Mashhad University of Medical Sciences
Journal of Patient Safety & Quality Improvement
2345-4482
2345-4490
8
4
2020
10
01
Effect of Patient Fall Prevention Program on Nurses' Knowledge and the Number of Patient Falls in one of the Teaching Hospitals in Mashhad during 2019
187
192
EN
Zolikha
Saadati
MSc in Nursing, Nursing Manager of Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
saadatiz1@mums.ac.ir
Maliheh
Sadeghnezhad
0000-0002-9417-9958
Ph.D in Nursing, Expert of Quality Improvement and Patient Safety Office, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
sadeghnezhadm@mums.ac.ir
Maliheh
Siasar
BSc in Nursing, Expert of Quality Improvement and Patient Safety Office, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
siasarm2@mums.ac.ir
Marzieh
Rajaeinasab
BSc in Nursing, Expert of Quality Improvement and Patient Safety Office, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
rajaeinasabm2@mums.ac.ir
Maryam
Touri
BSc in Nursing, Expert of Quality Improvement and Patient Safety Office, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
tourim1@mums.ac.ir
10.22038/psj.2020.48423.1272
<strong><em>Introduction:</em></strong><br />This study aimed to evaluate the effect of a patient fall prevention program on nurses’ knowledge and number of patients falls in one of the teaching hospitals in Mashhad, Iran.<br /><strong><em>Materials and Methods:</em></strong><br />This quasi-experimental study was conducted on 600 nurses working in a hospital affiliated with Mashhad University of Medical Sciences, Mashhad, Iran. The participants were selected via a proportionate stratification sampling method. The fall prevention program included two educational posters and a booklet that introduced key points regarding the prevention of patient falls based on the standard guidelines. The participants were asked to respond to a researcher-made questionnaire that measured their knowledge of patient fall prevention at pretest and posttest. The number of patient falls was evaluated before and after the prevention program. Data were analyzed using SPSS software (version 25) through descriptive and inferential (Wilcoxon test). A p-value less than 0.05 was considered statistically significant.<br /><strong><em>Results:</em></strong><br />There was a significant difference between the scores of pretest and posttest regarding the nurses’ knowledge (p <0.001). Moreover, the examination of the number of falls in three months before and after the patient fall prevention program showed a significant decrease (63%) in the patient falls.<br /><strong><em>Conclusion:</em></strong><br />The results demonstrated that the provision of prevention programs in this study had a significant impact on the improvement of patient safety level by reducing the number of patient falls through increasing the knowledge of nurses and awareness of patients.
Nurses,Patient fall,Patient safety,Prevention,Prevention program
https://psj.mums.ac.ir/article_17260.html
https://psj.mums.ac.ir/article_17260_bed6d19241294fb8f1db60de0f52a5cf.pdf
Mashhad University of Medical Sciences
Journal of Patient Safety & Quality Improvement
2345-4482
2345-4490
8
4
2020
10
01
Knowledge, Attitude, and Practice of Self Medication among Medical Students of Mashhad University of Medical Sciences, Mashhad, Iran
193
201
EN
Seyedeh Motahareh
Mirdoosti
0000-0002-7851-877X
Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.
mirdoustimt951@mums.ac.ir
Mohammad
Mirzaei
Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.
mirzaeim952@mums.ac.ir
Alireza
Saadati
Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.
saadatia951@mums.ac.ir
Mohadeseh
Rahimi Hendavalan
Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.
rahimihm951@mums.ac.ir
Vida
Vakili
0000-0002-5732-4407
Department of Community Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
mirdoosti2021@gmail.com
10.22038/psj.2020.49713.1278
<strong><em>Introduction:</em></strong><br />Self-medication is a double-edged sword the proper application of which is appreciated by the World Health Organization (WHO) guidelines since it can reduce the unnecessary pressure on the health care system. However, self-medication can lead to severe consequences if utilized inappropriately. Furthermore, self-medication practice is an important social health issue in medical students as educated people and would-be physicians. This study aimed to determine the knowledge, attitude, and practice of self-medication in medical students of Mashhad University of Medical Sciences, Mashhad, Iran.<br /><strong><em>Materials and Methods:</em></strong><br />This cross-sectional questionnaire-based study included 296 medical students at distinct levels of education. The data were analyzed in SPSS software (version 26).<br /><strong><em>Results:</em></strong><br />Based on the findings, more than 80% of the students were aware of the complications, drug interactions, and importance of accurate use; however, only 9.1% and 27% of the participants were aware of the side-effects of herbal medicine and dietary supplements, respectively. Out of the total 296 participants, 83.5% of the cases declared that they did care about the side effects of medicines, and 81.3% of the students believed that a medical degree was essential for medicine prescription. In a confrontation with minor ailments, 21.9% of the cases practiced self-medication, and the majority (57.4%) of the used medicines were painkillers. The main reasons for self-medication was the underestimation of the disease (57.8%). Moreover, positive attitudes toward the safety of self-medication (P=0.04) and knowledge about medicine (p <0.001) were the major reasons for the self-medication practice in senior students, compared to juniors. However, no significant difference was found between seniors and juniors in terms of self-medication practice (P=0.85).<br /><strong><em>Conclusion:</em></strong><br />Regarding the adverse effects of self-medication, drug dependency, microbial resistance, and high prevalence of self-medication among participants, it is suggested to provide educational programs on the adverse effects of self-medication. In addition, appropriate measures should be taken to control and prevent an easy access to medications.
Attitude,Knowledge,medical students,Practice,Self-Medication
https://psj.mums.ac.ir/article_17265.html
https://psj.mums.ac.ir/article_17265_35bc6f96ee35baed3be89fd1b8e11c4e.pdf
Mashhad University of Medical Sciences
Journal of Patient Safety & Quality Improvement
2345-4482
2345-4490
8
4
2020
10
01
Corona In Trauma: Should Asymptomatic Patients Be Treated Based On Chest X-Ray Findings?
203
206
EN
Shaghayegh
Rahmani
0000-0001-5121-3629
Innovated Medical Research Center, Faculty of Medicine, Mashhad Branch, Islamic Azad University, Mashhad, Iran.
rahmanish3@mums.ac.ir
Sayyed Majid
Sadrzadeh
0000-0002-7261-025X
Department of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical sciences, Mashhad, Iran.
sadrzadehm@mums.ac.ir
Sara
Hemati Ali
Innovated Medical Research Center, Faculty of Medicine, Mashhad Branch, Islamic Azad University, Mashhad, Iran.
hematias@mums.ac.ir
10.22038/psj.2020.48148.1271
<strong><em>Introduction:</em></strong><br />Regarding the high prevalence of asymptomatic infections, recognition of patients infected with Coronavirus Disease 2019 (COVID-19) has turned into a challenging issue. Therefore, this study aimed to evaluate the prognosis of asymptomatic patients with abnormal CXR indicative of COVID-19 for two weeks.<br /><strong><em>Materials and Methods:</em></strong><br />This cross-sectional study included 40 patients who were referred to shahid hashemi nezhad hospital with trauma and underwent CXR. The patients were selected based on the purposive sampling method. The inclusion criteria were asymptomatic patients with trauma who were referred to our hospital and underwent chest CXR indicative of COVID-19. Demographic characteristics of the patients were recorded in a checklist. The real-time reverse transcription-polymerase chain reaction assay was carried out to diagnose the novel COVID-19. Out of 40 patients, 23 cases had positive test results; however, the others did not perform the test. The patients were followed up for 30 days in terms of the progress of their respiratory disease. Furthermore, those in the hospital were controlled daily, and the discharged cases were followed up via telephone.<br /><strong><em>Results:</em></strong><br />This study included 40 traumatic patients, and the majority of cases (n=29,72.5%,) were male. Upon admission, 37 (92.5%) cases had no signs of common cold, such as cough and fever. However, three (7.5%) patients had an occasional cough, and 10 (25%) cases remembered to have flu-like symptoms in the past two weeks. The mean hospital stay of the patients was estimated at 3.2±1.4 days. It should be noted that no death and respiratory distress syndromes occurred during the follow-up period.<br /><strong><em>Conclusion:</em></strong><br />A favorable prognosis of asymptomatic patients with CXR indicative of COVID-19 was obtained in this study, and none of the cases developed critical forms of the disease.
Asymptomatic infections,COVID-19,Chest x-ray (CXR)
https://psj.mums.ac.ir/article_17261.html
https://psj.mums.ac.ir/article_17261_2dd14423d46a7c11b8bf06bcbde80ee6.pdf
Mashhad University of Medical Sciences
Journal of Patient Safety & Quality Improvement
2345-4482
2345-4490
8
4
2020
10
01
Evaluation of Preoperative Administration of Rectal Indomethacin in Reducing the Severity of Ileus after Open Cholecystectomy
207
211
EN
Ehsan
Soltani
0000000221587221
Assistant Professor of Surgical Oncology, Surgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
soltanie@mums.ac.ir
Ali
Jangjoo
Associated Professor of Minimal Invasive Surgery, Surgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
jangjooa@mums.ac.ir
Mostafa
Mehrabi Bahar
Professor of General Surgery, Surgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
baharmm@mums.ac.ir
Monavar
AfzalAghaee
Assistant Professor of Social Medicine, Department of Epidemiology and Biostatistics, Mashhad University of Medical Sciences, Iran.
afzalaghaeem1@mums.a.ir
10.22038/psj.2020.50108.1281
<strong><em>Introduction:</em></strong><br />Ileus or transient intestinal motility disorder is one of the problems after surgery, which poses challenges facing the medical team. Previous studies approved the preemptive effects of non-steroidal anti-inflammatory drugs (NSAIDs) on ileus; however, the majority of them have focused on animal models. This study aimed to investigate the effects of administration of rectal indomethacin in reducing ileus in patients who underwent cholecystectomy.<br /><strong><em>Materials and Methods:</em></strong><br />This randomized controlled trial included 40 patients with cholelithiasis who were divided into two groups of indomethacin (n=20) and placebo (n=20). The indomethacin group received 100 mg rectal indomethacin before the operation. Cholecystectomy was performed using an open technique. The recovery of bowel functions (i.e. the time of the first flatus passage, return of appetite, and total dosage of opioid analgesic medications) was evaluated in this study.<br /><strong><em>Results:</em></strong><br />Time of the first ileus passage (P=0.004), return of appetite time (P=0.06), and reduction of opioid usage (65.62±5.5 mg/day versus 93.26±2.56) were significantly shorter in the indomethacin group, compared to the placebo group. Furthermore, none of the patients had any significant indomethacin-related complications.<br /><strong><em>Conclusion:</em></strong><br />According to the outcomes of this study, it is concluded that preoperative administration of NSAIDS can be helpful in postoperative ileus reduction.
Cholecystectomy,Indomethacin,Postoperative ileus,Rectal administration
https://psj.mums.ac.ir/article_17264.html
https://psj.mums.ac.ir/article_17264_4e0c0766db09e69de83e3c10e55f9e0e.pdf
Mashhad University of Medical Sciences
Journal of Patient Safety & Quality Improvement
2345-4482
2345-4490
8
4
2020
10
01
Effect of Urticaria Spray on the Pain Severity in Chronic Low Back Pain Patients Referring to an Orthopedic Clinic
213
218
EN
Mohsen
Koushan
0000-0003-3352-3126
Department of Nursing, Faculty Member, School of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran.
mkoushan42@gmail.com
Azadeh
khani
0000-0002-2185-9522
Department of Nursing, Faculty Member, School of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran.
khaniazadeh503@yahoo.com
Samaneh
Nodehi
0000-0002-0221-9677
Department of Medical-Surgical Nursing, Faculty Member, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
nodehis707@gmail.com
Sayed Mahdi
Mirhamidi
Department of Surgery, Sabzevar University of Medical Sciences, Sabzevar, Iran.
mahdi.mirhamidi@gmail.com
Rahim
Akrami
Department of Epidemiology, Faculty Member, School of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran.
akrami.rahim@gmail.com
10.22038/psj.2020.51808.1287
Introduction: Regarding serious impact of chronic back pain in quality of life<br />of people, patients looking for treatment to relieve back pain. The anti- inflammatory properties of nettle plant (Urtica dioica) as spray in reducing severity of low back pain was investigated.<br />Materials and Methods: This study as a registered controlled clinical trial (IRCT: 20171217037930N1) recruited 40 patients with chronic back pain who referred to Orthopedic clinic of Sabzevar Shahid Beheshti Hospital, Sabzevar, Iran by available sampling method. Patients were divided randomly into two groups; group A: treatment with utricaria spray and usual medical treatment (20 persons), group B: patients under just usual medical treatment (20 persons). Pain measurement tool carried out under the visual analog scale (VAS) after intervention into both groups, and data were analyzed by SPSS software.<br />Results: Both studied groups had the similar VAS before the study (P=0.15). Analysis of VAS showed that the average pain severity after intervention was decreased significantly into both studied groups (P=0.01). However these decrements in VAS were not statistically significant between two studied groups (P=0.06). Multiple linear regression analysis determined that utricaria spray could be decreased pain severity to averagely till 0.79%.<br />Conclusion: We concluded that adding utricaria spray to usual treatment has no effect<br />into decreasing chronic low back pain.
chronic low back pain,nettle spray,Pain
https://psj.mums.ac.ir/article_17263.html
https://psj.mums.ac.ir/article_17263_42ed626aa3e281962eb810d74569ab6a.pdf
Mashhad University of Medical Sciences
Journal of Patient Safety & Quality Improvement
2345-4482
2345-4490
8
4
2020
10
01
Clinical Symptoms and Para-Clinical Findings among the Deceased Patients Due to Aluminum Phosphide Poisoning in Ardabil, Iran, From 2009 To 2017
219
224
EN
Esmaeil
Farzaneh
Department of Internal Medicine, Faculty of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran.
esmaeil.farzaneh@arums.ac.ir
Tohid
Ali Akbari
Faculty of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran.
t.aliakbari@arums.ac.ir
Firouz
Amani
0000-0002-0989-1052
Department of Community Medicine, Faculty of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran.
firouz.amani@arums.ac.ir
10.22038/psj.2020.49957.1280
<strong><em>Introduction:</em></strong><br />Aluminum phosphide or rice tablet is one of the most common pesticides and insecticides used in agriculture to protect crops, cereals, and rice. Recently, this substance has been increasingly used as a method for committing suicide among people in society. This study aimed to evaluate the clinical symptoms and para-clinical findings of deceased patients due to Aluminum phosphide poisoning in Ardabil province, Iran.<br /><strong><em>Materials and Methods:</em></strong><br />This descriptive cross-sectional study was conducted on 97 hospitalized patients who died due to Aluminum phosphide poisoning in Ardabil province, Iran, from 2009 to 2017. The data were collected using a checklist and then analyzed in SPSS software (version 19) through descriptive and analytical statistics<br /><strong><em>Results:</em></strong><br />The mean age of all patients was 34.3±15.8 years, and the majority of the cases (77.3%) were female. The most important symptoms were nausea and vomiting in males (92%) and females (100%). Moreover, the patients had a mean recovery time of 5.89 h. Of all the deceased patients, 22 and 75 cases took two and one tablets, respectively. Furthermore, 92.7% of the patients had taken the rice tablets orally. The amount of Glasgow Coma Scale (P=0.001), systolic blood pressure (P=0.001), PH (P=0.001), heart rate (P=0.001), respiratory rate (P=0.001), bicarbonate (P=0.001) and white blood cell (P=0.009) in died patients in more than 24 hour significantly difference with died patients in less than 24 hour. The females obtained a significantly lower systolic blood pressure (P=0.01) and lower pH (p=0.045), but the higher partial pressure of oxygen (P=0.01), compared to males.<br /><strong><em>Conclusion:</em></strong><br />The results of this study showed that the frequency of deaths due to rice pill poisoning was much higher in males than females; moreover, this value was higher in middle-aged groups, compared to other age groups.
Aluminum phosphide,Ardabil,Poisoning,Prognosis
https://psj.mums.ac.ir/article_17306.html
https://psj.mums.ac.ir/article_17306_2948c66f67a53f786c6f5cbac0682cd3.pdf
Mashhad University of Medical Sciences
Journal of Patient Safety & Quality Improvement
2345-4482
2345-4490
8
4
2020
10
01
Awareness, Knowledge, Attitude, and Practice of Patient Safety Culture Among Care Providers and Managers in a Tertiary Health Institution in Nigeria
225
235
EN
Amaka
Y. Ezeuko
Department of Pharmacy, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria.
CHINOMNSO
NNEBUE
https://orcid.org/00
Department of Community Medicine, Nnamdi Azikiwe University, Awka, Nigeria.
nnebnons@yahoo.com
Raymond
C. Okechukwu
Department of Pharmacy, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria.
Achunam
S. Nwabueze
Department of Community Medicine, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria.
Erhirhie
E. Oghenesuvwe
Department of Pharmacology and Toxicology, Faculty of Pharmacy, Chukwuemeka Odumegwu Ojukwu University, Awka, Nigeria.
Ndidiamaka
P. Chukwujekwu
Pharmacy Unit, Department of HIV Care, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria.
Amobi
L. Ilika
Department of Community Medicine, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria.
10.22038/psj.2020.52522.1293
<strong><em>Introduction:</em></strong><br />The safety of patients or clients remains a priority public health issue worldwide. Patient safety culture (PSC) is a core quality assurance strategy in healthcare delivery systems. Therefore, it is crucial for key stakeholders in the healthcare setting to perceive the concept. The present study determined the awareness, level of knowledge, attitude, and practice of PSC among care providers and managers in a tertiary health facility in Nigeria.<br /><strong><em>Materials and Methods:</em></strong><br />This descriptive survey was carried out within June to November in 2016. Data collection was conducted via a self-administered structured questionnaire survey (QS), focus group discussions (FGD), and key informant interviews (KII). Stratified and convenient sampling techniques were used for QS, FGD, and KII, respectively. The data were analyzed using SPSS software (version 22), and associations were determined through the Chi-square test and t-test. A p-value of <span style="text-decoration: underline;"><</span> 0.05 was considered statistically significant.<br /><strong><em>Results:</em></strong><br />The awareness, attitude, and practice of PSC were slightly above average. The knowledge of the availability of PSC unit affected the scores of 3 of the 12 studied PSC composites, namely Feedback and communication about the error, Nonpunitive response to error, and Management support (p <0.05). The overall PSC level of the care providers and managers was reported as 62.3%. The rate of PSC was within the range of 28-72% based on FGD. According to KII, the awareness and practice of PSC were reported as 100% and 60%, respectively.<br /><strong><em>Conclusion:</em></strong><br />Based on the obtained results of the current study, it was apparently demonstrated the low awareness, attitude, and practice of PSC resulting in the low functionality of PSC. Therefore, it is required to take comprehensive educational and institutional measures aiming at the improvement of positive PSC. Management commitment to safety is a key element in this regard.
client safety,Knowledge,Nigeria,Teaching Hospital
https://psj.mums.ac.ir/article_17262.html
https://psj.mums.ac.ir/article_17262_90b1968e8ebcaf216ac11eab3850896a.pdf