Academic journal article Iranian Journal of Public Health

Patient Safety in Tehran University of Medical Sciences' General Hospitals, Iran

Academic journal article Iranian Journal of Public Health

Patient Safety in Tehran University of Medical Sciences' General Hospitals, Iran

Article excerpt


Background: It is important to focus on creating opportunities for patients' participation at all levels of health systems in order to promote their ability to improve patient safety and quality of services. The general aim of this study was to determine patient safety level in Tehran University of Medical Sciences' (TUMS) general hospitals, Tehran, Iran from patients' perspective and to determine the contributory factors on their perspective.

Methods: This was a cross-sectional study. In the spring 2011, the list of clinical departments of the six general hospitals affiliated to TUMS was obtained through the Website of TUMS. By using stratified random sampling, the sample size was calculated 300 patients. Data were collected by using a structured questionnaire and its validity and reliability were acceptable. Descriptive statistics, linear regression and logistic regression were used for analyzing the data.

Results: Totally, 60% of patients were female. Patient safety was evaluated high by 60% of respondents. The unmarried or educated or employed individuals tend to score lower than others.

Conclusion: TUMS's general hospitals are enough safe from patients' perspective, patient safety should be improved. In clinical governance, contributing patients' perspective to the improvement of patient safety reforms is critical in generating new models of good practice.

Keywords: Patient, Safety, Hospital, Iran

(ProQuest: ... denotes formula omitted.)


The delivery of health care is an art rather than as a science. Medical centers abound with basic and clinical researchers; few centers have experts in the science of health care delivery and health ser-vices researchers. Patients experience preventable harm from medical errors, mistakes and teamwork failures (1).

Patient safety stems from health care processes. It is prevention and amelioration of adverse out-comes or injuries (2). It is a guiding factor in daily care and a central issue in healthcare (3, 4). Patient safety is a key area in health care strategic planning (5). Employing skilled clinicians result in good care and safety. It is a subject on its own. For example, in Iran, it is not taught to medical personnel, traditionally (6).

Patient safety is the most importance issue in health care in all countries. However, preventable adverse events are common in developed and developing countries (7). There has been a grow-ing awareness of the measures and cost of inci-dence in two decades ago (8). Therefore, it is essential to identify adverse events producing conditions (9). For example, childbirth's mortality and morbidity highlight the importance of learn-ing from events (10).

It is necessary to revisit patient safety, changes, remained challenges, emerging new problems, and effect of health care in the quality and safety of healthcare (11). Events reduce by focusing on reduction in adverse (12).

Patients carry their own perspective. They have cognitive characteristics affecting willingness to participate in patient safety programs. Patients' perspective is patients' beliefs and attitudes in the field of preventing and controlling errors and the risk of error occurring (13). A patient engaging with safety is the most benefit of strengthening a relationship with physicians and nurses (14). Therefore, patients' perspective shouldn't be undermined. Patients' misperceptions result in emerging obstacles in the environment that pa-tients themselves have to manage (13). Healthcare organizations must involve patients in procuring safety strategies and programs. Therefore, it is necessary to learn from patients' perspective (15).

The patients' negative perspective into hospital's patient safety may reversely conduce to incongru-ity in referrals and follow-up, petitions and allega-tions concerning jeopardizing patient's life. There are many individual, environmental and organiza-tional factors for not accurately evaluating health-care, quality and patient safety level in hospitals (16). …

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