1.Medical Errors and Barriers to Reporting in Ten Hospitals in Southern Iran
Mohammad Khammarnia ; Ramin Ravangard ; Eshagh Barfar ; Fatemeh Setoodehzadeh
Malaysian Journal of Medical Sciences 2015;22(4):57-63
Background: International research shows that medical errors (MEs) are a major threat to patient safety. The present study aimed to describe MEs and barriers to reporting them in Shiraz public hospitals, Iran.
Methods: A cross-sectional, retrospective study was conducted in 10 Shiraz public hospitals in the south of Iran, 2013. Using the standardised checklist of Shiraz University of Medical Sciences (referred to the Clinical Governance Department and recorded documentations) and Uribe questionnaire, we gathered the data in the hospitals.
Results: A total of 4379 MEs were recorded in 10 hospitals. The highest frequency (27.1%) was related to systematic errors. Besides, most of the errors had occurred in the largest hospital (54.9%), internal wards (36.3%), and morning shifts (55.0%). The results revealed a significant association between the MEs and wards and hospitals (p < 0.001). Moreover, individual and organisational factors were the barriers to reporting ME in the studied hospitals. Also, a significant correlation was observed between the ME reporting barriers and the participants’ job experiences (p < 0.001).
Conclusion: The medical errors were highly frequent in the studied hospitals especially in the larger hospitals, morning shift and in the nursing practice. Moreover, individual and organisational factors were considered as the barriers to reporting MEs.
2.A Survey of iron Supplementation Consumption and its Related Factors in High School Students in Southeast Iran, 2015
Mohammad Khammarnia ; Zahra Amani ; Mahsa Hajmohammadi ; Alireza Ansari-Moghadam ; Marzieh Eslahi
Malaysian Journal of Medical Sciences 2016;23(5):57-64
Background: This study aimed to estimate the prevalence of iron supplement
consumption and its associated factors among high school students in Iran.
Methods: A mixed-methods (quantitative-qualitative) study was conducted in Zahedan,
southeast Iran, in 2015. The sample comprised 400 high school students from different areas of
Zahedan who were randomly selected. A standard questionnaire and semi-structured interview
were used to collect data in the quantitative and qualitative phases, respectively. The data were
analysed using SPSS software with one-way ANOVA and Pearson’s chi square. Additionally,
content analysis was used for the qualitative analysis.
Results: In total, 38.2% of the students had not consumed iron supplements in the past 16
weeks, and students in third grade had the highest non-consumption rate (P=0.006). There was a
significant positive relationship between iron tablet consumption and grade point average in the
last year (P = 0.003). Digestive problems, influence of family and friends, students’ reluctance,
and poor environmental situations were the most important factors related to students’ refusal to
take tablets.
Conclusions: Most students did not take or irregularly consumed iron supplements.
Based on the digestive problems of the students, improving the taste and quality of iron tablets is
recommended