Baqiyatallah University of Medical SciencesHospital Practices and Research2476-390X2120170201Whether Hospital Accreditation Has Led to Improvement of Care Quality in Iran or not?114342310.15171/hpr.2017.01ENMohammadkarim BahadoriHealth Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran0000-0002-7157-9908Seyed Mojtaba HosseiniDepartment of Health Services Management, Tehran North Branch, Islamic Azad University, Tehran, Iran0000-0003-3163-6856Journal Article20161226https://www.jhpr.ir/article_43423_bf8f4e939db59148ba4c97d2ee738627.pdfBaqiyatallah University of Medical SciencesHospital Practices and Research2476-390X2120170201Temporal Series Analysis on Avoidable Mortality for the Assessment of an Intervention Program in a Hospital284334710.15171/hpr.2017.02ENJose L.Alfonso-SanchezDepartment of Preventive Medicine and Public Health, School of Medicine, University of Valencia, Valencia, SpainPreventive Medicine and Occupational Risk Prevention Services, University General Hospital of Valencia, Valencia, SpainBelen Alfonso-LandeteDepartment of Preventive Medicine and Public Health, School of Medicine, University of Valencia, Valencia, SpainMaria Martinez-MartinezNursery College, Universidad de Valencia, Valencia, SpainJournal Article20170101<strong>Background:</strong> Avoidable mortality (AM) is one of the most important health indicators (HI) and represents the quality of care in a hospital.<br /><strong>Objective:</strong> This study measured the efficacy of a training program for a hospital healthcare staff to reduce AM.<br /><strong>Methods:</strong> This epidemiological study on community intervention analyzed time-series data on HI by semesters from 2008 to 2015. The pre-intervention phase was examined from January 2008 to December 2014; the intervention phase was investigated in the first semester of 2015; and the post-intervention phase was examined in the second semester of 2015.<br /><strong>Results:</strong> Resindicate a series with a rising tendency until the 14th semester and a pronounced descent in the 16th semester. The relative variation rate (RVR) was -20% to +20% with some exceptions. HI was 0.53% in the 16th semester rather than the expected 0.70% observed in the pre-intervention phase; therefore, 0.17% additional deaths were avoided because of the training seminar.<br /><strong>Conclusion:</strong> The positive results suggest that this strategy is an important element in decreasing avoidable deaths in hospitals.https://www.jhpr.ir/article_43347_4bab3d2455aaebaceb01496c88263ceb.pdfBaqiyatallah University of Medical SciencesHospital Practices and Research2476-390X2120170201Predictors of Patient Satisfaction With Quality of Healthcare in University Hospitals in Ghana9144334510.15171/hpr.2017.03ENAlbert AhenkanDepartment of Public Administration and Health Service Management, Business School, University of Ghana, Accra, Ghana0000-0003-2672-0498Kofi Aduo-AdjeiDepartment of Public Administration and Health Service Management, Business School, University of Ghana, Accra, Ghana0000-0002-7504-8127Journal Article20161127<strong>Background:</strong> For over 2 decades, Ghana’s Ministry of Health (MOH) has been resolved to continuously improve the quality of healthcare in a cost-effective manner. Strategies have been adopted to enhance client satisfaction with healthcare services and delivery.<br /><strong>Objective:</strong> The current study examined patient satisfaction with the quality of healthcare in Ghana by comparing healthcare services at the University of Ghana Hospital (UGH) and the University of Cape Coast Hospital (UCH).<br /><strong>Methods:</strong> This cross-sectional study was conducted in 2014-2015 with primary data collected from patients at UGH and UCH. Structured questionnaires were administered based on the stratified and convenience sampling methods to select patients receiving healthcare at the outpatients departments of the 2 hospitals. Descriptive statistics and linear regression analysis were used to analyze the data with the help of SPSS version 20.<br /><strong>Results:</strong> The findings indicated that empathy (β=0.14, P=0.003), communication (β=0.26, P=0.00), culture (β=0.17, P=0.008), tangibles (β=0.12, P=0.040), and priority (β=0.18, P=0.002) are significant predictors of patient satisfaction.<br /><strong>Conclusion:</strong> Management at the 2 studied hospitals should streamline their quality healthcare policies based on the dimensions of effective communication, empathy, culture, tangibles, and priority to enhance patient satisfaction.https://www.jhpr.ir/article_43345_1e8dd46d7e6211d45fdc1d51187f874b.pdfBaqiyatallah University of Medical SciencesHospital Practices and Research2476-390X2120170201Patient Safety Culture as Viewed by Medical and Diagnostic Staff of Selected Tehran Hospitals, Iran15204373610.15171/hpr.2017.04ENMajid SabouriAJA University of Medical Sciences, Tehran, IranFarshad NajafipourAJA University of Medical Sciences, Tehran, IranMehran JarianiNEZAJA Health and Treatment Office, Tehran, IranArya HamedanchiIranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, IranParisa KarimiComprehensive Rehabilitation Center of Amal Charity, Tehran, IranJournal Article20161103<strong>Background:</strong> Today, patient safety is an important issue in providing hospital services. Any failure in this area can cause undesirable consequences.<br /> <strong>Objective</strong>: The present study evaluated the status of patient safety culture in Educational Hospitals of Tehran, Iran.<br /> <strong>Methods</strong>: This cross-sectional study surveyed 205 therapeutic and diagnostic personnel of three Tehran hospitals selected using the clustered method; samples were collected in a randomized manner. To examine patient safety culture, the standard questionnaire of patient safety culture with 12 dimensions was used. Data was analyzed using SPSS software.<br /> <strong>Results</strong>: In the 12 dimensions of patient safety culture, exchange of data, expectations, and organization management had the lowest means of 3.28 (±0.87), and 3.32 (±0.74) among the various aspects of patient safety culture. Additionally, the two dimensions of teamwork within the organization’s units and frequency of reporting events with means of 3.71 (±0.79) and 3.73 (±0.7) had the highest means among the studied 12 dimensions of patient safety culture. The total mean of patient safety culture in the studied hospitals was 3.5 (±0.5).<br /> <strong>Conclusion</strong>: Increasing the attention paid to patient safety culture will lead to the development and progress of hospitals in the country and will guide them toward becoming patient-friendly hospitals. Those dimensions which had low mean values in this study should be paid more attention so as to promote and protect them.https://www.jhpr.ir/article_43736_e2e49e1efdc26a0d47b1f885d6cb6fb3.pdfBaqiyatallah University of Medical SciencesHospital Practices and Research2476-390X2120170201Localized Aortic Root Dissection Secondary to Contrast Agent Injection: Feasibility of Conservative Follow-up With Echocardiography21234334210.15171/hpr.2017.05ENAhmet KarabulutDepartment of Cardiology, Acibadem University School of Medicine, Acibadem Atakent Hospital, Istanbul, TurkeyJournal Article20161224<strong>Introduction:</strong> Iatrogenic aortocoronary dissection (ACD) is a nightmare in interventional cardiology. Although ACD is rarely reported, the real-world prevalence is suspected of being higher due to unreported cases. The right coronary artery (RCA) ostium is involved in the majority of cases, and dissections are usually limited to the aortic sinus in half of the clinical presentations. There are different treatment strategies, including interventional approaches, surgery, and medical follow-up. Immediate stent deployment to the coronary osteum might be a life-saving procedure, and the surgical approach should be preferred in occasions of dissection extension beyond the sino-tubular junctions. Catheter trauma and subintimal progression of guidewires are major causes of ACD occurrence.<br /><strong>Case Presentation:</strong> Herein presented is a case report of spontaneous ACD observed after contrast injection to the RCA ostium. Approximately 8 cc of radiocontrast agent was injected into the right coronary ostium. Antegrade and retrograde dissections which extended to the distal RCA and aortic root were observed. The right sinus of Valsalva was stained with contrast agent, and the border of the stained area was extended to the sinotubular junction. Medical follow-up was proposed by the heart team. Close follow-up with echocardiographic examination indicated the complete regression of the dissection.<br /><strong>Conclusion:</strong> The authors consider conservative follow-up with echocardiogaphy rather than computed tomography and/or magnetic resonance to be the most appropriate imaging technique for use with stable patients.https://www.jhpr.ir/article_43342_5c4960532893c159253ab197da1b20f1.pdfBaqiyatallah University of Medical SciencesHospital Practices and Research2476-390X2120170201Natural Based Anticancer Drugs and Their Worthiness24244335010.15171/hpr.2017.06ENKamran HajinabiDepartment of Health Services Management, Science and Research Branch, Islamic Azad University, Tehran, Iran0000-0003-1227-7106Journal Article20161202https://www.jhpr.ir/article_43350_4c8f6c7e82072c220978bb9f371cf997.pdfBaqiyatallah University of Medical SciencesHospital Practices and Research2476-390X2120170201New Wave of Sexually-Transmitted HIV in Iran25264376910.15171/hpr.2017.07ENZahra DanialFaculty of Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran0000-0002-1409-8972Malihe MoayedFaculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran0000-0001-6732-3478Mohammad Hossain Kalantar MotamediFaculty of Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, IranSedigheh MirhashemiFaculty of Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, IranHeshmatosadat ZamanianBesharat School, Ministery of Educational and Development, Mashhad, Iran0000-0001-8927-8719Journal Article20170214https://www.jhpr.ir/article_43769_c1cee3e381a9e4bbc70941517e2de925.pdf