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Showing 4 results for Safety
Hamed Gavili, Mohammad Fathi, Yadollah Zarezadeh, Mokhtar Yaghobi, Daem Roshani,
Volume 24, Issue 1 (4-2019)
Abstract
Background and Aim: Safety is one of the important subjects in the pre-hospital settings. Determination and evaluation of safety attitudes of the emergency staff is the first step toward improving the safety of the staff and patients. In this study, we investigated safety attitudes and the factors affecting safety such as error and accident history, during mission, in the last year, in the staff of emergency medical services in Sanandaj.
Material and Methods: This was a cross-sectional descriptive study. We used census method. Study population included personnel of emergency medical services (72 people). We used a questionnaire for data collection. SPSS version 20 software was used for data analysis. Pearson correlation coefficient, Spearman correlation coefficient and chi-square test were used to determine the relationship between the variables and the safety attitudes.
Results: Based on the findings of this study, the safety attitudes of the emergency medical staff were significantly at a low level (mean: 3.11, p=±0/435). six dimensions of safety attitudes, including the cooperative atmosphere in the organization, safety climate in the organization, perceptual management, and job status had significant relationship with demographic characteristics. Job satisfaction criteria and stress recognition showed no significant relationship with demographic characteristics.
Conclusion: The results of this study showed that the safety attitudes of the emergency medical staff towards safety were significantly at a low level.Therefore education in order to improve the attitudes of the emergency medical staff is necessary. We recommend inclusion of safety attitudes conceot in educational programs for emergency medical staff.
Seyed Saeed Tabatabaee, Saeideh Moosavi, Soheyka Gholami, Shoayb Rafiei, Miss Azam Molapour, Rohollah Kalhor,
Volume 25, Issue 4 (9-2020)
Abstract
Background and Aim: Nowadays, patient safety culture is recognized as an important issue in providing high quality services for the patients around the world. Unsafe care and services can lead to mortality, disability, prolonged hospitalization and increased costs of treatment. Therefore, the present study aimed to identify the errors associated with the labels of pathology samples in Qazvin hospitals.
Materials and Methods: This descriptive-analytic study was performed on the basis of a census sampling and included samples obtained from the operating rooms of five educational hospitals in Qazvin University of Medical Sciences in 2018. A standard checklist was used to collect information. Our professors and pathologists determined validity and reliability of the checklist by Cronbach's alpha of 0.89. Using SPSS 21 the results were analyzed by statistical indices.
Results: Among 1164 biopsy samples, 6425 errors were detected. The highest error rates were related to lack of registration of the patient's age (564 cases; 48.4%), lack of registration of the name of the of the patients' fathers (562 cases; 48.2%), and lack of recording the number of biopsies (558; 47.9%) and the lowest rates of errors included empty container (10 cases; 0.86%), lack of recording the number of specimens (14 cases; 1.2%) and lack of using appropriate fixative (16; 1.37 %) respectively.
Conclusion: Regarding the frequency of labeling errors in the pre-analytical phase in the pathology ward, use of bar code imprinted in the sample containers, lack of using paper applications, use of radio frequency chip technology, use of a re-checking system and improvement of communication in the operating rooms can result in reducing these errors.
Ebrahim Darvishi, Kamaladdin Abedi, Farough Mohammadian, Hiwa Osmani, Paria Saedi, Jamshid Khoubi, Arezoo Yari, Bijan Nuri,
Volume 29, Issue 3 (7-2024)
Abstract
Abstract
Background and Aim: Considering the increased number of students, staff and faculties and various educational and research departments in university environments, provision of a safe environment is one of the main challenges in the universities and higher education centers. The aim of this study was to perform a comprehensive and detailed assessment of risks in different departments of Kurdistan University of Medical Sciences.
Material and Method: In this descriptive-analytical study we assessed buildings, laboratories, engine room heating systems, libraries and commuting routes at Kurdistan University of Medical Sciences. Fire risk assessment was performed in three areas of properties, people and activities by FRAME (Fire Risk Assessment Method for Engineering) software. The safety of laboratories was assessed by ACHiL (Assessment and Classification of Hazards in Laboratories) specific method. Failures in buildings, engine room heating systems, electrical panels and equipment were identified and evaluated by the FMEA (Failure Mode and Effect Analysis) method. The safety level of traffic and transportation routes, parking lots and streets were assessed by ET&BA (Energy Trace & Barrier Analysis) method.
Results: The fire risk level for individuals, properties and activities in all colleges was unfavorable (R˃1). In the laboratory, the main risks were related to chemicals such as pressurized cylinders (R=12), corrosive substances (R=6) and toxic solutions (R=6). In the buildings, the highest risks were related to a fault in the emergency condition plan, non standard height of the stairs case and low width of the stairs. Also, in the engine room heating systems, most of the risks were related to fuel tanks (leaks of valves) and boilers (excessive temperature and pressure) with R2˃00. The electrical safety status was assessed unsuitable due to failures in the protection systems (grounding system and life-saving switch). Chemical and potential energies were among the most important energies damaging the paths and passages.
Conclusion: The safety level of the campus is unfavorable and the safety conditions in all departments and activities are alarming. The main risk is the risk of fire and the most dangerous part is the engine room. Therefore, effective planning to control and manage the risks in the campus complex should be done on the basis of risk priority.
e safety situation can help universities and academic institutions develop an effective risk management program.
Samira Rahimnejad, Kamaladdin Abedi, Farough Mohammadian, Ebrahim Darvishi, Ebrahim Mohammadi, Farzaneh Zarei, Madjid Shafiiyan,
Volume 29, Issue 5 (11-2024)
Abstract
Background and Aim: One of the concerns of occupational health engineering lecturers is acquisition an acceptable level of skill and ability by learners, which is also emphasized in the educational curriculum. Paying attention to abilities and practical skills in exams can answer these concerns to some extent. Therefore, this study was carried out with the aim of designing, implementing and evaluating the OSPE exam at the end of the undergraduate course.
Materials and Methods: This descriptive-analytical study was conducted cross-sectionally on the students of occupational health engineering after the end of their internship. First, the exam committee was formed and then focused group discussion meetings (FGD) were held and the study was conducted in three phases: design, implementation and evaluation. The scenarios of the stations (12 stations) were designed according to the competences and practical skills of the educational curriculum. The evaluation of the exam included the determination of formal and content validity, student satisfaction, reliability, and the determination of the internal correlation of the exam scores.
Results: The content validity of the exam was around average from the point of view of the students and professors in all stations with a significance level of 0.05. The results of Cronbach's alpha coefficient showed that there was a high correlation between the scores of the stations (ɑ=0.7) and between the scores of the stations and the overall score of OSPE (ɑ=0.8). Students' satisfaction with the exam was average. In addition, by examining the results of qualitative data, two classes and several subclasses were obtained. The mentioned two classes were identified as strengths and weaknesses of the exam.
Conclusion: Although the OSPE exam has weaknesses, it can be used as a standard and suitable method to show the competence and practical skills of learners. It seems that much more studies should be carried out in the field of health sciences especially regarding exam design and standard scenario writing methods, in order to judge its validity and reliability as an evaluation tool. At the same time, using OSPE as a supplement to traditional exams is very valuable.
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