Arab Mohammad, Akbari Sari Ali, Movahed Kor Elham, Hosseini Mostafa, Toloui Rakhshan Shiva, Ezati Mohammad
Dept. of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Iran J Public Health. 2013 Mar 1;42(3):306-13. Print 2013.
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.
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.
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.
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.
为提高患者改善患者安全和服务质量的能力，在卫生系统的各个层面为患者创造参与机会至关重要。本研究的总体目标是从患者角度确定伊朗德黑兰医科大学（TUMS）附属医院的患者安全水平，并确定他们认为的促成因素。
这是一项横断面研究。2011年春季，通过TUMS网站获取了隶属于TUMS的六家综合医院的临床科室名单。采用分层随机抽样法，计算出样本量为300名患者。使用结构化问卷收集数据，其效度和信度均可接受。采用描述性统计、线性回归和逻辑回归分析数据。
共有60%的患者为女性。60%的受访者对患者安全评价较高。未婚、受过教育或就业的个体得分往往低于其他人。
从患者角度来看，TUMS的综合医院足够安全，但患者安全仍应得到改善。在临床治理中，将患者的观点纳入患者安全改革的改进中，对于产生良好实践的新模式至关重要。
