background recognizing the significant impact of wait times for care for individuals with complex chronic conditions, we applied a lean methodology, namely – an adaptation of value stream mapping (vsm) to meet the needs of people with multiple chronic conditions and to improve wait times without additional resources or funding.   methods over an 18-month time period, staff applied a patient-cen...

it is inevitable that healthcare workers throughout their careers will witness actual or potential threats to patient safety in the course of their work. some of these threats will result in serious harm occurring to others, whilst at other times such threats will result in minimal harm, or a ‘near miss’ where harm is avoided at the last minute. despite organizations encouraging employees to ‘s...

in the healthcare context, whistleblowing has come to the fore of political, professional and public attention in the wake of major service scandals and mounting evidence of the routine threats to safety that patients face in their care. this paper offers a commentary and wider contextualisation of mannion and davies, ‘cultures of silence and cultures of voice: the role of whistleblowing in hea...

introduction : road traffic injuries (rti) are among the most important health problems worldwide as they cause more than 1.2 million deaths and 50 million injuries each year. therefore, the present study aims to evaluate the outcome and aftermath of rti in those who were injured and hospitalized due to a traffic accident. methods : in the present retrospective cohort study with a one-year foll...

introduction: patient safety improvement requires ongoing culture. this cultural change is the most important challenge that managers are faced with in creation of a safe system. this study aims to show the results of initiatives to improvement in patient safety culture in fateme al-zahra hospital. method: in the quasi-experimental research, patient safety culture was measured using the persian...

critically ill patient transfer is potentially risky and may be lead to morbidity and mortality. physicians' skill is very important for safe transport. we want to evaluate the effect of clinical course teaching on the promotion of physicians' abilities in the transport of critically ill patients. in an interventional study, 320 interns, male and female, were taught about patient transfer in tw...

background:management of acetabular fractures in the senior population can be one of the most challenging injuries tomanage. furthermore, treating surgeons have a paucity of information to guide the treatment in this patient population.the purpose of this study was to determine: (1) demographic and epidemiologic data, (2) mortality rates for nonoperativecompared to operative management at diffe...

following exposure to a major traumatic event like iran-iraq war(1980-1988) various reaction occurs, some of which result in stress-related psychiatric disorder. we have briefly described one such case and used it to indicate some features of post-traumatic stress disorder. the patient, b.b, is a 54 years old man who has served in iran-iraq war operations for about 19 months. he expresses that ...

the doctor-patient interaction (dpi) plays an important role in the way patients view physicians. thus, response to the question of ''who is a great physician?'' is related to dpi experiences of patients. the aim of this qualitative study was to explore patients' views regarding this subject. based on critical ethnography in one educational hospital in shiraz, iran, the study was performed base...

implementation of patient feedback is considered as a critical part of effective and efficient management in developed countries. the main objectives of this study were to assess patient satisfaction with the services provided in hospitals affiliated to tehran university of medical sciences, iran, identify areas of patient dissatisfaction, and find ways to improve patient satisfaction with hosp...