19 research outputs found
Identifying the Research Extent of Medical Tourism in the World and the Components of Attracting Medical Tourists in Iran
No full textIdentifying the Research Extent of Medical Tourism in the World and the Components of Attracting Medical Tourists in Iran
Mohammad Dehghani Mahmoudabadi1, Iravan Masoudi Asl*2,
Soad Mahfoozpour3, Somayeh Hessam4
1Department of Health Services Management, Science & Research Branch, Islamic Azad University, Tehran, Iran.
Corresponding author: Tel: 09209901218, email: [email protected]
Corrigendum notice: In the above article, which was published in the Volume 31, Issue of 8,Year 2023, the correspounding author has been changed
بررسي عوامل تعيينکننده حملونقل مطلوب از ديدگاه سالمندان
No full text Background and Objectives: Determination of transport status among elderly could help to identify the existing vacancy. The current study aimed to determine the optimal transport characteristics of elder’s perspectives.
Materials and Methods: Perspective of 200 elders 60 years and older about Friendly Transportation characteristics: (availability, acceptability, accessibility, compatibility, affordability) were studied in a descriptive cross-sectional study. All the elderly population attending the cultural centers and parks’ at North, South, West, East and Central areas of Tehran, were selected at randomly. Data were collected using a designed questionnaire. Validity and reliability of the instrument were determined using content validity and test-retest reliability (Cronbach’s alpha 89%).
Results: Forty percent of samples had incomes below a million Tomans (equal to 10,000,000 IRR). And %75, 4 of elders did not have any satisfaction from the availability characteristic of public transport. Acceptability characteristic of friendly transportation was good in %45, 5 of elders’ opinion. Also, 60 percent of studied elders reported poor accessibility to public transport. Compatibility characteristic of friendly transportation was good in %76, 4 of elders’ opinion. Elder men opinions about affordability characteristic of friendly transportation were good and women opinions were reported weak.
Conclusion: Results confirmed that elderly transportation was inappropriate. To attain friendly transportation, planning, need to address infrastructure alteration and traffic improvements for availability and accessibility characteristics among both men and women and affordability characteristic among women are felt more essential.
How to cite this article: Mahfoozpour S, Iranfar M, Ainy E. Determinant Factors and Elderly Perspectives of Users’ Friendly Transportation.Irtiqa Imini Pishgiri Masdumiyat (Safety Promotion and Injury Prevention). 2017; 5(1):9-14 .
سابقه و هدف: تعيين وضعيت حملونقل در سالمندان، خلاء هاي موجود را شناسايي ميکند. مطالعه حاضر باهدف تعيين مشخصههاي حملونقل مطلوب از ديدگاه سالمندان صورت پذيرفت.
روشبررسي: در يک مطالعه توصيفي مقطعي مشخصههاي حملونقل مطلوب (فراهمي، مقبوليت، دسترسي، سازگاري، استطاعت مالي) از ديدگاه 200 سالمند 60 سال و بالاتر موردبررسي قرار گرفت. جمعيت موردبررسي کليه سالمندان مراجعهکننده به فرهنگسراها و پارکهاي مناطق: شمال، جنوب، غرب، شرق و مرکز شهر تهران بودند که به شکل تصادفي انتخاب شدند. اطلاعات طرح با استفاده از پرسشنامه گردآوري شد. روايي و پايايي پرسشنامه با استفاده از اعتبار محتوي و آزمون مجدد (آلفاي کرونباخ 89%) تعيين شد.
يافتهها: 40 درصد از افراد موردبررسي درآمدي زير يکميليون تومان داشتند. 4/75 درصد از سالمندان از فراهمي وسايل حملونقل عمومي اظهار نارضايتي کردند. مشخصه مقبوليت را 5/45 درصد خوب، دانستند. 60 درصد سالمندان شرکتکننده در مطالعه دسترسي به وسايل حملونقل عمومي را نامطلوب اظهار کردند. 4/76 درصد از افراد مشخصه سازگاري را خوب اعلام کردند. مردان سالمند استطاعت مالي خود درزمينه حملونقل را خوب و زنان آن را ضعيف دانستند.
نتيجهگيري: نتايج مؤيد نامطلوب بودن حملونقل سالمندان ميباشد. براي دستيابي به حملونقل مطلوب، برنامهريزي، ضرورت اصلاح زير ساختار و بهبود وضعيت ترافيکي در مشخصههاي فراهمي دسترسي بين زنان و مردان و استطاعت مالي در بين زنان بيش از ساير مشخصهها احساس ميشود.
How to cite this article:
Mahfoozpour S, Iranfar M, Ainy E. Determinant Factors and Elderly Perspectives of Users’ Friendly Transportation. J Saf Promot Inj Prev. 2017; 5(1):9-14 .
 
بررسی وضعیت همکاری بین بخشی در پیشگیری از حوادث ترافیکی در کشورهای منتخب و ایران: مطالعه تطبیقی
No full textBackground and Aim: Different organizations are involved in each level of traffic accident prevention. The more these organizations cooperate with each other, the more effective and useful the prevention of traffic accidents will be across various levels. Therefore, this research was conducted with the aim of investigating the status of inter-sectoral cooperation in the prevention of traffic accidents in selected countries and Iran.
Materials and Methods: This research is a comparative study that was conducted in 1401. In this study, sampling was purposeful. The countries compared in the study include Egypt, Turkey, the United States, Australia, Sweden, England, Norway, Denmark, and Iran. These countries were selected based on their successful experiences and positive indicators in the field of research. Valid databases and other related sources were used to collect data. In this study, the findings were compared using a comparative table.
Results: The research findings indicated that the number of traffic accidents among men is higher than among women. Additionally, the incidence of these accidents is highest in Iran and lowest in Norway. The results also showed that organizations and institutions such as Roads and Urban Development, Education, Ministry of Health, Treatment and Medical Education, Ministry of Interior, Broadcasting, Traffic Police, Economy and Finance, and Ministry of Welfare play a crucial role before, during, and after accidents.
Conclusion: Based on the research findings, it is recommended to develop and implement an integrated model of inter-departmental cooperation to prevent and manage traffic accidents, aiming to decrease casualties and enhance road safety in Iran.
Please cite this article as:Rezaei H, Mahfoozpour S, Hesam S, Masoodi Asl E. Investigating the Status of Inter-Sectoral Cooperation in the Prevention ofTraffic Accidents in Selected Countries and Iran: A Comparative Study. Irtiqa Imini Pishgiri Masdumiyat. 2024: Vol 12: No 3: 140-149. https://doi.org/10.22037/iipm.v1403i12.42946سابقه و هدف: سازمانهای مختلفی در هریک از سطوح پیشگیری از بروز حوادث ترافیکی مشارکت دارند و همکاری هرچه بیشتر این سازمانها با یکدیگر موجب میشود تا پیشگیری از حوادث ترافیکی در سطوح مختلف بیشترین کارسازی و سودمندی را داشته باشد. لذا این پژوهش با هدف بررسی وضعیت همکاری بین بخشی در پیشگیری از حوادث ترافیکی در کشورهای منتخب انجام گردید.
روش بررسی: این پژوهش، یک مطالعه تطبیقی بود که در سال 1401 انجام شد. در این مطالعه، نمونه گیری به صورت هدفمند بود. كشورهاي مورد مقایسه شامل؛ مصر، ترکیه، ایالات متحده، استرالیا، سوئد، انگلیس، نروژ، دانمارک و ایران بودند که به دلیل داشتن تجربه موفق و شاخصهای مثبت در زمینه پژوهش وارد مطالعه شدند. برای گردآوری دادهها از پایگاههای اطلاعاتی معتبر و سایر منابع مرتبط در زمینه موضوع پژوهش استفاده شد. در این مطالعه، یافتههای به دست آمده در قالب جدول تطبیقی مورد مقایسه قرارگرفتند.
یافتهها: یافتههای پژوهش حاکی از این بود که میزان حوادث ترافیکی در بین مردان بیشتر از زنان و میزان این حوادث در ایران بیشترین و در نروژ نیز کمترین میزان را داشت. همچنین نتایج نشان داد که سازمانها و نهادهایی چون؛ راه و شهرسازی، آموزش و پرورش، وزارت بهداشت، درمان و آموزش پزشکی، وزارت کشور، صدا و سیما، پلیس راهنمایی و رانندگی، اقتصاد و دارایی و وزارت رفاه مهمترین نقش و اهمیت را در زمان قبل از وقوع حوادث، حین و بعد از حوادث ترافیکی داشتند.
نتیجهگیری: براساس یافتههای پژوهش تدوین و طراحی یک مدل یکپارچه همکاری بین بخشی در جهت پیشگیری و کنترل حوادث ترافیکی به منظور کاهش تلفات و حوادث ترافیکی در کشور ایران پیشنهاد میگردد.
به این مقاله، به صورت زیر استناد کنید:Rezaei H, Mahfoozpour S, Hesam S, Masoodi Asl E. Investigating the Status of Inter-Sectoral Cooperation in the Prevention ofTraffic Accidents in Selected Countries and Iran: A Comparative Study. Irtiqa Imini Pishgiri Masdumiyat. 2024: Vol 12: No 3: 140-149. https://doi.org/10.22037/iipm.v1403i12.4294
Attitudes of Health Care providers toward Teamwork, Safety Climate and knowledge
No full textABSTRACTBackground and aim: According to importance of occupational health for health care providersand patient safety in hospitals, implementation of safety culture with teamwork is an acceptableprinciple.This study aims to assess attitude of health care providers toward teamwork, safetyclimate and knowledge transfer through team collaboration at an educational medical center in.2009.Method and materials: This was a descriptive study. All 225 resident physicians, nurses and otherparamedics of an educational hospital of Tehran participated in the study. The tool for datacollection was the Safety Attitudes Questionnaire (SAQ). Content validity and reliability of thequestionnaire was assessed and confirmed. Data was analyzed using SPSS 16 and Chi square test.Results:The results demonstrated that 59% of nurses, 52% of physicians and 58%of paramedicsbelieved that tasks are performing by teamwork. 30% of nurses, 21% of physicians and 39 % ofparamedics had a sense of safety in workplace. 78% of nurses, 55 % of physicians and 73% of otherparamedics believed that knowledge could transfer through team collaboration. Amongdemographic characteristics there were significant relationship between attitude of health careproviders on teamwork with their marital status (p=0.001); attitude of health care providers onsafety climate with their work experience (p=0.04); attitude of health care providers on knowledgetransfer trough teamwork with organizational position (p=0.016).Conclusion: Attitude assessment of health care providers toward teamwork, safety climate andpatients' or health care providers' safety is necessary to modify and improve the current deficits andto achieve to the culture of learning from errors. Managers can have an appropriate guide toestablish safety culture with this sort of attitude assessments.Keywords : Teamwork, Safety Climate, Patient Safety, Knowledge Transfer.REFERENCES-Blegen M Pepper G Rosse J (2005). Safety climate on hospital units: A new measure. Advances in Patient Safety:From Research to Implementation, Agency for Health Research and Quality Safety. 4: 429-443.-Felknor SA et al (2000). Safety climate and its association with injuries and practices in public hospitals in Costa Rica .International Journal of Occupational and Environmental Health. 6 (1) 2-18.-Gerson RM et al (2000). Hospital safety climate and its relationship with safe work practices and work place exposureincident. AJIC: American Journal of Infection Control. 28 (3) 211-227.-Joint Comission on Accreditation of Health Care Organizations (2005). Hospital's National Patient Safety Goals [online] http://www.jointcommission.org/ [9July2012]-Kevin J et al (2008). Hospitalists use teamwork to improve care, increase efficiency in hospital .Human ResourceManagement Journal. 47 (3) 621-61.-Kaya S et al (2000). Variation in caregiver perceptions of teamwork climate and safety climate in a tertiary carehospital in Turkey .24th International Society for Quality in Health Care Conference. September 30 - October 3, 2007,Boston, USA.-Kohn LT et al (1999). To err is human: building a safer health system. A report of the committee on quality of healthcare in America ,Institute of Medicine .Washington DC .National Academy Press.Leonard M Graham S Bonacum D (2004). The human factor: the critical importance of effective teamwork andcommunication in providing safe care. Quality and Safety in Health Care. 13 (1) 85-90.Meterko M et al (2004). Teamwork culture and patient satisfaction in hospitals. Medical Care. 42(5) 492-498.Pronovost PJ Sexton B (2005). Assessing safety culture: Guidelines and recommendations. Quality and Safety in HealthCare. 4 (14) 231-233.-Gershon R et al (2000). Hospital safety climate and its relationship with safe work practices and workplace exposureincidents. American Journal of Infection Control 28 (3) 211-221.-Rudman WJ et al (2006). Teamwork and safety culture in small rural hospitals in Mississippi. Patient Safety andQuality Healthcare, November/December 2006, Available Online: http://www.psqh.com/novdec06/mississppi.html.-Sexton JB et al (2000). Error ,stress and teamwork in medicine and aviation :cross sectional surveys. British MedicalJournal. 320 (7237) 745-9-Sexton JB et al (2003). The safety attitude questionnaire: guidelines for administration. The University of Texas Centerof Excellence for Patient Safety Research and Practice, University of Texas, 99-108-Sexton J B et al (2006). Variation in caregiver perceptions of teamwork climate in labor and delivery units. Journal ofPerinatology. 26 (8) 463-70-Shosteck K (2005). Improve patient safety Teamwork takes hold to. The Risk Management Reporters. 24 (1) 1-24.-Safety Attitude Questionnaire SAQ (2012) Team- work and safety climate, Texas University, Center for Health Carequality and safety [on line] http://www.uth.tmc.edu/schools/med/imed/patient_safety/documents/Survey-SAQTeamwork-Safety-Climate%20.pdf (23/7/2012)-Spencer M (2008). Safety climate surveys-experience from SPI [online] http//:www.wales.nhs.uk/sites3/docopen.cfm-Vincent C Taylor-Adams S Stanhope N (1998). Framework for analyzing risk and safety in clinical medicine. BritishMedical Journal. 316 (7138)1154-1157
بررسی ارتباط بین تنیدگی و حوادث شغلی در دستیاران پزشکی
No full text Background and Objective: Job stress can have a direct impact on the incidence of work-related injuries and unsafe behavior and the highest rates of occupational injuries are in the health professions. Therefore, as we did not find any studies regarding the physician's assistants job stress; this research was performed to determine the relationship between job stress and occupational injuries among physician's assistants working at different units of hospitals affiliated to Shahid Beheshti University of Medical Sciences.
Materials and Methods: This analytical study (case – control) was performed among physician's assistants working at 5 hospitals affiliated to Shahid Beheshti University of Medical Sciences. 50 cases (with occupational injuries) were compared with 50 controls (without occupational injuries) about job stress. Job stress was measured by Osipow questionnaire with 6 domains; validity (content) and reliability, were confirmed by Cronbach's alpha = 0.89. The Mann-Whitney test for comparison of means and chi-square test for comparison of proportions were used.
Results: The mean stress scores did not show significant difference between the two groups in all domains except in role ambiguity and role boundary. After grouping stress scores, we observed significant differences in all domains, except in the responsibility (p=0.11). The stress score due to responsibility was very high for case (84.6%) and control (71.4%) groups. Maximum odds ratio was estimated in the role ambiguity field (OR= 8.36).
Conclusion: Because of some unavoidable stressors in medical practice and the necessity of preventing mental and behavioral effects of stress; implementing measures and actions to improve the quality of working life, education and coping strategies, are the duties of the departments, and the director of the hospital, in order to maintain the health of the current staff and to prevent their displacement.
How to cite this article: Mahfoozpour S, Khosravi Shadmani F, Ansarifar A. The Relationship between Occupational Stress & Related Injuries among Physician’s Assistants: A Case-Control Study. Irtiqa Imini Pishgiri Masdumiyat (Safety Promotion and Injury Prevention).2014; 4(1):222-227.سابقه و هدف: تنیدگی شغلی میتواند تأثیر مستقیم بر وقوع حوادث حین کار و رفتارهای ناایمن افراد داشته باشد. در این مطالعه سعی شد ارتباط بین تنیدگی شغلی و حوادث شغلی در دستیاران پزشکی شاغل در بیمارستانهای منتخب زیر پوشش دانشگاه علوم پزشکی شهید بهشتی مورد بررسی قرار گیرد.
روش بررسی: این مطالعه مورد– شاهدی، در سال 1391 در دستیاران شاغل در 4 بیمارستان منتخب اجرا گردید. 50 نفر از افراد دارای حادثه شغلی با 50 نفر شاهد از نظر داشتن استرس شغلی مقایسه گردید. استرس شغلی با کمک پرسشنامه اسیپو در 6 حیطه مورد ارزیابی قرار گرفت. تحلیلها با استفاده از نرم افزار SPSS نگارش 20 انجام شد. برای مقایسه میانگینها از آزمون من ویتنی و برای مقایسه نسبتها از آزمون کای دو استفاده شد.
يافتهها: بیشترین فراوانی حادثه شغلی در گروه مورد مربوط به آسیب با سوزن بود پس از آن، تماس با خون و مایعات بدن بیماران و آسیبدیدگی و کوفتگی به دلیل وسایل موجود در بخش در رده های بعد قرار داشتند. بین نمره استرس دو گروه، بجز در حیطه های بی کفایتی نقش و مسئولیت، تفاوت معنی دار مشاهده شد. بالاترین نسبت شانس نیز در حیطه دوگانگی نقش (8.36OR=) دیده شد.
نتيجهگيری: به دلیل اجتناب ناپذير بودن برخى از عوامل استرس زا در حرفه پزشکی و لزوم پيشگيري از آثار روانى و رفتارى استرس، بهکارگیری تمهيدات و اقداماتى در جهت بهبود كيفيت زندگى كاري و نیز آموزش روشهای مقابله اى از جمله وظايف مديران گروه، و بیمارستان میباشد
The Relationship between Patient Safety Culture and Barriers to Medical Errors Reporting Among Nurses in Tehran Hospitals
No full textBackground & 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
Management of Medication Error Reporting in HIV/AIDS Patients
No full textBackground: One of the most frequent medical mistakes that lower patient safety and mortality is medication errors in HIV/AIDS patients. A structured reporting system is necessary for the efficient avoidance of these kinds of mistakes. In order to discover parameters influencing the management of medication mistake reporting in HIV-infected patients, the current research was carried out.
Methods: The current research is an example of an applied study that was carried out between 2010 and 2019 utilizing a hybrid (quantitative-qualitative) methodology. First, the primary factors impacting the management of medication mistake reporting in HIV positive patients were collected from a study of the research literature and 35 interviews with experts in the area of treating HIV patients, and a research questionnaire was created utilizing them. Using the Lawshe approach, the questionnaire was sent to and collected from 31 experts in order to assess its content validity. SPSS23 was then used to determine the questionnaire's reliability, which resulted in a Cronbach's alpha value of 0.920. 400 workers who treated HIV/AIDS patients provided information for the data collection. Exploratory factor analysis was used to analyze the data, together with SPSS23 and Lisrel software.
Results: Four factors were found to be important in managing medication mistake reporting in HIV patients, including organizational factors (18 variables), person factors (9 variables), educational factors (10 variables), and communication factors (6 variables). The management of medication mistake reporting in HIV patients was impacted most and least by personal and educational variables, with factor loadings of 0.784 and 0.754, respectively.
Conclusion: It is preferable to concentrate on individual variables (employee-related hurdles, fear of the repercussions of reporting, and others' reactions) rather than addressing all four aspects at once in order to manage medication mistake reporting in HIV positive patients (managers, colleagues, patients). Managers, policymakers, specialists from behavioral disease counseling centers, and attending physicians should pay greater attention to both the individual (application and development of the integrated HIV management system)
Factores que afectan la independencia de la gestión hospitalaria en University of Medical Science en Iran
No full textIntroduction: Governmental hospitals have so far managed in different ways to increase the efficiency of hospitals, each of which has its disadvantages and advantages. This study aimed to determine the factors affecting the independence of hospital management in Iran University of Medical Science. Material and Methods: This descriptive-survey study was conducted pragmatically at hospitals of Iran University of Medical Sciences to identify obstacles and provide the necessary infrastructure by conducting study and follow-up. The sample was 94 people including university dean, deputies and chief executives of hospitals, educational and research deputies, therapists and professionals. Questionnaire was used as data collection tools and field data collection method. Results: The mean age of participants was 47.24 ± 5.41 years. Cronbach's alpha of 41 questions was assessed to test the reliability of the questionnaire. The total alpha coefficient was 0.843. The results showed that the mean score of all domains based on experience time was not significantly different (p> 0.05). The mean score of all domains in the first and third items based on education was statistically significant (p <0.05). In other items, there was no significant difference based on education level (p> 0.05). Conclusion: In general, according to the results and extracted five items, the independence of hospital management can improve the efficacy of services and satisfy the patients and staff.Introducción: Los hospitales gubernamentales hasta ahora se han manejado de diferentes maneras para aumentar la eficiencia de los hospitales, cada uno de los cuales tiene sus desventajas y ventajas. Objetivo: determinar los factores que afectan la independencia de la gestión del hospital en la Universidad de Ciencias Médicas de Irán. Material y métodos: este estudio de encuesta descriptiva se realizó pragmáticamente en los hospitales de la Universidad de Ciencias Médicas de Irán para identificar obstáculos y proporcionar la infraestructura necesaria mediante la realización de estudios y seguimiento. La muestra fue de 94 personas, incluidos decanos universitarios, diputados y directores ejecutivos de hospitales, diputados de educación e investigación, terapeutas y profesionales. El cuestionario utilizó como herramientas de recolección de datos y método de recolección de datos de campo. Resultados: La edad media de los participantes fue de 47,24 ± 5,41 años. Se evaluó el alfa de Cronbach de 41 preguntas para evaluar la fiabilidad del cuestionario. El coeficiente alfa total fue de 0,843. Resultado: Los resultados mostraron que la puntuación media de todos los dominios basada en el tiempo de experiencia no fue significativamente diferente (p> 0,05). La puntuación media de todos los dominios en el primer y tercer ítems basados en educación fue estadísticamente significativa (p <0,05). En otros ítems, no hubo diferencias significativas en función del nivel educativo (p> 0,05). Conclusión: En general, de acuerdo con los resultados y extraídos cinco ítems, la independencia de la gestión hospitalaria puede mejorar la eficacia de los servicios y satisfacer a los pacientes y al personal
Assessing barriers to medical errors reporting among clinical staff members of teaching hospitals affiliated with Shahid Beheshti University of Medical Sciences in Tehran - 2016
No full textBackground and Aims: One of the most important issues in the health sector is quality of care. Error reporting is essential to prevent errors and to learn from them. The aim of this study was to identify barriers to errors reporting in order to eliminate these barriers and to improve and encourage error reporting amongclinical staff members.Materials and Methods: In this cross-sectional study, 419 clinical staff members of teaching hospitals under the auspices of Shahid Beheshti University of Medical Sciences were selected using the multistage sampling method. The instrument for data collection was a researcher-developed questionnaire containing29 items and its validity and reliability were confirmed. Data were analyzed using SPSS 20 software and statistical tests. Ethical issues such as confidentiality of studied community were all considered.Results: The overall mean of barriers to errors reporting in our study was 3.13 of 5 which was at moderate level. Fear of error reporting consequences with mean score of 3.37 and staff attitudes with mean score of 2.70 were identified as the most important and less important barriers to error reporting. There wassignificant relationship between barriers to error reporting with staffs, educational level and their working shift (p < 0.05) so that barriers to error reporting was higher among physicians (3.39) and night shift (3.22) workers.Conclusion: The main barrier to error reporting was identified as the fear of error reporting consequences. Managers should have a nonpunitive approach to errors in the hospital so staff would report their errors voluntarily. By increasing the available data through error reporting, learning from errors is increased, and changes in hospital processes occurs.Keywords: Medical error, Error reporting, patient safety, Hospita
Identifying factors influencing medication non-adherence in HIV-positive patients in Iran using exploratory factor analysis approach
No full textIntroduction: Non-adherence to medication in HIV-positive patients leads to the occurrence of HIV-related diseases and ultimately reduces the quality of life and immune system function of these patients. Therefore, the present study was conducted to identify and explain the factors that influence medication non-adherence in HIV-positive Iranian patients.
Material & Methods: The present applied study was conducted in 2020-2021 using the descriptive method. First, by reviewing the research literature and interviewing experts in the field of HIV treatment, the main factors influencing medication non-adherence in HIV-positive patients were identified, based on which the research questionnaire was designed. Data were collected from 590 HIV-positive patients and analyzed using exploratory factor analysis and SPSS23 and LISREL software.
Findings: Four factors, namely organizational factors (16 items), individual factors (19 items), educational factors (7 items), and communication factors (7 items) were identified as effective factors for medication non-adherence in HIV-infected patients. Communication factors, individual factors, educational factors, and organizational factors with factor loadings of 0.76, 0.74, 0.73, and 0.71, respectively, had an impact on medication non-adherence in HIV-positive patients.
Discussion & Conclusion: To improve medication adherence among HIV patients, behavioral disease counseling experts and therapists should pay more attention to communication factors (improving patients social support from family and friends) and individual factors (not coping with the disease state and the effects of stigma and disclosing the disease)
