Background and Aim: Readmission rate is very important due to its impact on cost, quality of healthcare, and putting additional burden on the hospitals and patients. The aim of this study was to evaluate the rate of patient's readmission after discharge from educational and medical hospitals in Sanandaj in 2018. Materials and Methods:This descriptive cross-sectional study included all the patients admitted to the educational and medical hospitals in Sanandaj twice or more times in 2018. SPSS software version 23 was used for data analysis. Descriptive statistics were used for drawing frequency distribution table for qualitative variables. Mean values with 95% confidence interval were calculated for quantitative variables. Results:The results of the study revealed 7623 readmissions in educational and medical hospitals of Sanandaj in 2018 which included 4373 (57.3%) female and 3250 (42.7%) male patients. In general, the most common cause of readmission belonged to follow-up (38.9%). Other causes of readmission were recurrence of the condition (26%), and treatment complications (21.8%). Conclusion:Considering the high readmission rates in Sanandaj hospitals, development of community-based health services, especially homecare centers and local clinics, is recommended.
Background and Aim: Safety is one of the important subjects in the pre-hospital settings. Determination and evaluation of safety attitudes of the emergency staff is the first step toward improving the safety of the staff and patients. In this study, we investigated safety attitudes and the factors affecting safety such as error and accident history, during mission, in the last year, in the staff of emergency medical services in Sanandaj. Material and Methods: This was a cross-sectional descriptive study. We used census method. Study population included personnel of emergency medical services (72 people). We used a questionnaire for data collection. SPSS version 20 software was used for data analysis. Pearson correlation coefficient, Spearman correlation coefficient and chi-square test were used to determine the relationship between the variables and the safety attitudes. Results: Based on the findings of this study, the safety attitudes of the emergency medical staff were significantly at a low level (mean: 3.11, p=±0/435). Six dimensions of safety attitudes, including the cooperative atmosphere in the organization, safety climate in the organization, perceptual management, and job status had significant relationship with demographic characteristics. Job satisfaction criteria and stress recognition showed no significant relationship with demographic characteristics. Conclusion:The results of this study showed that the safety attitudes of the emergency medical staff towards safety were significantly at a low level. Therefore education in order to improve the attitudes of the emergency medical staff is necessary. We recommend inclusion of safety attitudes conceot in educational programs for emergency medical staff.
Background and Aim: job involvement and intention to leave job are important feedbacks of work. The purpose of this study was to investigate the relationship between job involvement and intention to leave job among anesthetist employed in Sanandaj hospitals in 2017. Material and Methods:In this descriptive-analytical study, 90 anesthetist working in Sanandaj hospitals were enrolled in the study. Data were collected from the Kanongo Job Anxiety Questionnaire, Attwod and Hinshaw Vacancy Forecasting Questionnaire and demographic and occupational information questionnaire. Version 23 of SPSS software was used for data analysis. Data were analyzed using descriptive statistics, independent t-test and chi-square test. Results:The mean and standard deviation of job involvement and intention to leave job were 2±0.056 and 2±0.063, respectively. Also, the results showed that there is a significant relationship between job involvement and intention to leave job with all demographic and occupational variables (p <0.05). Conclusion:Considering the low level of job involvement and the high intention to leave job in anesthetist, rooting and planning is recommended by the authorities.
Triage becomes necessary when resources and time are not sufficient to provide the best possible services to all patients. This condition is more common in situations with a large number of casualties, like infectious epidemics. What is apparent is that, in the case of a widespread outbreak of infectious disease, hospitals are on the front lines of infected patient admission and treatment. Since the training of health-care workers is one of the most important pillars of preventive measures in controlling this pandemic, this study was conducted with the aim of expressing the principles of triage of infectious disease epidemic with a COVID-19 approach.
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