Background: Pre-hospital emergency service is an important part of any health care system. The present study was conducted to evaluate the pre-hospital Emergency Services 115 of Mashhad City, Iran with emphasis on response to traffic accidents during 2012-2013.
Materials and Methods:In this descriptive cross-sectional and applied study, 53685 files of traffic accident victims related to 42240 missions accomplished during 2012-2013 were evaluated. The study data were collected by referring to the statistics unit of the Center for Medical Emergencies and Accidents. To determine the services performed for the victims, a researcher-designed checklist was used. Descriptive statistics were performed to analyze the raw data. All analyses were done by Excel 2013.
Results:The average (SD) age of traffic accident victims was 29.5(15.69) years. The frequency of accidents was more in September, on Thursdays, and between 6 and 9 PM. About 70% of missions ended with the transfer the injured to hospitals and average (SD) response times were 8:24 (2:35) minutes in 2012 and 9:01 (2:46) minutes in 2013. The frequency of treatment and dispatch to hospitals by the resident physician were reported as 70.51% in 2012 and 69.7% in 2013. The most frequent action taken were injections (96%) and then stabilizing body limbs (60%).
Conclusion:Considering the findings of this research, the response time was longer than the standard time. Regarding the performed services, shortcomings in manpower and ambulance equipment can reduce the effectiveness of missions. Therefore, Emergency Center 115 of Mashhad should carry out some interventions to resolve shortages in manpower and equipment to reach standard conditions and provide better services.
Background: Performance evaluation is a process, which deals with the evaluation, measurement and judgment of performances over a certain period of time. Objectives: The aim of this study was to evaluate the performance of Mashhad University of Medical Sciences' hospitals using the Pabon Lasso model. Methods: In this descriptive cross-sectional study, ten educational hospitals of Mashhad University of Medical Sciences (MUMS) were investigated. Data included the following indicators: bed turnover rate (BTR), bed occupancy rate (BOR) and average length of stay (ALS). The data-gathering tool was standardized by the deputy of curative services of the ministry of health and medical education (MOHME). Data was collected from the information technology and statistics management department of MUMS databank, entered into the Excel software, validated, and implemented to depict the Pabon Lasso graphic chart. The position of the hospitals was recognized and analyzed in terms of the above indexes. Results: Doctor Sheikh hospital has been shifting variably between the second and third quadrants; Hashemi Nejad hospital was moved to the third quadrant in 2006 to 2011 and finally to the first quadrant in 2011. The status of Shariati hospital and Omolbanin hospital remained constant in the first and second quadrants during these six years. Finally, the KhatamolAnbiya hospital was moved from the second quadrant to the third quadrant during these six years Conclusions: According to the results, only 30% of Mashhad's medical centers (Hashemi-Nejad, Anbiya and doctor Sheikh hospitals) were in the third quadrant. In addition, the study findings showed the performance of each hospital according to the Pabon Lasso model. This information can be used to gain the awareness of hospital administrators about their hospital's situation and position compared to other hospitals, to maintain and upgrade their performance.National statistics show that about 40% of governmental health expenses are related to hospital care in Iran (11). Due to the fact that these beds have allocated huge capitals, from the limited resources of the hospitals, to themselves,
Backgroundresearch aimed Mashhad, in 20 Methods: In delays in syste 2013 software w Results: Nea of the injured w The most prev groups (24.2%) Conclusion: factors, and tra services provid
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