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:  elbow surgery is shared by several subspecialties. we were curious about the most common elbow surgeries and their corresponding diagnoses in the united states.   methods:  we used the national hospital discharge survey (nhds) and the national survey of ambulatory surgery (nsas) data gathered in 2006-databases that together provide an estimate of all inpatient and ambulatory surgic...

conclusions considering the personal and background characteristics of personnel and understanding their association with stress and stressful situations encompasses the ability to persevere and adapt to contextual stressors. patients and methods in this cross-sectional study, 3643 anonymous questionnaires were disseminated among nurses in different hospitals in tehran, iran, by utilizing multi...

medication errors account for about 78% of serious medical errors in intensive care unit (icu). so far no study has been performed in iran to evaluate all type of possible medication errors in icu. therefore the objective of this study was to reveal the frequency, type and consequences of all type of errors in an icu of a large teaching hospital. the prospective observational study was conducte...

background: to evaluate the satisfaction of mothers with the quality of care provided by maternity institutions in east kazakhstan on the basis of the “quality of hospital care for mothers and newborn babies, assessment tool” (who, 2009). methods: this cross-sectional study took place in 2013 and covered five maternity hospitals in east kazakhstan (one referral, two urban and two rural). to obt...

background: the aim of the study was to compare the effects of 'face-to-face education' and 'educational movies' on  'knowledge' and 'practice' of women of child-bearing-age, in terms of health-care during pregnancy and during infancy in a suburban region near tehran city, iran.   methods: in this quasi-experimental study, the sample included 873 married women. questionnaires for knowledge and ...

special characteristics of care environments have always presented nurses with some challenges. one particular situation is futile care, which is frequently accompanied by countless moral and legal challenges. the dominant atmosphere in futile care may cause moral distress to nurses and lead to a sense of guilt, pain, suffering, job dissatisfaction, and eventually cause nurses to leave the job....

results the findings of this study showed that in most selected countries, primary care services were provided by the private sector and the public sector has been mostly functioning as a supervisor in this area, but in iran, primary care services were provided by the government. the findings of this study also showed that hospital services in iran and selected countries (second and third level...

introduction: increasing costs of health and treatment services has led health economics specialists and even physicians in all countries to seek new methods for controlling and reducing costs in medical and health services. the present study was aimed to estimate the costs of a cardiac care unit (ccu) in a governmental hospital in iran. methods: in order to determine the end cost, a stepwise p...