Implementation of patient safety and patient-centeredness strategies in Iranian hospitals.

OBJECTIVE:To examine the extent of implementation for patient safety (PS) and patient-centeredness (PC) strategies and their association with hospital characteristics (type, ownership, teaching status, annual evaluation grade) in Iran. METHODS:A cross-sectional study through an adapted version of th...

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Main Authors: Asgar Aghaei Hashjin, Dionne S Kringos, Jila Manoochehri, Hamid Ravaghi, Niek S Klazinga
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4182570?pdf=render
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author Asgar Aghaei Hashjin
Dionne S Kringos
Jila Manoochehri
Hamid Ravaghi
Niek S Klazinga
author_facet Asgar Aghaei Hashjin
Dionne S Kringos
Jila Manoochehri
Hamid Ravaghi
Niek S Klazinga
author_sort Asgar Aghaei Hashjin
collection DOAJ
description OBJECTIVE:To examine the extent of implementation for patient safety (PS) and patient-centeredness (PC) strategies and their association with hospital characteristics (type, ownership, teaching status, annual evaluation grade) in Iran. METHODS:A cross-sectional study through an adapted version of the MARQuIS questionnaire, eliciting information from hospital and nursing managers in 84 Iranian hospitals on the implementation of PS and PC strategies in 2009-2010. RESULTS:The majority of hospitals reported to have implemented 84% of the PS and 72% of the PC strategies. In general, implementation of PS strategies was unrelated to the type of hospital, with the exception of health promotion reports, which were more common in the Social Security Organization (SSO), and MRSA testing, which was reported more often in nonprofit hospitals. MRSA testing was also more common among teaching hospitals compared to non-teaching hospitals. The higher grade hospitals reported PS strategies significantly more frequently than lower grade hospitals. Overall, there was no significant difference in the reported implementation of PC strategies across general and specialized hospitals; except for the provision of information in different languages and recording of patient's diet which were reported significantly more often by general than specialized hospitals. Moreover, patient hotel services were more common in private compared to public hospitals. CONCLUSIONS:Despite substantial reporting of PS and PC strategies, there is still room for strengthening standard setting on safety, patient services and patient-centered information strategies in Iranian hospitals. To assure effective implementation of PS and PC strategies, enforcing standards, creating a PS and PC culture, increasing organizational responsiveness, and partnering with patients and their families need more attention.
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spelling doaj.art-f4ba99bed74149adb09047e715a5300f2022-12-22T02:05:10ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0199e10883110.1371/journal.pone.0108831Implementation of patient safety and patient-centeredness strategies in Iranian hospitals.Asgar Aghaei HashjinDionne S KringosJila ManoochehriHamid RavaghiNiek S KlazingaOBJECTIVE:To examine the extent of implementation for patient safety (PS) and patient-centeredness (PC) strategies and their association with hospital characteristics (type, ownership, teaching status, annual evaluation grade) in Iran. METHODS:A cross-sectional study through an adapted version of the MARQuIS questionnaire, eliciting information from hospital and nursing managers in 84 Iranian hospitals on the implementation of PS and PC strategies in 2009-2010. RESULTS:The majority of hospitals reported to have implemented 84% of the PS and 72% of the PC strategies. In general, implementation of PS strategies was unrelated to the type of hospital, with the exception of health promotion reports, which were more common in the Social Security Organization (SSO), and MRSA testing, which was reported more often in nonprofit hospitals. MRSA testing was also more common among teaching hospitals compared to non-teaching hospitals. The higher grade hospitals reported PS strategies significantly more frequently than lower grade hospitals. Overall, there was no significant difference in the reported implementation of PC strategies across general and specialized hospitals; except for the provision of information in different languages and recording of patient's diet which were reported significantly more often by general than specialized hospitals. Moreover, patient hotel services were more common in private compared to public hospitals. CONCLUSIONS:Despite substantial reporting of PS and PC strategies, there is still room for strengthening standard setting on safety, patient services and patient-centered information strategies in Iranian hospitals. To assure effective implementation of PS and PC strategies, enforcing standards, creating a PS and PC culture, increasing organizational responsiveness, and partnering with patients and their families need more attention.http://europepmc.org/articles/PMC4182570?pdf=render
spellingShingle Asgar Aghaei Hashjin
Dionne S Kringos
Jila Manoochehri
Hamid Ravaghi
Niek S Klazinga
Implementation of patient safety and patient-centeredness strategies in Iranian hospitals.
PLoS ONE
title Implementation of patient safety and patient-centeredness strategies in Iranian hospitals.
title_full Implementation of patient safety and patient-centeredness strategies in Iranian hospitals.
title_fullStr Implementation of patient safety and patient-centeredness strategies in Iranian hospitals.
title_full_unstemmed Implementation of patient safety and patient-centeredness strategies in Iranian hospitals.
title_short Implementation of patient safety and patient-centeredness strategies in Iranian hospitals.
title_sort implementation of patient safety and patient centeredness strategies in iranian hospitals
url http://europepmc.org/articles/PMC4182570?pdf=render
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