background and objectives: discharge against medical advice (dama) is a significant healthcare problem posing negative impact on effectiveness of patient care and costs of the health system. in order to address this problem, first the potential influencing factor should be identifies. this study followed two major objectives: first, to evaluate the prevalence and potential causes of dama, and s...

conclusions different factors affect resiliency improvements in medical emergency staff and consequently the quality of pre-hospital burn care. this study showed that various factors such as scene security/safety, effective decision making, self-efficacy and religious support are effective in the improvement of resiliency and the quality of pre-hospital emergency care. results by analyzing 456 ...

background noise at intensive care units (icu) has an adverse effect on patients and icu staff. there are some evidences that sleep, recovery from critical illness and average background noise in hospitals as recommended by the us environmental protection agency (epa) and world health organization (who) should not exceed 30 a-weighted decibel (dba) and peaks during night time should be less tha...

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...

objectives this study aimed to examine the effect of a hospital-based educational program based on the constructs of the health belief model (hbm) on self-care behaviors of patients with hf. methods this controlled quasi-experimental study consisted of 84 patients with hf (42 patients in an intervention group and 42 in a control group) who were admitted to two large, specialized, referral hospi...

background and objectives: informal payment in the health settings is a significant challenge facing the health system, with consequences such as inequity in access to healthcare services, distrust to health care system, and dissatisfied customers. detailed identification of the nature of the problem is perquisite to developing relevant overcoming strategies. given that, this study aimed at pro...

reducing wastes in the healthcare processes is crucial for developing a high performance health system. adopted from the toyota production system (tps), the lean concept has emerged in recent years as a way of introducing innovative ideas to improve industrial processes. in the context of health care, lean is considered as a continuous improvement model, which provides healthcare organization t...

background and objectives: the iranian ministry of health and medical education has introduced clinical gov­ernance as the accepted model of hospital healthcare improvement. subsequently, a growing movement for implementing clinical governance in health facilities has emerged. this study aimed to explore the opinions of the relevant experts and executives to provide insight into current challen...

objectives the aim of this study was to investigate the quality of pre-hospital circulatory management in patients with multiple trauma. patients and methods this was a cross-sectional study conducted in 2013. the study population consisted of all patients with multiple trauma who had been transferred by emergency medical services (ems) to the central trauma department in kashan shahid beheshti...

objective: professional nursing is recognised for having high working anxiety levels due to continuous interaction with patients, their family and colleagues in a high stress working environment. as a compilation of non cognitive skills and abilities, emotional intelligent could be helpful in controlling stress and increasing the individual’s productivity at work. intensive care units’ employee...