results local level of primary health care system in iran had mechanical structure, but in contextual dimensions the results showed different types. there was a significant relationship between structural and contextual dimensions (r = 0.642, p value < 0.001). goals and culture dimensions had strongest effects on structural dimensions. background in recent years, family physician plan was estab...

IMPORTANCE Quality and safety of eyedrop use for patients treated in a health care setting play a vital role in the delivery of health care. OBJECTIVE To describe the development of a policy and procedural approach to the use of multidose eyedrops in multiple patients, approved and accepted by The Joint Commission in compliance with preferred practice standards in ophthalmology, the safe hand...

introduction: hospitals performance indicators will help monitoring, evaluation and decision making and therefore must be selected and ranked accurately. the aim of present study is identifying and selecting key hospitals performance indicators. materials and methods: this is a descriptive and mixed (quantitative-qualitative) study. literature review and expert panel has been done to identify a...

OBJECTIVE Quality measures of glycemic control using threshold values do not assess incremental quality improvement. We compared health care system performance using weighted continuous versus dichotomous measures for glycemic control. RESEARCH DESIGN AND METHODS We performed retrospective cross-sectional analysis of chart abstraction data on 37,142 diabetic patients from 141 Veterans Health ...

During June-July 2004, public health officials in Pennsylvania were notified of cases of the parasitic disease cyclosporiasis among persons associated with a residential facility (e.g., residents, staff, and volunteers). CDC confirmed the diagnosis of Cyclospora cayetanensis infection by examining stool specimens from multiple patients. By early July, local public health officials had been noti...

The administration conditions of intravenous iron products (IIP) must be further supported due to safety concerns, according to a decision made by the European Commission (September 13, 2013). To achieve this European decision, French Health Authorities gave to IIP a hospital-restricted status (HRS), with two consequences on the IIP circuit: i) the dispensing of this products is now authorized ...

Access to maternal health services is one key to the reduction of maternal mortality in Papua New Guinea. Church health services (CHS) are known to administer around 45% of rural health facilities. We undertook a descriptive analysis based on health facility service provision data for 2009 from the National Health Information System (NHIS), supported by document review and interviews. We recode...

aims: job rotation is considered as one of the human resource development methods. this study was carried out to investigate the correlation between job rotation and visiting number of environmental health employees. materials & methods: this descriptive cross-sectional study was done on environmental health employees in three health centers of north, north west and east of tehran in 2011. 42 p...

Abstract We assessed preparedness of HSE East elderly long-term care facilities for an influenza outbreak, and identified Public Health Department support needs. We surveyed 166 facilities based on the HSE checklist document for influenza outbreaks, with 58% response rate. Client flu vaccination rates were > 75%; leading barriers were client anxiety and consent issues. Target flu vaccine uptake...

DESIGN: A disease management approach for heart failure based on guidelines from the Agency for Health Care Policy and Research (AHCPR). The key elements in this approach included program preparation, clinical education, protocol implementation, outcomes measurement, and continuous quality improvement. Specially trained consultant pharmacists received approval for the heart failure program from...