there is a number of models and strategies for improving the quality of care such as total quality management, continuous quality improvement and clinical governance. the policy of clinical governance is part of the governments overall strategy for monitoring, assuring and improving in the national health services organization. clinical governance has been introduced as a bridge between manager...

clinical learning occurs in the context of a dynamic environment. learning environment found to be one of the most important factors in determining the success of an effective teaching program. to investigate, from the attending and resident's perspective, factors that may affect student leaning in the educational hospital setting at shiraz university of medical sciences (sums). this study comb...

background: drugs play a strategic role as a health commodity. thus, the supply chain management of drugs is an important issue to reducing costs and thereby improving patient health. objective: this study evaluated the status of drug supply chain management and health reform in the pharmaceutical sector of teaching hospitals in ahvaz, iran. methods: this cross-sectional study was carried out i...

background: medication errors are mentioned as the most common important challenges threatening healthcare system in all countries worldwide. this study is conducted to investigate the most significant factors in refusal to report medication errors among nursing staff. methods: the cross-sectional study was conducted on all nursing staff of a selected education& treatment center in 2013. data w...

conclusions the results of this study illustrated the high prevalence of antibiotic resistant biofilm-producing s. epidermidis strains in this hospital, which could be a reservoir for antibiotic resistance genes. results the results of the biofilm assay revealed that 82% of strains produced black colonies on congo red agar plates and 68% were able to attach strongly to polystyrene microplates. ...

abstract background: in nursing, self-efficacy is quite critical for skill performance. some factors might influence and predict self-efficacy in nurses. thus, the present study aimed to investigate self-efficacy and the factors predicting nurses’ self-efficacy in clinical setting. materials and methods: in this cross-sectional study, 264 nurses were selected from five hospitals affiliated to s...

we report a case of human nasal nosocomial myiasis in a 69-year-old rural man with numerous live maggots in nostrils. the patient was admitted in emergency ward due to dyspnea. after 72 hours the companion of patient discovered larva. the presence of the third instar larva indicated that the infestation was not more than three days. the collected instars were cleared, fixed and morphological st...

determination of pre-hospital delay time of patients with acute myocardial infarction and seeking ways of speeding up the time for reperfusion is an important factor to lower mortality in these patients. this is a cross-sectional study to determine pre-hospital delay time, its components, and related causes and conditions, obtained in 375 patients with prolonged chest pain referred to four hosp...

the goal of this study was to evaluate the pattern and the suitability of the human albumin usage according to the available and reliable guidelines. a concurrent, cross-sectional study was performed in shariati hospital (associated with tehran university of medical sciences, tehran, iran). all inpatient adults that were prescribed albumin during the study period were evaluated to register the ...

conclusions according to the results, six strains were resistant to six or seven antibiotics and all strains were at least resistant to two antibiotics. however, for each of these resistant bacteria one bacteriophage was isolated from environmental samples, which showed the effectiveness of bacteriophages to remove clinically resistant e. coli strains. effective phages in vitro showed effective...