Purpose The regulation defines patients’ rights as a reflection of fundamental human rights in the field of medicine and incorporates all elements of patients’ rights accepted in international texts. Hence, the purpose of this paper is to investigate the relationship between patients’ safety, medical errors and patients’ safety rights with patients’ security feeling in selected hospitals of Mazandaran Province, Iran. Design/methodology/approach This descriptive cross-sectional study was conducted in selected hospitals of Mazandaran Province in public, social and private hospitals in 2016. In total, 1,083 patients were randomly selected for the study. The developed tool (questionnaire) was used for data collection. Questionnaire validity was verified through experts and its reliability was confirmed by Cronbach’s α coefficient (95 percent). Data were analyzed through multiple regressions by SPSS software (version 21). Findings The findings of this paper showed that the mean (standard deviation) medical error, patient’s safety, patient’s rights and patient’s security feeling were 2.50±0.61, 2.22±0.67, 2.11±0.68 and 2.73±0.63, respectively. Correlation testing results showed that medical error, patient’s safety and patient’s rights simultaneously had a significant relation with patient’s security feeling in the selected hospitals (p<0.05). Originality/value A simultaneous correlation between patient’s safety, patient’s rights and medical errors with patient’s security feeling in social security hospitals was higher than other hospitals. Hence, the authorities and officials of hospitals and healthcare centers were advised to make effective attempts to perceive the patient’s safety, medical errors and patient’s rights to improve the patient’s security feeling and calmness and also to make better decisions to promote the healthcare and therapeutic services.

BackgroundHospital performance measurement is an essential component of providing feedback on the efficacy and effectiveness of service. The purpose of this study was to compare three models of performance assessment through the IPOCC approach.MethodsThis descriptive-analytical study was conducted in 2018 in Sari educational hospital. The data collection instrument was BSC, EFQM and accreditation questionnaire which was filled out through census. The validity of the BSC questionnaire and EFQM was based on expert opinion, and its reliability was found to be 0.97 and 0.92 using Cronbach's alpha coefficient. The accreditation questionnaire was developed using a checklist of the Ministry of Health. Using the expert panel, the components of the questionnaires were classified into dimensions of input, process, output, control, and context. Data analysis was done applying descriptive statistics and one way ANOVA.ResultsThe highest distribution of components and acquired points through the IPOCC approach were found in the BSC in the process dimension (58.8%) and control dimension (3.62 ± 0.56), in the EFQM, in the result dimension (40.2%) and structure dimension (3.25 ± 0.44), and in the accreditation, in the process dimension (64.4%) and control dimension (3.45 ± 0.72), respectively. The results of one-way ANOVA showed that there was a significant difference between different quality models (P <0.001).ConclusionThe results of the present study showed that in evaluating the hospital through the IPOCC approach, the distribution of components was more in the dimensions of the process. Therefore, having a robust systematic approach was considered to be effective for hospitals.

Background and purpose: Health-promoting activities and a healthy lifestyle are major strategies to preserve health. The purpose of this research study, health-promoting behaviors of medical sciences student of Islamic Azad University of Sari, Iran, was carried out in order to determine the compliance and to promote the medical community. Materials and Methods:This was a cross-sectional study conducted on 285 university students, School of Medical Sciences, Sari, Iran, who were selected using stratified random sampling. Tools for data collection questionnaire were health-promoting lifestyle profile-II, which includes two main categories of health behaviors and psychosocial health of six sub-categories. Data were entered into the SPSS statistical software and for analysis, Friedman and One-sample test was used.Results: Of the six dimensions of health-promoting behaviors, spiritual growth, averaging 25.11 ± 4.57 most, and the area of physical activity with a mean 18.33 ± 4.40 was the lowest score accounted in this study. The results of Freidman test showed that the ranking of dimensions (aspects) are as following: 1 -personnel inter-relationship; 2 -spiritual growth; 3 -nutrition; 4 -management stress; 5 -health responsibility; and 6 -physical activity. Conclusion:The finding was shown that doing the facilitator behavior and health promotion in the students are at the acceptable level. Furthermore, the terms of personnel inter-relationship, spiritual growth, nutrition, and stress management are at the important level of health promotion aspects. Regarding the above situations of health-promoting behaviors for health education programs among medical group students is recommended.

Background:The gap between knowledge and practice is a global issue that reduces service quality by creating barriers to knowledge implementation, and thus strategies should be developed to resolve it. The present study aimed to explain barriers and strategies for implementing knowledge implementation into Iranian health system management. Methods: This qualitative study was conducted on 53 managers and health management graduates in 2018. Participants were recruited through purposive sampling in Medical Sciences Universities in Iran. Data were collected by semi-structured interviews based on the "Promoting Action on Research Implementation (PARiHS)" framework, focus group discussions and Delphi technique. The PARiHS framework has three main elements including; evidence, context and facilitation. The Lincoln and Guba criterion was used to assess the rigor of the study. Data were analyzed in MAXQDA software version 10 using directional content analysis. Results: After data analysis 9 subcategories and 3 main categories including; evidence, context, and facilitation were emerged. In addition to three subcategories including, culture, leadership and evaluation, the socio-political subcategory was a context for knowledge implementation main barrier in the organizational context. The systematic structural planning for the combined use of four sources of knowledge is the most important strategy. Conclusion:The lack of context readiness in using knowledge and lack of efficient system impeded knowledge implementation in the health system management. Therefore, managers and policy makers need to design a comprehensive system based on current knowledge and successful experiences.

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