Association between Evidence-Based Organization of Pathways and Quality Management System in Acute Myocardial Infarction (AMI) and Stroke in Tehran Hospitals
نویسندگان
1 Department of Health Services Management, Medical Sciences and Technologies School, Science and Research Branch, Islamic Azad University, Tehran, Iran. Department of Midwifery, Nursing and Midwifery School, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
2 Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
3 Department of Health in Disasters and Emergency, School of Health, Safety, Environment (HSE), Shahid Beheshti University of Medical Sciences, Tehran, Iran.
4 Department of Health Service Management, Medical Sciences and Technologies school,Science and Research Branch, Islamic Azad University, Tehran, Iran.
doi
چکیده
Background: The clinical pathways are an approach to standardizing care process which supports the use of clinical guidelines and protocols. The aim of this study was to investigate the association between the evidence-based organization of pathways and quality management system in acute myocardial infarction (AMI) and stroke in Tehran Hospitals. Materials and Methods: A random sample of 21 hospitals were studied. The anonymous questionnaire of Quality management system index (QMSI) was conducted through quality manager of these hospitals. The validity and reliability of the 40- item questionnaire were obtained. 450 patient’s records in two acute conditions of acute myocardial infarction (MI) and stroke were reviewed with evidence-based organization pathway (EBOP) checklist. Data were analyzed using descriptive statistics, Pearson corelation coefficient, ANOVA, T-Test, alpha Cronbach and multiple linear regression analysis. SPSS version 21 was used to analyze the data. Results: There was a positive association between quality management system and evidence-based organization pathway in (AMI) (β: 0.654) .PR>t: 0.014: and stroke (β: 0.833), PR>t: 0.01, respectively. Hospital characteristic and QM were not related. Conclusion: We concluded that compliance of QM at the highest level of the hospital could improve the quality of special performance inpatient with two acute conditions in AMI and stroke. This study revealed that QM strategies were effective.
