این سایت در حال حاضر پشتیبانی نمی شود و امکان دارد داده های نشریات بروز نباشند
Iranian Journal of Nursing and Midwifery Research، جلد ۱۴، شماره ۴، صفحات ۰-۰
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عنوان انگلیسی Problems in the emergency department of Al-Zahra educational medical cen-ter, Isfahan
چکیده انگلیسی مقاله BACKGROUND: Speed of giving services in medical centers, especially in emergency department, play an important role in reducing death and handicap. The action of emergency department can have a great effect on other wards actions. METHODS: This triangulation study conducted in 2005 in three steps. In the first step, problems of the emergency department of Al-Zahra hospital were extracted using an open questionnaire filled by employed personnel. In the second step, 14 managers of the center attended a meeting discussing those problems. Based on the gathered data, a closed questionnaire was designed and in the third step it was given to 64 hospital employee. Data were analyzed using SPSS software. RESULTS: In the first group (managers), 5 problems were scored more: security problem (70%), not paying attention to educational hierarchy (70%), absence of on-watch resident in the emergency department (60%), absence of a standard clinical protocol (60%), and absence of team work (38%). The second group (employed personnel of emergency department), gave more scores to nonscheduled transfers from other centers (70.6%), absence of on-watch resident in the emergency department (61.8%), not determining the correspondence attending for a multiple-trauma patient (58.9%), absence of team work (52.9%). CONCLUSION: Emergency ward has increased the chance of living for patients receive urgent medical services, in the first hours after an accident or a disease attack, known as "golden time"; so absence of on-watch resident in the emergency department of educational hospital has a negative effect on making decisions and functioning and mostly. KEY WORDS: Emergency department, hospital emergency services, triage, clinical protocol.
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نویسندگان مقاله سهیلا مژده | soheila mojdeh


مهرداد معمارزاده | mehrdad memarzadeh


مرتضی آبدار اصفهانی | morteza abdar isfahani


فلورا قلی پور | felora gholi pour


نشانی اینترنتی http://www.ijnmr.mui.ac.ir/index.php/ijnmr/article/view/211
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نوع مقاله منتشر شده Original Article
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