Problem statement: Today, organizations are willing to achieve quality as a source of competitive advantage. Therefore, their performance evaluation and quality improvement is essential. One of the international models in this field is Baldrige health care model. Approach: The study aimed to evaluate Performance Evaluation a teaching Hospital Affiliated to Tehran University of Medical Sciences Based on Baldrige Excellence Model. Performance was evaluated by two types Baldrige questionnaire (i.e., process and result criteria). Six process criteria (Leadership; Strategic Planning; Focus on Patients, Other Customers and Markets; Measurement, Analysis and Knowledge Management; Workforce Focus; and Process Management) with 12 sub-criteria, were evaluated based on four factors of Approach, Deployment, Learning and Integration. Results criteria with six subcriteria were evaluated based on four factors of performance level, rate and breath of performance improvement, comparative and benchmark data and relevance of evaluation result scales. Results: The teaching hospital obtained 145/21 scores (26/40 percent) out of a total of 550 points in process criteria and 90/37 scores (20/08 percent) out of a total of 450 points in result criteria. Studied hospital obtained the highest score in Measurement, Analysis and Knowledge Management 28/1 scores (31/22 percent). In Sum, the hospital obtained 235/58 scores (23/55 percent) out of 1000 points. Conclusion: Scores obtained by hospital showed the first level of excellence. The outcome of this study clearly indicates that Baldrige model criteria act as a powerful tool to analyze the quality performance of the hospitals. The researchers attempted to create a common language and a roadmap in order to follow the path of excellence in health care organizations in Iran

Green Hospital" has been emerged as an approach to address environmental challenges and meet the needs of society. The aim of this study was to evaluate the components of the Green Hospital in Teaching and Private Hospitals covered by Tehran University of Medical Sciences. The present study is a descriptive-analytical which examines the elements of the green hospital at 19 teaching and private hospitals covered by Tehran University of Medical Sciences in 2013. The checklist was developed by the Centre for Environmental Sciences Augsburg Germany which translated by Iranian Green's Management Association. The checklist consisted of eight Green Hospital dimensions which were used for data collection. Descriptive statistics measures including frequency tables mean and range and analytical statistics such as independent t-tests and analysis of variance (ANOVA) were used for data analysis. The studied hospitals have earned 59.5 percent of total points. In this regard, the dimensions of "environmental leadership and management" have rated the highest and water management is in the lowest rating. Although private hospitals had earned higher scores in all aspects of green hospitals apart from management and leadership and chemicals compared with teaching hospitals, but there wasn't any significant difference between these dimensions and types of hospitals statistically. Given that the hospitals studied do not meet green * Corresponding author.F. E. Azar et al. 260hospital standards properly, it seems necessary to prepare a comprehensive action plan to improve their weaknesses and meet these standards. Trying to perform a green hospital accreditation and receive certification of international authoritative institutions or developing a national standards is also recommended.

Patient satisfaction with hospital services is one of the most important indicators of effectiveness and quality of hospital services. Patient satisfaction surveys can provide valuable data for evaluating the current status, awareness of quality and quantity of process improvement programs and quality improvement to health managers and policy makers. The present study discusses previous studies conducted in this area, and presents recommendations to improve patient satisfaction. The method of this study is review. Selected papers were identified by searching keyword in Persian and English in different databases and after applying the inclusion criteria, 19 studies were extracted and analyzed. 23,793 patients in 12 studies entered into this research were investigated. Generally, satisfaction of the patients in this study was estimated at an average level. Continuous evaluation of patient satisfaction and identification of the factors affecting it requires establishment of comprehensive and accurate data system in this area; that by application of the results of previous studies steps can be taken to improve patient satisfaction. Patients' satisfaction in Iran, compared with other countries, is desirable. In addition, the overall satisfaction of patients in recent years has increased compared to previous years and the reason can be measures like different ways of improving the quality, customer orientation, and applying the results of research conducted in this area.

BackgroundPatient’s satisfaction with hospital services is one of the most important indicators of efficiency and quality of services of different hospital wards.MethodsThis cross-sectional descriptive analytical study was conducted in 2015. The study population included patients in gynecological hospitals of TUMS, and by using questionnaires; data were collected from 304 patients. Statistical analysis was performed using the SPSS 22.ResultsThe rights of patients were mainly observed through “quality of care” (Mean ± SD: 9.65 ± 2.62), “knowing the charges and the right to complain”; (Mean ± SD: 6.00 ± 2.5) “presence of an active system to handle complaints of patients in the hospital and explanation of the error that occurred during service provision to patients by the wrongdoer” is the lowest (7.5 ± 2.62). It was found that patients’ satisfaction is below the mean and its different aspects are higher than the mean level. However, the services of physicians and feeding recorded the highest and lowest satisfaction, respectively (19.4 ± 4.25, 20.77 ± 4.39). The mean score of satisfaction of patients admitted with nursing physical care was 24.5 ± 6.2.ConclusionOverall, patients’ satisfaction with hospital services was close to the mean. Deficiencies and grievances should be resolved with a correct measure.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-016-1679-9) contains supplementary material, which is available to authorized users.

Background and Objectives:More than 8% of Iran's populations are elderly. The greatest challenge in this generation is improvement of health and QoL. The main goal of this study was QoL for elderly residents in nursing homes over 65 years in Golestan Province - Iran.Methods:This research was an analytical cross study. The population society includes the elderly over 65 years in Golestan Province - Iran. The sample size was calculated based on the correlation of 193 elderly men and women. Therefore, if the correlation is 2.0 or greater is statistically significant at 80% and 0.95 confidence.The needed data collected from two questionnaires Consumer product Safety Commission (CPSC) to assess the QOL of nursing homes and the SF-36 for health QOL the elderly indicators through interviews and observation. The reliability of the CPSC questionnaire was estimated using Cronbach's alpha with a coefficient of 0.838. The SF-36 questionnaire was validated with Cronbach's alpha with a coefficient of 0.95. To analyze data, ANOVA one-way test was used that after investigating homogenization of variances with Levin statistic, if homogenization reported P is rejected, the independent T-test was used to interpret it.Results:Among QOL dimensions only General Health (GH) status showed a significant association with supporting organizations covering status (P = 0.01). The relationship between QOL with marital status in both genders was observed that the General Health (GH) (P = 0.001), Physical Functioning (PF) P = (0.007) Mobility Restricts (MR) P = (0.002), Emotional Problems (EP) (P = 0.001), vitality (V) (P = 0.001), Mental Health (MH) (P = 0.001) were significantly related.Conclusions:There was a significant relationship between the Physical Functioning (PF) mean and the mean of other QOL indicators in two groups of male and female (P = 0.007), also the safety of nursing homes just related respectively with residence variable (P = 0.01) and their employment (P = 0.031).