quality of physical amenities and social support. The data were summarized by descriptive statistical methods. Findings: A majority of respondents (37.9%) considered dignity and respect as the key responsiveness dimension. The mean score of responsiveness was found to be 2.27+0.39 in a public hospital, 2.02+0.35 in a private and 2.24+0.32 in a charity hospital. Respect and dignity scored the highest among responsiveness dimensions (2.35+0.44), followed by patient education (2.34+0.32), and quality of physical amenities (2.23+0.39). The lowest score was given to informed choice (1.73+0.34), followed by access to services (1.95+0.43), and confidentiality (1.99+0.27). Conclusions: Responsiveness and all of its dimensions were scored at moderate. Responsiveness and all its dimensions were scored at moderate level by the hospital managers. One should notice that the scores may be even lower from the patients’ perspective. Thus, our study in line with previous ones conducted in Iran indicates a large room to improve responsiveness in the health facilities. Based on our data, informed choice, access to the services, and confidentiality are the prime domains for improvement.
https://ijhr.iums.ac.ir/article_44760_0b56227ef9853d4428c20ff6de8d8ddc.pdf
2016-09-01
93
97
responsiveness
Nonclinical services
Hospital management
Patient Satisfaction
Health system performance
Sima
Rafiei
sima.rafie@gmail.com
1
Department of Health Management, School of Health, Qazvin University of Medical Sciences, Qazvin, Iran
AUTHOR
Mahboobeh
Irany Nasab
2
Department of Health Services Management, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
AUTHOR
Razieh
Montazerolfaraj
r.montazeralfaraj@yahoo.com
3
Department of Health Services Management, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
LEAD_AUTHOR
Fatemeh
Sepaseh
f.sepaseh@gmail.com
4
Department of Health Services Management, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
AUTHOR
Arefeh
Dehghani Tafti
arefeh.dehghani@gmail.com
5
Department of Statistics, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
AUTHOR
Roohollah
Askari
r.asqari@gmail.com
6
Department of Health Services Management, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
LEAD_AUTHOR
ORIGINAL_ARTICLE
Effect of Lithium on Brain-derived Neurotrophic Factor (BDNF) Level in Patients with Ischemic Stroke: A Clinical Trial
Background and Objectives: Previous studies have indicated that lithium may increase the level of the brain-derived neurotrophic factor (BDNF), which in turn improves the recovery of patients with stroke. In this controlled trial we evaluated the effect of lithium on BDNF serum level in patients with ischemic stroke. Methods: In this randomized controlled trial (IRCT2013110515290N1), 46 patients with ischemic stroke in the territory of middle cerebral artery in lithium group who received aspirin (80 mg/d), atorvastatin (20 mg/d), folic acid (1mg/d), physiotherapy (10 sessions) and lithium carbonate (300 mg /BD/30d) 48 hours after stroke, were compared with 47 patients in the control group who received the same treatment regimen except lithium, in terms of the level of BDNF at 5 and 30 days after treatment, Findings: TheBDNF level after 30 days of treatment was found to be significantly higher in lithium group compared with control group. No significant difference in mortality rate between the two groups was identified. Conclusions: We obtained further indications for the positive effect of lithium on BDNF level. Administration of lithium carbonate, therefore, may provide an inexpensive approach to reduced rate of stroke-induced disability and improved patient outcome.
https://ijhr.iums.ac.ir/article_44656_604e6c0b6f148659b9622b083d24bfc6.pdf
2016-09-01
98
101
Lithium
brain-derived neurotrophic factor (BDNF)
ischemic stroke
Clinical trial
Nastaran
Majdinasab
1
Neurology Department of Ahwaz Jundishapour University of Medical Sciences
AUTHOR
Mehdi
Masoudi Moqaddam
2
Neurology Department of Ahwaz Jundishapour University of Medical Sciences
LEAD_AUTHOR
Seyed Ehsan
Mohammadianinejad
ehsan_neuro@yahoo.com
3
Neurology Department of Ahwaz Jundishapour University of Medical Sciences
AUTHOR
Habib
Haybar
takamoolsk@yahoo.com
4
Cardiovascular Research Center of Ahwaz Jundishapour University of Medical Sciences
AUTHOR
Seyed
Navid Naghibi
5
Neurology Department of Ahwaz Jundishapour University of Medical Sciences
AUTHOR
Seyed Aidin
Sajedi
dr.sajedy@gmail.com
6
Neurology Department of Ahwaz Jundishapour University of Medical Sciences
AUTHOR
Mojtaba
Khademiyan
7
Neurology Department of Ahwaz Jundishapour University of Medical Sciences
AUTHOR
Marzieh
Kordi
8
Neurology Department of Ahwaz Jundishapour University of Medical Sciences
AUTHOR
ORIGINAL_ARTICLE
Performance Indicators of Hospital Safety and Health Management Systems Based on the Nursing Staff Viewpoints
Background and objectives: Health management systems play a very pivotal role in prevention and reduction of hazards and improvement of staff performance; therefore, this study was aiming to evaluate the performance indicators of safety and health management systems in Vali Asr hospital of Fasa from the perspective of its nursing staff. Method: This descriptive-analytical study was performed in Vali Asr hospital, Fasa, Iran. Sampling was done via census; sample size consisted of 200 employees. Data collection tool was the standard hospital safety and health management system questionnaire. This questionnaire consisted of 53 items covering the 6 domains of: Management leadership, Employee participation, Hazard identification, Hazard prevention and control, Education and training, and Program evaluation and improvement. Each item was rated from 1 to 4 based on the Likert-type scale: Strongly disagree, Disagree, Agree, Strongly agree; 4 being the highest and 1 the lowest score. Data analysis was done via SPSS-19 using descriptive statistics, a t-test and analysis of variance. Significance level was determined at P≤0.05. Finding: Based on our findings, poor conditions in all domains were observed excepted in the employee participation domain. A significant relationship was observed between gender and the hazard identification, hazard prevention and program evaluation and improvement domains. No significant relationship was witnessed between work experience and the mentioned domains. Conclusions: It seems necessary for hospital administration to put in more effort and pay more attention to occupational safety and health in the workplace. In order to eliminate faults and weaknesses, we need effective evaluation, continuous improvement of staff training programs.
https://ijhr.iums.ac.ir/article_49438_41dff35adc46fdff9df3707b1658cd02.pdf
2016-09-01
102
106
Health management
Hospital safety
Nursing staff
Camellia
Torabizadeh
torabik@sums.ac.ir
1
Department of Medical Surgical Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Fariba
Ghodsbin
2
Department of Community Health Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Sorur
Javanmardi Fard
3
Department of Community Health Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Mehdi
Amirkhani
4
Department of Critical Care Nursing, School of Nursing, Fasa University of Medical Sciences, Fasa, Iran
AUTHOR
Mostafa
Bijani
5
Department of Critical Care Nursing, School of Nursing, Fasa University of Medical Sciences, Fasa, Iran
LEAD_AUTHOR
ORIGINAL_ARTICLE
Hospital Information System, a Tool for Effective Decision Making of Healthcare Managers
Statistics and information are considered the most important source of power in organizations and the source for all managerial activities. If correct and comprehensive information are readily at hand, incorrect decisions will be reduced to a minimum. The purpose of this study is to review the effects of hospital information system in regards to effectiveness of decisions made by managers. The present study is a review and search of relevant articles in authentic national and international databases including articles from 2001 to 2016. Keywords used were: health information system, hospital information system, etc. Seventy articles were obtained from the search and 32 (abstracts and whole articles) were ultimately selected after removing irrelevant articles. During initial review, abstracts were first read and if needed the entire article was studied. Results of this review indicate that hospital information system play a significant role in improving hospital management performance along with performance of medical staff. Use of such systems were highly recommended in all articles. Application of such systems has also been considered amongst main requirements of managerial development. Also, most articles claimed that managerial decision making based on real information lead to increased performance and progress of management and ultimately increased hospital effectiveness and performance. In conclusion, hospitals must create and develop hospital information systems and recruit trained experts in providing practical information and knowledge in order to improve their current status.
https://ijhr.iums.ac.ir/article_49439_7f6efe0a9d267735c82b589a3c4d1f91.pdf
2016-09-01
107
112
Health information system
Hospital Performance
Hospital information system
Hospital management
Seyed Mehdi
Hejazi
1
Department of Medical Information, Faculty of Health Service Management and Medical Science, Isfahan University of Medical Sciences, Isfahan, Iran
AUTHOR
Mohammad
Ghasemi
mghasemi61@yahoo.com
2
South Khoran Province Health Center, Birjand University of Medical Science, Birjnd, Iran
AUTHOR
Marziye
Hadian
3
Health management and economics research center, Isfahan University of medical science, Isfahan, Iran
LEAD_AUTHOR
Reza
Mohammadnjad
4
Health management and economics research center, Isfahan University of medical science, Isfahan, Iran
AUTHOR