Investigating the Situation of Iranian Hospitals in Terms of Implementing Mandatory Patient Safety Standards: A Systematic Review
Abstract
Background: Evaluate the patient's safety status in Iranian hospitals using the Patient safety friendly hospital initiative (PSFHI) assessment tool provided by the World Health Organization. PSFHI assessment tool of 140 patient safety standards, they are classified as mandatory (20 standards), basic (90 standards) and advanced (30 standards). Mandatory standards are necessary criteria that hospitals must meet to register for PSFHI. The first stage of the patient safety program in Iran is to achieve the implementation of the mandatory standards to enter the patient safety friendly hospital program. We aimed to evaluate the patient's safety status in Iranian hospitals in terms of implementing mandatory patient safety standards.
Methods: In this systematic review, articles were searched between 2001 and 2021 in Web of Science, PubMed, Scopus Google Scholar, and Iranian SID and Magiran databases. Keywords including patient safety, quality assessment, standards, patient safety friendly hospital, Iran were performed. These articles were evaluated independently by two researchers and the contradictions were discussed with the third author.
Results: Finally, 7 eligible studies were included in the study. The highest score (75%) was related to the fourth domain of safe environment and the lowest score with (47%) was related to the second domain of engaging and interacting with the patient and the community. The overall average of compliance with standards in all four areas was 70%.
Conclusion: Institutionalizing a patient safety culture, paying more attention to creating a culture to identify patients, educating staff and patients, and removing legal barriers, Increases the observance of mandatory patient safety standards in the Iran.
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2. Ammar W, Wakim IR, Hajj I (2007). Accreditation of hospitals in Lebanon: a challenging experience. East Mediterr Health J,13(1):138-49.
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14. Pourshareiati F, Amrollahi M(2017). Patient safety culture from Rahnemon hospital nurses’ perspective. Occupational Hygine and Health Promotion, 1(1):52-61.
15. Cegala DJ, Post DM, McClure L(2001). The effects of patient communication skills training on the discourse of older patients during a primary care interview. J Am Geriatr Soc,49(11):1505-1511.
16. Akbary R, Zarei E, Gholami A, Mousavi H(2015). A survey of patient safety culture: A tool for improving patient safety in healthcare providers service organizations. Iran Occupational Health,12(4):76-88.
17. Vozikis A(2009). Information management of medical errors in Greece: The MERIS proposal. Int J Inf Manage, 29(1):15-26
18. Baker GR, Norton PG, Flintoft V, et al (2004). The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada.CMAJ,170(11):1678-86.
19. Joolaee S, Hajibabaee F, Peyrovi H, Haghani H, Bahrani N(2011). The relationship between incidence and report of medication errors and working conditions. Int Nurs Rev,58(1):37-44.
20. Manser T(2009). Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Acta Anaesthesiol Scand,53(2):143-51.
21. El-Jardali F, Jaafar M, Dimassi H, Jamal D, Hamdan R(2010). The current state of patient safety culture in Lebanese hospitals: a study at baseline. Int J Qual Health Care, 22(5):386-95.
22. Hamdan M, Saleem AA(2013). Assessment of patient safety culture in Palestinian public hospitals. Int J Qual Health Care, 25(2):167-75.
23. Pauniaho S, Lepojarvi M, Peltomaa K, et al (2009). A surgical checklist increases patient safety.Suom Laakaril,49(64):4249-4254.
24. Jabbari A, Raisi A, Rostami V(2015). Patient safety status in selected training hospitals affiliated with Isfahan University of medical sciences. Health Inf Manag,12(41):99-108.
25. Liberati A, Altman DG, Tetzlaff J, et al (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Med,6(7):e1000100.
26. Vandenbroucke JP, Von Elm E, Altman DG, et al (2009). Mejorar la comunicación de estudios observacionales en epidemiología (STROBE): explicación y elaboración. Gac Sanit, 23:158e1-28.
27. Bahadori M, Soltanzadeh P, Salimi M, et al (2013). Application of WHO model for evaluating Patient Safety Friendly Hospital Initiatives (PSFHI) in an Eye hospital in Tehran,Iran. Electron Physician, 5(2):631-6.
28. Asefzade S, mehrabian F, nikpey A, kianmehr S(2013). Assessment of Patient Safety Based on Standards of Patient Safety Friendly Hospitals in Education and Treatment Centers of Rasht City in 2013. Res Med Educ, 5 (1):36-44.
29. Mazhari Z, Adel A(2015). Patient Safety Status In Hospitals Of Tehran-Patient Safety Friendly Hospitals Standards. Payavard,8 (5):379-389.
30. Babamohamadi H, Nemati RK, Nobahar M, et al (2016). Evaluation of Patient Safety Indicators in Semnan City Hospitals by Using the Patient Safety Friendly Hospital Initiative (PSFHI). Glob J Health Sci, 8(8):39161.
31. Bairami F, Ghorbanpoor M, Bairami A, Mostofian F(2016). Assessment of patient safety friendly hospital initiative in three hospitals affiliated to Tehran University of medical sciences. Patient Saf Qual Improv, 4(1):334-9.
32. Habibzade H, Akbari F, qhavami H, Moradi K(2019). A survey on the establishment of patient-friendly safety standards in urmia university of medical sciences. Nurs Midwifery J,17(7) :525-534.
33. Foruzan F, Keshtkaran A(2010). Assessment the patient's safety culture From the perspective of nurses in educational hospitals in Shiraz and offer solutions to improve the current situation (Dissertaton). Shiraz: Shiraz Univ Med Sci.
34. Christian CK, Gustafson ML, Roth EM, et al (2006). A prospective study of patient safety in the operating room. Surgery,139(2):159-73.
35. Jawaid M, Farhan M, Masood Z, Husnain S(2012).Preoperative informed consent: is it truly informed?. Iran J Public Health, 41(9):25-30
36. Zh N, Goudarzi Z, Keshmiri F, Pourreza A(2014). Comparison of the education and research indicators of patient safety status between selected hospitals of Tehran University of Medical Sciences based on the WHO standards. Education Strategies in Medical Sciences,7(4):241-8.
37. Siddiqi S, Elasady R, Khorshid I, et al (2012). Patient Safety Friendly Hospital Initiative: from evidence to action in seven developing country hospitals. Int J Qual Health Care, 24(2):144-51.
38. Lippi G, Plebani M(2011). Identification errors in the blood transfusion laboratory: a still relevant issue for patient safety.Transfus Apher Sci,44(2):231-233.
39. Janghorbani M, Raisi AR, Dehghani S, Mousavi A(2011). Assessment the status of Shahid Beheshti hospital operating room safety based on standards of patient safety friendly Hospitals: Esfehan.Health Inf Manag,9(7):1066-1071.
40. Mousavi S, Dargahi H, Hasibi M, Mokhtari Z, Shaham G(2011). Evaluation of safety standards in operating rooms of Tehran University of Medical Sciences (TUMS) Hospitals in 2010. Payavard, 5 (2) :10-17.
41. Yaghobi M(2009). Study of medical waste management and waste associated with the selected hospitals in Isfahan, Gilan and Boyer Ahmad asserting in 2009 (Dissertaton).Isfahan: Isfahan Univ Med Sci.
2. Ammar W, Wakim IR, Hajj I (2007). Accreditation of hospitals in Lebanon: a challenging experience. East Mediterr Health J,13(1):138-49.
3. Rezaei-Hachesu P, Pesianian E, Mohammadian M(2016). Evaluating Usability of Radiology Information Systems in Hospitals of Tabriz University of Medical Sciences. Acta Inform Med, 24(1):42-6.
4. Fulop N, Walters R, Perri, Spurgeon P(2012). Implementing changes to hospital services: factors influencing the process and 'results' of reconfiguration. Health Policy, 104(2):128-35.
5. Alquwez N, Cruz JP, Almoghairi AM, et al (2018). Nurses' Perceptions of Patient Safety Culture in Three Hospitals in Saudi Arabia. J Nurs Scholarsh, 50(4): 422-431.
6. Emanuel L, Berwick D, Conway J, et al (2009). What Exactly Is Patient Safety?. 1rd ed. Rockville (MD): Agency for Healthcare Research and Quality,pp:160-178.
7. Mehrabadi Z(2006). Assessment of safety status of selected Tehran University of Medical Sciences of coping with disasters. Homaye Salamat,3(5):5-11.
8. Ismail BM, Nasir M (2017). Patient safety and its components. Patient Saf Qual Improv, 5(4): 592-593.
9. Donaldson MS(2004). Nutrition and cancer: a review of the evidence for an anti-cancer diet. Nutr J, 3:19.
10. Namaghi MT, Jahangiri K, Riahi L, Gharebagh MJ(2021). Assessment of the Patient Safety Substructures in Selected Teaching Hospitals in the City of Mashhad Based on WHO Protocol. J Saf Promot Inj Prev,9(1):55-65.
11. David G, Gunnarsson CL, Waters HC, Horblyuk R, Kaplan HS(2013). Economic measurement of medical errors using a hospital claims database. Value Health,16(2):305-10.
12. Ebadi Fardazar F, Safari H, Habibi F, Akbari Haghighi F, Rezapour A(2014). Hospitals' readiness to implement clinical governance. Int J Health Policy Manag,4(2):69-74.
13. Arab M, Akbari Sari A, Movahed Kor E, et al (2013). Patient safety in tehran university of medical sciences' general hospitals, iran. Iran J Public Health ,42(3):306-13.
14. Pourshareiati F, Amrollahi M(2017). Patient safety culture from Rahnemon hospital nurses’ perspective. Occupational Hygine and Health Promotion, 1(1):52-61.
15. Cegala DJ, Post DM, McClure L(2001). The effects of patient communication skills training on the discourse of older patients during a primary care interview. J Am Geriatr Soc,49(11):1505-1511.
16. Akbary R, Zarei E, Gholami A, Mousavi H(2015). A survey of patient safety culture: A tool for improving patient safety in healthcare providers service organizations. Iran Occupational Health,12(4):76-88.
17. Vozikis A(2009). Information management of medical errors in Greece: The MERIS proposal. Int J Inf Manage, 29(1):15-26
18. Baker GR, Norton PG, Flintoft V, et al (2004). The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada.CMAJ,170(11):1678-86.
19. Joolaee S, Hajibabaee F, Peyrovi H, Haghani H, Bahrani N(2011). The relationship between incidence and report of medication errors and working conditions. Int Nurs Rev,58(1):37-44.
20. Manser T(2009). Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Acta Anaesthesiol Scand,53(2):143-51.
21. El-Jardali F, Jaafar M, Dimassi H, Jamal D, Hamdan R(2010). The current state of patient safety culture in Lebanese hospitals: a study at baseline. Int J Qual Health Care, 22(5):386-95.
22. Hamdan M, Saleem AA(2013). Assessment of patient safety culture in Palestinian public hospitals. Int J Qual Health Care, 25(2):167-75.
23. Pauniaho S, Lepojarvi M, Peltomaa K, et al (2009). A surgical checklist increases patient safety.Suom Laakaril,49(64):4249-4254.
24. Jabbari A, Raisi A, Rostami V(2015). Patient safety status in selected training hospitals affiliated with Isfahan University of medical sciences. Health Inf Manag,12(41):99-108.
25. Liberati A, Altman DG, Tetzlaff J, et al (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Med,6(7):e1000100.
26. Vandenbroucke JP, Von Elm E, Altman DG, et al (2009). Mejorar la comunicación de estudios observacionales en epidemiología (STROBE): explicación y elaboración. Gac Sanit, 23:158e1-28.
27. Bahadori M, Soltanzadeh P, Salimi M, et al (2013). Application of WHO model for evaluating Patient Safety Friendly Hospital Initiatives (PSFHI) in an Eye hospital in Tehran,Iran. Electron Physician, 5(2):631-6.
28. Asefzade S, mehrabian F, nikpey A, kianmehr S(2013). Assessment of Patient Safety Based on Standards of Patient Safety Friendly Hospitals in Education and Treatment Centers of Rasht City in 2013. Res Med Educ, 5 (1):36-44.
29. Mazhari Z, Adel A(2015). Patient Safety Status In Hospitals Of Tehran-Patient Safety Friendly Hospitals Standards. Payavard,8 (5):379-389.
30. Babamohamadi H, Nemati RK, Nobahar M, et al (2016). Evaluation of Patient Safety Indicators in Semnan City Hospitals by Using the Patient Safety Friendly Hospital Initiative (PSFHI). Glob J Health Sci, 8(8):39161.
31. Bairami F, Ghorbanpoor M, Bairami A, Mostofian F(2016). Assessment of patient safety friendly hospital initiative in three hospitals affiliated to Tehran University of medical sciences. Patient Saf Qual Improv, 4(1):334-9.
32. Habibzade H, Akbari F, qhavami H, Moradi K(2019). A survey on the establishment of patient-friendly safety standards in urmia university of medical sciences. Nurs Midwifery J,17(7) :525-534.
33. Foruzan F, Keshtkaran A(2010). Assessment the patient's safety culture From the perspective of nurses in educational hospitals in Shiraz and offer solutions to improve the current situation (Dissertaton). Shiraz: Shiraz Univ Med Sci.
34. Christian CK, Gustafson ML, Roth EM, et al (2006). A prospective study of patient safety in the operating room. Surgery,139(2):159-73.
35. Jawaid M, Farhan M, Masood Z, Husnain S(2012).Preoperative informed consent: is it truly informed?. Iran J Public Health, 41(9):25-30
36. Zh N, Goudarzi Z, Keshmiri F, Pourreza A(2014). Comparison of the education and research indicators of patient safety status between selected hospitals of Tehran University of Medical Sciences based on the WHO standards. Education Strategies in Medical Sciences,7(4):241-8.
37. Siddiqi S, Elasady R, Khorshid I, et al (2012). Patient Safety Friendly Hospital Initiative: from evidence to action in seven developing country hospitals. Int J Qual Health Care, 24(2):144-51.
38. Lippi G, Plebani M(2011). Identification errors in the blood transfusion laboratory: a still relevant issue for patient safety.Transfus Apher Sci,44(2):231-233.
39. Janghorbani M, Raisi AR, Dehghani S, Mousavi A(2011). Assessment the status of Shahid Beheshti hospital operating room safety based on standards of patient safety friendly Hospitals: Esfehan.Health Inf Manag,9(7):1066-1071.
40. Mousavi S, Dargahi H, Hasibi M, Mokhtari Z, Shaham G(2011). Evaluation of safety standards in operating rooms of Tehran University of Medical Sciences (TUMS) Hospitals in 2010. Payavard, 5 (2) :10-17.
41. Yaghobi M(2009). Study of medical waste management and waste associated with the selected hospitals in Isfahan, Gilan and Boyer Ahmad asserting in 2009 (Dissertaton).Isfahan: Isfahan Univ Med Sci.
| Files | ||
| Issue | Vol 51 No 8 (2022) | |
| Section | Review Article(s) | |
| DOI | https://doi.org/10.18502/ijph.v51i8.10258 | |
| Keywords | ||
| Patient safety Standards Hospital Iran | ||
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How to Cite
1.
Moghadam MN, Amir Ismaili MR, Tavakoli MR. Investigating the Situation of Iranian Hospitals in Terms of Implementing Mandatory Patient Safety Standards: A Systematic Review. Iran J Public Health. 2022;51(8):1766-1777.
