Journal of Education and Health Promotion

Developing patient safety standards for health‑care quality promotion in neonatal intensive care units: A mixed‑methods Protocol

. Zahra Shahkolahi; . Alireza Irajpour; . Soheila Jafari‑Mianaei; . Mohammad Heidarzadeh

Volume 12, Issue 8 , September 2022, , Pages 1-6

Abstract

BACKGROUND: Neonatal intensive care unit (NICU) is one of the accident‑prone settings inthe health‑care system. There is a series of structural and process threats to the safety ... Read More

Assessment of medication administration of nurses in medical cardiac wards and its relationship with some demographic characteristics: An observational study

. Hajar Najafi; . Sedigheh Farzi; . Mohammad Javad Tarrahi; . Sima Babaei

Volume 12, Issue 5 , June 2022, , Pages 1-5

Abstract

BACKGROUND: Unsafe medication administration and medication errors pose a threat to medicationsafety. Safe medication is one of the most important nursing practices that plays an important ... Read More BACKGROUND: Unsafe medication administration and medication errors pose a threat to medicationsafety. Safe medication is one of the most important nursing practices that plays an important rolein preventing medication errors. The aim of this study was to assess the medication administrationof nurses in cardiac wards and its relationship with some demographic characteristics.MATERIALS AND METHODS: The present study was conducted as an observational study in 2021with the 60 nurses who working in the medical cardiac wards of one selected hospital affiliated withthe Isfahan University of Medical Sciences. Data were collected using three‑part tools (demographicinformation, medication checklist (55 items), and documentation checklist (8 items). The checklistwas completed by the observer after observing the nurses’ medication administration. Data analysiswas conducted using descriptive and inferential statistics in the SPSS software (version 16, SPSSInc., Chicago, IL, USA). A P < 0.05 was considered statistically significant.RESULTS: The mean total score of the principles of injection and oral medication administrationwere 82.53 ± 10.75 and 75.76 ± 9.62, respectively. The mean score of the principles of injectionand oral medication administration in the morning shift was significantly higher than the eveningand night shifts (P < 0.001). The relationship between the mean score of the principles of injectionmedication (r = 0.234, P = 0.067), oral medication (r = 0.222, P = 0.083), and the nurses’ workexperience no significant. The rate of adherence to the principles of medication administration in thepremedication administration stage was higher than during and after drug administration.CONCLUSION: Although the mean score of medication administration of nurses in the medicalcardiac wards was at the desired level, it is necessary to monitor and plan by nursing managers toimprove medication administration. Reducing the number of night shifts, adhering to accreditationprograms in the hospital, continuous monitoring of nurses in terms of compliance with the principlesof medication are among the proposed solutions to improve the safe medication in nurses.

The effect of situation, background, assessment, recommendation‑based safety program on patient safety culture in intensive care unit nurses

. Shahram Etemadifar; . Zeynab Sedighi; . Morteza Sedehi; . Reza Masoudi

Volume 11, Issue 10 , November 2021, , Pages 1-9

Abstract

BACKGROUND: Patient safety culture is an integral part of patient care standards and a prerequisitefor safe care. SBAR is an acronym for Situation, Background, Assessment, Recommendation; ... Read More BACKGROUND: Patient safety culture is an integral part of patient care standards and a prerequisitefor safe care. SBAR is an acronym for Situation, Background, Assessment, Recommendation; thiscommunication model has gained popularity in health‑care settings, especially among professionssuch as nursing. However, there is little evidence that nursing professional education can enhancepatient safety culture. The aim of this study was to investigate the effect of a SBAR‑based trainingprogram on patient safety culture in intensive care unit (ICU) nurses.MATERIALS AND METHODS: The quasi‑experimental study was carried out in 2018–2019 at areascovered by Shahrekord University of Medical Sciences, Iran. This study was performed on 60 nursesworking in ICU. The participants were randomly assigned to two experimental and control groups of30 each. For the experimental group, five workshop sessions of SBAR‑based program were held.For the control group, the patient delivery process was performed according to the ward routine. Datawere collected using patient safety culture questionnaires before and 1 month after the intervention,and were analyzed using descriptive and analytical tests such as paired t‑test, independent t‑test,and Chi‑square test by SPSS 22.RESULTS: The mean score of safety culture was 31 ± 23.5 and 55.2 ± 28.6 in frequency of reportingevents, 32.8 ± 17.8 and 54.3 ± 19 in overall perception of patient safety, 23 ± 20.1 and 52.9 ± 26 incommunication channel openness, and 35.2 ± 19.8 and 52.4 ± 18.8 in information exchange andconveyance before and after training intervention, respectively, so that they improved from poorlevel to neutral‑moderate level. There was no strength in any dimensions of safety culture; however,the implementation of the SBAR‑based program was significantly associated with patient safetyculture (P < 0.001).CONCLUSIONS: Improving patient safety culture requires attention to patient safety models suchas SBAR approach that provides an appropriate and reliable structure for quality improvement.SBAR‑based program training is effective in promoting patient safety culture; therefore, it isrecommended that managers use this technique to promote patient safety culture.

Essential dimensions of professional competency examination in Iran from academic and clinical nurses’ perspective: A mixed‑method study

. Foroozan Atashzadeh‑Shoorideh; . Sadat Seyed Bagher Maddah; . Leila Azimi; . Tahereh Toulabi; . Leila Valizadeh; . Vahid Zamanzadeh; . Raziyeh Ghafouri

Volume 11, Issue 10 , November 2021, , Pages 1-6

Abstract

BACKGROUND: Planning for the issuance of professional competency examination has been put onthe agenda of professional policymakers, but the ways of evaluating and conducting examinations ... Read More BACKGROUND: Planning for the issuance of professional competency examination has been put onthe agenda of professional policymakers, but the ways of evaluating and conducting examinations andits dimensions are the main challenges. The present study aimed to explain the essential dimensionsof professional competency examination in Iran from academic and clinical nurses’ perspective.MATERIALS AND METHODS: The present mixed‑method study was performed at three stages,systematic review, qualitative, and quantitative stages. At the first stage, 56 articles and texts werecollected from PubMed, CINHAL, Ovid, and ProQuest databases, by using the keywords, namelyprofessional competency examination and assessment. Base on the inclusion criteria and eligibilityassessment of article, six articles and one text on regulation were selected. At the second stage,the results of the literature review were approved by 20 nursing experts. Direct content analysis wasused for data analysis. The results were prepared in the form of a questionnaire. At the last stage,the questionnaire was given to 2209 clinical, academic, nurse managers, and nurses.RESULTS: Based on findings of the review literature, essential dimensions of the professionalcompetency examination included a central theme of the client’s needs with four categories. At thesecond stage, the Professional Competency Examination dimensions were approved by experts.At the third stage, a comparison of findings indicated that clinical nurses emphasized more oncardiopulmonary resuscitation, client safety, and implementation of procedures, while academicnurses emphasized on the client’s needs, client education, and clients’ physiological integrity.CONCLUSION: The client’s need is the most important dimension in the professional competencyexamination. The nurses will be successful in providing care if they can identify the clients’ needsand provide care plans based on client needs and priorities.

Investigation of medical error‑reporting system and reporting status in Iran in 2019

. Asaad Ranaei; . Hasan Abolghasem Gorji; . Aidin Aryankhesal; . Mostafa Langarizadeh

Volume 10, Issue 10 , October 2020, , Pages 1-11

Abstract

INTRODUCTION: Reporting medical errors is a major challenge in patient safety and improvingservice quality. The purpose of the present study is to investigate the status of error reporting ... Read More

Effect of interprofessional education of medication safety program on the medication error of physicians and nurses in the intensive care units

. Alireza Irajpour; . Sedigheh Farzi; . Mahmoud Saghaei; . Hamid Ravaghi

Volume 9, Issue 10 , October 2019, , Pages 1-5

Abstract

BACKGROUND: The safety of hospitalized patients in the intensive care units (ICUs) is threateneddue to incidents and adverse events, including medication errors. Medication error refers ... Read More BACKGROUND: The safety of hospitalized patients in the intensive care units (ICUs) is threateneddue to incidents and adverse events, including medication errors. Medication error refers to anypreventable event at different stage of medication process, such as prescription, transcription,distributing medication, and administration, which can lead to incorrect use of medicines or damageto the patient. This study aimed at investigating the effect of the interprofessional education ofmedication safety program on medication errors of physicians and nurses in the ICUs.MATERIALS AND METHODS: The study was conducted using a quasi‑experimental method (singlegroup, before and after) in 2017. The setting of the study included one ICU of selected teaching hospitalaffiliated to Isfahan University of Medical Sciences located in the Central Iran with a total of 23 beds.Participants included 50 members of the health‑care team (physician, nurse, and clinical pharmacist)with at least 1 year of work experience in the ICUs. Participants were selected using censusessampling method. Data were collected using a two‑section self‑made questionnaire. Data wereanalyzed through descriptive, analytical statistics, and version 16 of the SPSS software (P < 0.05).RESULTS: According to reporting of physicians, nurses, and clinical pharmacist, the medicationerror 1 month after implementation, the interprofessional education of medication safety programwas significantly lower than before the implementation of it (P < 0.001).CONCLUSIONS: Interprofessional education helps to improve interprofessional collaboration andpatient care through the promotion of various professions of health to increase interprofessionalcollaboration compared to single profession education, which individuals learn in isolation and merelyin their profession. Therefore, interprofessional education of medication safety program can reducemedication error and promote patient safety in the ICUs.

Investigating selected patient safety indicators using medical records data

. Hedayatalah Asgari; . Sakineh Saghaeiannejad Esfahani; . Maryam Yaghoubi; . Marzieh Javadi; . Saeed Karimi

Volume 5, Issue 4 , August 2015, , Pages 1-6

Abstract

Introduction: Medical errors in hospitals kill more people every year than AIDS, breast cancer andauto accidents combined. Widespread consensus exists that health care organizations ... Read More Introduction: Medical errors in hospitals kill more people every year than AIDS, breast cancer andauto accidents combined. Widespread consensus exists that health care organizations can reducepatient injuries by improving the environment for safety from implementing different alternativesfrom technical and managerial improvements to considering medical record data. Consideringthe preventability of medical errors, the Agency for Healthcare Quality and Research (AHRQ)developed patient safety indicators (PSIs). This study analyzes the PSIs calculated in AlzahraHospital of Isfahan. Materials and Methods: This study was conducted retrospectively using theinpatient medical record data of hospitalized patients in a six month period, from October 2010to March 2011. An experienced team in the fields of medical record, health management andhealth information technology was involved in data reviewing. Based on a prior consultation andreviewing, some PSIs were selected. Indicators were calculated considering AHRQ guidelines.Excel software and hospital information system software were used. Results: Across all studiedmedical records of patients, out of 25,164 discharges, below measures were calculated.‑8 Foreign Body cases (PSI 5) (0.31 per 1000).‑30 Postoperative Hemorrhage or Hematoma cases (PS I9) (2.2 per 1000).‑5 Accidental Puncture or Laceration cases (PSI 15) (0.3 per1000).‑8 Complications of Anesthesia cases (PSI 1) (2.2 per 1000).‑96 Selected Infections Due to Medical Care cases (PSI 7) (3.8 per1000).‑17 cases of Postoperative Wound Dehiscence (PSI 14) (3.7per1000).‑1 Birth Trauma – Injury to Neonate case, and (PSI 17) (1.7 per 1000).‑18 Obstetric Trauma – Cesarean Delivery cases (PSI 20) (40 per 1000) were flagged bystudied PSIs developed by AHRQ.Conclusion: Comparing with the reported rates by other studies and AHRQ study in 2006, allof calculated indicators have inadequate condition; i.e. these are far from empirical estimatedrates. The hospital administrators should be more sensitive to this issue and perform someimprovement programs.

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Keywords = patient safety

Developing patient safety standards for health‑care quality promotion in neonatal intensive care units: A mixed‑methods Protocol

Abstract

Assessment of medication administration of nurses in medical cardiac wards and its relationship with some demographic characteristics: An observational study

Abstract

The effect of situation, background, assessment, recommendation‑based safety program on patient safety culture in intensive care unit nurses

Abstract

Essential dimensions of professional competency examination in Iran from academic and clinical nurses’ perspective: A mixed‑method study

Abstract

Investigation of medical error‑reporting system and reporting status in Iran in 2019

Abstract

Effect of interprofessional education of medication safety program on the medication error of physicians and nurses in the intensive care units

Abstract

Investigating selected patient safety indicators using medical records data

Abstract