Health in Emergencies and Disasters Quarterly، جلد ۳، شماره ۱، صفحات ۲۱-۳۰

عنوان فارسی Risk assessment of surgical processes in a referral hospice in the center of Iran
چکیده فارسی مقاله Background: Adverse events due to failure in healthcare processes are common. These processes are often evaluated independently. The objectives of this study are investigating the nature of the failures in healthcare processes of the surgical patients, assessing these failures frequency and preventability, and exploring their consequences, underlying causes and prevention strategies in a referral hospital in the center of Iran. Method: This study is a prospective quantitative and qualitative research. Focus discussion group (FDG) meetings have been conducted to understand potential failures, their consequences, causes and prevention strategies. Then frequencies of these concepts have been determined separately in predefined subcategories in each steps of the process. Result: the first phase of the patient care process was the most risk-prone phase. Temporary or permanent disability at the time of discharge (final Impacts), Inflammation/infection (injuries), Rule-based behavior associated with Coordination (causes), Information and communication, Preventability more than 50 were the most frequent failures and have been gotten the highest score. Conclusion: Failures of healthcare processes are preventable to a high degree, although injure patients frequently. Interventions to mitigate these failures will enhance the reliability of surgical care.
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عنوان انگلیسی Research Paper: Risk Assessment of Surgical Procedures in a Referral Hospital
چکیده انگلیسی مقاله Background: Adverse Events (AEs) due to failure in healthcare procedures are common. These procedures are often evaluated independently. The objectives of this study are to investigate the nature of the failures in healthcare procedures of the surgical patients, assessing the frequency of these failures and preventability, and exploring their consequences, underlying causes, and prevention strategies in a referral hospital in the center of Iran. Materials and Methods: This study is a prospective quantitative and qualitative research. Focus Group Discussion (FGD) meetings have been conducted to understand potential failures, their consequences, causes, and prevention strategies. Afterwards, the frequencies of these concepts have been determined separately in predefined subcategories in each step of the process. Results: The first phase of the patient care process was the most risk-prone phase. Temporary or permanent disability at the time of discharge (final impacts), inflammation/infection (injuries), the rule-based behavior associated with coordination (causes), information and communication, preventability more than 50 were the most frequent failures and had achieved the highest score. Conclusion: Failures of healthcare processes are preventable to a high degree, although patients injure frequently. Interventions to mitigate these failures will enhance the reliability of surgical procedures.
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نویسندگان مقاله فاطمه رضایی | fatemeh rezaei
department of health in disasters and emergencies, faculty of management and medical informatics, isfahan university of medical sciences, isfahan, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی اصفهان (Isfahan university of medical sciences)

محمد یارمحمدیان | mohammad yarmohammadian
health management and economics research center, faculty of management and medical informatics, isfahan university of medical sciences, isfahan, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی اصفهان (Isfahan university of medical sciences)

یاسمین مولوی طالقانی | yasamin molavi taleghani
department of health in disasters and emergencies, faculty of management and medical informatics, isfahan university of medical sciences, isfahan, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی اصفهان (Isfahan university of medical sciences)

حجت شیخ بردسیری | hojjat sheikhbardsiri
student research committee, school of management and medical information sciences, isfahan university of medical sciences, isfahan, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی اصفهان (Isfahan university of medical sciences)


نشانی اینترنتی http://hdq.uswr.ac.ir/browse.php?a_code=A-10-123-3&slc_lang=en&sid=en
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