conclusions in comparison with road traffic accidents on city streets, trauma patients in rtas on roads out of the city have longer pre-hospital time intervals and more severe injuries; therefore this group needs more pre-hospital resuscitation interventions. results findings of this study showed that, 75% of rtas occurred on city streets (n = 1 251). motor-car accidents were the most frequent ...

background and objectives: data on patient complains can be used as a feedback to improve the quality of healthcare services. the aim of this study was to develop an indicator for reliable retrieval of statistical data on patient complaints.   methods: a triangulated study was conducted. a comprehensive literature review was done to identifying the relevant major themes. two-rounds of delphi se...

background prolonged intensive care unit (icu) and hospital stay after cardiac surgery is vitally important and is influenced by both intraoperative and postoperative factors. objectives this randomized clinical trial study was designed to assess whether vitamin c supplementation could reduce the length of icu and hospital stay in post-cardiac surgery patients. patients and methods two hundred ...

background and objectives: the increasing pressure on health systems to improve quality of health care,require them to develop novel conceptual framework and indices aimed at evaluating decision variables in the contemporary complex community. customer quality is a newly introduced concept addressing capability of patients in contribution to healthcare process and cooperation with healthcare pr...

background: there is controversy over the potential benefits/harms of the usage of angiotensin-converting enzyme inhibitors (aceis) or angiotensin receptor blockers (arbs) as regards the postoperative mortality of coronary artery bypass grafting (cabg). this study investigates the correlation between the in-hospital mortality of cabg and the preoperative administration of acei/arb. methods: out...

introduction: timeliness has been considered as a key domain in quality of emergency department (ed) care and delay in care providing is influential determinants of patient’s outcomes. the present study, aimed to evaluate the determinants of prolonged ed length of stay (los). methods: in this cross-sectional study, using adopted version of the latest form for external evaluation and accreditati...

background and objectives: as with most countries, in the developing communities, providing high quality services in the field of health care is affected by limited financial resources. applying the positive stimuli germane to the private sector to public hospital may be one solution to the public sector's problems, and the health care system, in general, for reducing hospital construction and ...

background considering patients’ needs and expectations in the process of healthcare delivery improves the quality of services. this study aimed to investigate the responsiveness of general public and private hospitals in mashhad, iran.   methods in this cross-sectional and explanatory study, hospitalized patients (with at least 2 days of stay) in general private and public hospitals in mashhad...

aims: hospital information system may offer a way to increased self-care management. the aim of this study was to determine the patients’ informational needs for self-care management and evaluation of different his software according to these needs.  materials & methods: this descriptive cross-sectional study was done during 2011-2012 in kashan city, iran at two phases compiling the required in...

the challenging nature of neonatal medicine today is intensified by modern advances in intensive care and treatment of sicker neonates. these developments have caused numerous ethical issues and conflicts in ethical decision-making. the present study surveyed the challenges and dilemmas from the viewpoint of the neonatal intensive care personnel in the teaching hospitals of tehran university of...