ایمنی اتاق عمل بر اساس استانداردهای بیمارستان دوستدار ایمنی بیمار در بیمارستان‌های دانشگاهی شهر اردبیل
محورهای موضوعی : -مدارک پزشکی
محمد مهرتک
1
,
عبداله مهدوی
2
,
کمال ابراهیمی
3
,
اعظم نصراللهی
4
,
عباس سرخی
5
1 - استادیار، گروه مدیریت اطلاعات سلامت، دانشگاه علوم پزشکی اردبیل، اردبیل، ایران
2 - استادیار، گروه مدیریت اطلاعات سلامت، دانشگاه علوم پزشکی اردبیل، اردبیل، ایران
3 - استادیار، گروه مدیریت اطلاعات سلامت، دانشگاه علوم پزشکی اردبیل، اردبیل، ایران
4 - کارشناس ارشد مدیریت دولتی، معاونت توسعه مدیریت و منابع، دانشگاه علوم پزشکی اردبیل، اردبیل، ایران
5 - کارشناس بهداشت حرفه‌ای، کمیته تحقیقات دانشجویی دانشکده بهداشت، دانشگاه علوم پزشکی اردبیل، اردبیل، ایران
کلید واژه: بیمارستان دوستدار ایمنی بیمار, استاندارد بیمارستانی, اتاق عمل, ایمنی بیمار,
چکیده مقاله :
مقدمه: ایمنی بیمار حوزه جهانی در تمامی عرصه های خدمات سلامت است. مراقبت و خدمات غیر ایمن علاوه بر تحمیل رنج به انسان ها، هزینه های اقتصادی سنگینی نیز به بار می آورد. با توجه به حساسیت ویژه ایمنی بیمار در اتاق عمل، هدف این پژوهش ارزیابی وضعیت ایمنی اتاق عمل بر اساس استانداردهای بیمارستان دوستدار ایمنی می‌باشد. روش پژوهش: این مطالعه مقطعی با مشارکت تمامی 57 نفر پرسنل اتاق عمل سه بیمارستان دانشگاهی شهر اردبیل در سال 96 انجام شد. ابزار گردآوری داده ها پرسشنامه استاندارد بیمارستان دوستدار ایمنی بیمار سازمان جهانی بهداشت بود که روایی و پایایی آن طی مطالعات متعدد داخلی و خارجی تایید شده است. برای تحلیل داده ها از آزمون های آماری توصیفی (میانگین و انحراف معیار) و استنباطی ANOVA در نرم افزار SPSS18 استفاده شد. یافته‌ها: بیمارستان امام خمینی(ره) از لحاظ استاندارد بیمارستان دوستدار ایمنی با امتیاز میانگین 82% ، بیمارستان علوی با امتیاز 84% و بیمارستان دکتر فاطمی با امتیاز میانگین 77% دارای شرایط خوب بودند. نتیجه‌گیری: با وجود این که وضعیت ایمنی بیمارستان های مورد مطالعه مطلوب بود ولی با توجه به اهمیت موضوع، به نظر می‌رسد برنامه ریزی برای دستیابی به سطوح بالاتر استانداردهای بیمارستان دوستدار ایمنی از سوی بیمارستان های مورد مطالعه باید به صورت مداوم در دستور کار مدیران بیمارستان ها قرار گیرد.
Introduction Patient safety is an important global concern in all areas of health care services. The purpose of safety in the operating room is to provide the safety of the operating staff and the safety of the disease undergoing surgery. Considering the special importance of patient safety in the operating room, this study was conducted with the aim of Operating Room Safety Status Based on Patient Safety Friendly Hospital Standards at Ardabil University Hospitals. Methods: This cross-sectional study was carried out with the participation of all 57 operating room personnel of three university hospitals in Ardabil in 1396. The data collection tool was a standard questionnaire of the WHO Patient Safety Friendly Hospital. Validity and reliability of this questionnaire has been confirmed in numerous studies. Data were statistically analyzed using the SPSS 18 software program. Results: According to the Patient Safety Friendly Hospital Standards, IMAM KHOMEINI Hospital with a score mean %82, ALAVI with a score %84 and FATEMI with a score %77 were in good condition. Conclusion: given the importance of the subject, although the safety conditions of the hospitals studied were good, it seems, it should be continually included in the managers' plans, trying to achieve higher levels of Patient Safety Friendly Hospital Standards.
1- zareh moayedi m, hesam S. Effective Components on Promoting Patient Safety Culture at Fayazbakhsh Hospital. Journal of healthcare management, 2018; 9(3): 55-64.
2- habibzade h, Akbari F, qhavami H, Moradi K. A SURVEY ON THE ESTABLISHMENT OF PATIENT-FRIENDLY SAFETY STANDARDS IN URMIA UNIVERSITY OF MEDICAL SCIENCES. Nursing and Midwifery Journal, 2019; 17(7): 525-34.
3- Kotwal A, Taneja D. Health care workers and universal precautions: perceptions and determinants of non-compliance. Indian journal of community medicine: official publication of Indian Association of Preventive & Social Medicine, 2010; 35(4): 526.
4- Movahedkar E, Arab M, Akbarisary A, Hoseini M. Evaluation of patient perception in the clinical departments in public hospitals of Tehran University of Medical Sciences to participate in treatment decisions and patient safety. Tehran University of Medical Sciences Journal, 2011; 11(1): 29-37.
5- Scally G, Donaldson LJ. Clinical governance and the drive for quality improvement in the new NHS in England. Bmj, 1998; 317(7150): 61-5.
6- Souzani A, BAGHERI H, Pourheydari M. Survey nurse’s view about factors affects medication errors in different care units of Imam Hossein hospital in Shahroud; 2007.
7- Hopps J, Callan H. Electrical safety in operating rooms: Report on revisions to csa standard z 32. Canadian Anaesthetists’ Society Journal, 1970; 17(4): 417-8.
8- Christian CK, Gustafson ML, Roth EM, Sheridan TB, Gandhi TK, Dwyer K, et al. A prospective study of patient safety in the operating room. Surgery, 2006; 139(2): 159-73.
9- Mousavi SMH, Dargahi H, Hasibi M, Mokhtari Z, Shaham G. Evaluation of safety standards in operating rooms of Tehran University of Medical Sciences (TUMS) Hospitals in 2010. Journal of Payavard Salamat, 2011; 5(2): 10-7.
10- Azami A, Akbarzade K. Assessment of patient satisfaction of care in Ilam hoslpitals. Ilam University of Medical Sciences Journal, 2006; 12(44-45): 10-6.
11- Mosavimovahed A, Kiani Bakhtiari A, Khanchamani J. Production methods and distribution of scientific findings. Rahyaft Journal, 2003; 31: 5-19.
12- Asl Soleimani H, Afhami S. Prevention and control of Hospital infections. Iran: Tabib; 2007: 7-10.
13- Finnegan J. Staff education can prevent OR fires. Today's OR nurse, 1994; 16(3): 24.
14- Podnos YD, Williams R. Fires in the operating room. Bulletin of the American College of Surgeons, 1997; 82(8): 14-7.
15- Alizadeh M. The Survey About Operation Rooms Ventilation System in Faghihi Hospital. Shiraz University of Medical Sciences, Shiraz; 2000.
16- El-Jardali F, Jaafar M, Dimassi H, Jamal D, Hamdan R. The current state of patient safety culture in Lebanese hospitals: a study at baseline. International Journal for Quality in Health Care, 2010; 22(5): 386-95.
17- Nurian K, Aein F, Delaram M, Kazemian A. Evaluation methods employing the principles of infection control practice in Shahrekord University of Medical Sciences Hospitals and compare them with the standards in 2006. Shahrekord University of Medical Sciences Journal, 2007; 8(3): 39-47.
18- Mohebati F, Keshtkaran V, Hedayati S, Hatam N, Shahmoradi M. Respecting of Safety standards of operating rooms in Shiraz University of Medical Sciences Hospitals in 2008. Nezame Salamat, 2010; 1(1): 11.
19- Gazerani A, Aliakbari R, Habibzadeh M, Haresabadi M. Assessment of safety status in operating room by the World Health Organization standards for safety-friendly hospital. Journal of North Khorasan University of Medical Sciences. 2015; 6(4): 895-903.
20- Akbari F, Moradi K. A SURVEY ON THE ESTABLISHMENT OF PATIENT-FRIENDLY SAFETY STANDARDS IN URMIA UNIVERSITY OF MEDICAL SCIENCES. Journal of Urmia Nursing And Midwifery Faculty, 2019;17(7):525-34.
21- Fathi M. Survey of status of security in the hospitals & treatment health services of Kurdistan University of Medical Sciences in 2003; 2003.
22- Pauniaho S, Lepojarvi M, Peltomaa K, Saario I, Isojarvi J, Malmivaara A, et al. A surgical checklist increases patient safety. Suomen Lääkärilehti, 2009; 49(64): 4249-54.
23- Janghorbani M, Raisi A, Dehghani S, Mousavi A. Assessment of safety status in operating rooms of shahid beheshti hospital, Isfahan, Iran by the World Health Organization Standards for Safety-Friendly Hospitals. Director General, 2013; 9(7): 1066-72.
24- Misbah S, Mahboob U. Strengths, weaknesses, opportunities, and threats analysis of integrating the World Health Organization patient safety curriculum into undergraduate medical education in Pakistan: a qualitative case study. Journal of Educational Evaluation for Health Professions, 2017;14.
25- Mazhari Z, Adel A. Patient safety status in hospitals of Tehran-patient safety friendly hospitals standards: 2013. Journal of Payavard Salamat, 2015; 8(5): 379-89.
26- Gibbs VC. Patient safety practices in the operating room: correct-site surgery and nothing left behind. Surgical Clinics, 2005; 85(6): 1307-19.
27- Shahri S, Kebriaee A, Seyedi H, Sarafraz Z. Patient safety climate in medical centers of Kashan. Journal of Health Promotion Management, 2012; 1(1): 62-72.
_||_1- zareh moayedi m, hesam S. Effective Components on Promoting Patient Safety Culture at Fayazbakhsh Hospital. Journal of healthcare management, 2018; 9(3): 55-64.
2- habibzade h, Akbari F, qhavami H, Moradi K. A SURVEY ON THE ESTABLISHMENT OF PATIENT-FRIENDLY SAFETY STANDARDS IN URMIA UNIVERSITY OF MEDICAL SCIENCES. Nursing and Midwifery Journal, 2019; 17(7): 525-34.
3- Kotwal A, Taneja D. Health care workers and universal precautions: perceptions and determinants of non-compliance. Indian journal of community medicine: official publication of Indian Association of Preventive & Social Medicine, 2010; 35(4): 526.
4- Movahedkar E, Arab M, Akbarisary A, Hoseini M. Evaluation of patient perception in the clinical departments in public hospitals of Tehran University of Medical Sciences to participate in treatment decisions and patient safety. Tehran University of Medical Sciences Journal, 2011; 11(1): 29-37.
5- Scally G, Donaldson LJ. Clinical governance and the drive for quality improvement in the new NHS in England. Bmj, 1998; 317(7150): 61-5.
6- Souzani A, BAGHERI H, Pourheydari M. Survey nurse’s view about factors affects medication errors in different care units of Imam Hossein hospital in Shahroud; 2007.
7- Hopps J, Callan H. Electrical safety in operating rooms: Report on revisions to csa standard z 32. Canadian Anaesthetists’ Society Journal, 1970; 17(4): 417-8.
8- Christian CK, Gustafson ML, Roth EM, Sheridan TB, Gandhi TK, Dwyer K, et al. A prospective study of patient safety in the operating room. Surgery, 2006; 139(2): 159-73.
9- Mousavi SMH, Dargahi H, Hasibi M, Mokhtari Z, Shaham G. Evaluation of safety standards in operating rooms of Tehran University of Medical Sciences (TUMS) Hospitals in 2010. Journal of Payavard Salamat, 2011; 5(2): 10-7.
10- Azami A, Akbarzade K. Assessment of patient satisfaction of care in Ilam hoslpitals. Ilam University of Medical Sciences Journal, 2006; 12(44-45): 10-6.
11- Mosavimovahed A, Kiani Bakhtiari A, Khanchamani J. Production methods and distribution of scientific findings. Rahyaft Journal, 2003; 31: 5-19.
12- Asl Soleimani H, Afhami S. Prevention and control of Hospital infections. Iran: Tabib; 2007: 7-10.
13- Finnegan J. Staff education can prevent OR fires. Today's OR nurse, 1994; 16(3): 24.
14- Podnos YD, Williams R. Fires in the operating room. Bulletin of the American College of Surgeons, 1997; 82(8): 14-7.
15- Alizadeh M. The Survey About Operation Rooms Ventilation System in Faghihi Hospital. Shiraz University of Medical Sciences, Shiraz; 2000.
16- El-Jardali F, Jaafar M, Dimassi H, Jamal D, Hamdan R. The current state of patient safety culture in Lebanese hospitals: a study at baseline. International Journal for Quality in Health Care, 2010; 22(5): 386-95.
17- Nurian K, Aein F, Delaram M, Kazemian A. Evaluation methods employing the principles of infection control practice in Shahrekord University of Medical Sciences Hospitals and compare them with the standards in 2006. Shahrekord University of Medical Sciences Journal, 2007; 8(3): 39-47.
18- Mohebati F, Keshtkaran V, Hedayati S, Hatam N, Shahmoradi M. Respecting of Safety standards of operating rooms in Shiraz University of Medical Sciences Hospitals in 2008. Nezame Salamat, 2010; 1(1): 11.
19- Gazerani A, Aliakbari R, Habibzadeh M, Haresabadi M. Assessment of safety status in operating room by the World Health Organization standards for safety-friendly hospital. Journal of North Khorasan University of Medical Sciences. 2015; 6(4): 895-903.
20- Akbari F, Moradi K. A SURVEY ON THE ESTABLISHMENT OF PATIENT-FRIENDLY SAFETY STANDARDS IN URMIA UNIVERSITY OF MEDICAL SCIENCES. Journal of Urmia Nursing And Midwifery Faculty, 2019;17(7):525-34.
21- Fathi M. Survey of status of security in the hospitals & treatment health services of Kurdistan University of Medical Sciences in 2003; 2003.
22- Pauniaho S, Lepojarvi M, Peltomaa K, Saario I, Isojarvi J, Malmivaara A, et al. A surgical checklist increases patient safety. Suomen Lääkärilehti, 2009; 49(64): 4249-54.
23- Janghorbani M, Raisi A, Dehghani S, Mousavi A. Assessment of safety status in operating rooms of shahid beheshti hospital, Isfahan, Iran by the World Health Organization Standards for Safety-Friendly Hospitals. Director General, 2013; 9(7): 1066-72.
24- Misbah S, Mahboob U. Strengths, weaknesses, opportunities, and threats analysis of integrating the World Health Organization patient safety curriculum into undergraduate medical education in Pakistan: a qualitative case study. Journal of Educational Evaluation for Health Professions, 2017;14.
25- Mazhari Z, Adel A. Patient safety status in hospitals of Tehran-patient safety friendly hospitals standards: 2013. Journal of Payavard Salamat, 2015; 8(5): 379-89.
26- Gibbs VC. Patient safety practices in the operating room: correct-site surgery and nothing left behind. Surgical Clinics, 2005; 85(6): 1307-19.
27- Shahri S, Kebriaee A, Seyedi H, Sarafraz Z. Patient safety climate in medical centers of Kashan. Journal of Health Promotion Management, 2012; 1(1): 62-72.