Evaluation of Respect for Patient's Rights from the Viewpoint of Hospitalized Surgical Patinents in Shohada Ashayer Hospital of Khorramabad City, Iran in 2015-2016

Abstract

One of the most important branches of medical science, until past time, law and consequently to medical ethics. Patients' satisfaction of their rights, one of the most important indicators of effectiveness, efficiency, productivity and quality of healthcare services. The goal of this study was to Check the Observance of the rights of patients in surgical patients admitted to Shohaday Ashayer hospital in 2015-2016 from the perspective of patients. This cross-sectional study included 800 patients admitted to Shohada Ashayer Hospital in 2015 and 2016. Respecting patient’s bill of rights from their viewpoint was determined by a questionnaire using a Likert scale from one (strongly disagree) to five (strongly agree). The results obtained in this study showed that the rate of patients' rights in all aspects of the %15.8 patient's view was poor, from the %67.4 patient's perspective was middle, and from the %16.8 patient's view was good. Most patients' satisfaction with their rights in respect to the axis of the right to choose and decide freely and the lowest levels of satisfaction was at the core of respect for patient privacy and confidentiality principle. Level of satisfaction in all axes was significantly associated with age, type of substrate in the third axis, history of hospitalization in the fourth axis and duration of hospital stay in the second axis(P>0.O5). Between gender and place of residence and educational level found no significant relaion(P>O.O5). In total, based on the obtained results and comparing them with the results of other studies, it may be concluded that respecting patient’s bill of rights from the viewpoint of patients is considered as optimal and to enhance the implementation of the Charter as well as patient satisfaction is essential that solutions be identified barriers to implementation

Patient safety improvement in the gastroenterology department: An action research

“…Based on the results, they stated that having a supervisor can be effective in promoting the culture of reporting medical errors [ 42 ]. Errors in human action are inevitable and act as an integral part of human reality [ 17 , 19 ]. Even the most skilled experts may have MEs [ 3 ].…”

“…Poorolajal et al, stated that people’s lack of attention to the importance of medical errors and the lack of an effective reporting system for medical errors, and emphasis on the person who commits the error, were the reasons for reluctance to report medical errors [ 46 ]. Developing a systematic approach to the culture of error reporting and active participation in staff and identifying and knowing the causes that lead to medical errors can be helpful [ 19 ]. Evidence has shown that an anonymous, non-punitive critical incident reporting system can act as a powerful tool to identify the majority of medical errors and risk factors and may help prevent preventable adverse events.…”

“…Patients hospitalized in emergency [19], Intensive care [10,20], internal [21] and gastroenterology [22][23][24] departments are more exposed to adverse events and complications of diagnostic or surgical procedures, misdiagnosis, and drug complications than other patients [25].…”

“…Khammarnia et al (2021) estimated the overall prevalence of medical errors at 50% based on the results of a random effect model [6]. Mahmoudi et al reported a high prevalence of errors in medical centers [19]. So, The patient safety culture in the hospital is inappropriate and requires urgent intervention [34] and there is a need for more studies in this field to achieve a medical care system with the highest standards [35].…”