Comparison of quality standards of public care in the emergency, infectious and non-infectious wards of Imam Reza Hospital in Mashhad: Before and after Covid 19 pandemic onset

S. Fazaeli, Mehdi Yousei, N. Shahidi, Atefeh Behboudifar, Medical Monitoring
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引用次数: 2

Abstract

Aim: In late 2019, the world was encountered with Covid 19 pandemic. Since maintaining the quality of care is one of the priorities of the healthcare system, the aim of this study was to investigate the status of public care provided to patients before and after allocating the wards to Covid 19 patients. Methods: This cross-sectional descriptive study was performed in the emergency room and infectious and non-infectious wards of Imam Reza Hospital. The research tool was a checklist that was compiled based on national accreditation measures. Its validity was confirmed quantitatively by ten experts. The data related to the evaluations were collected two months before and two months after allocating these wards to Covid 19 patients, entered into spss21 software, and analyzed by chi-square test. Results: In general, the quality score of public care in the emergency and non-infectious wards was significantly lower than before. In the emergency department, the installation of etiquette and in the non-infectious ward, compliance with the standard related to the pressure ulcer prevention and physical restraint had a significant reduction compared to prior the Coronavirus pandemic. The standards related to patient delivery and transformation in infectious and non-infectious wards has decreased compared to before the pandemic. For other standards, there was no significant difference between before and after Coronavirus pandemic. Conclusion: It is recommended to identify the factors affecting the reduction of compliance with healthcare standards in the wards allocated to Coronavirus and to consider appropriate solutions in the pandemic crisis.
马什哈德伊玛目礼萨医院急诊、感染和非感染病房公共护理质量标准的比较:2019冠状病毒病大流行发生前后
2019年底,世界遭遇了Covid - 19大流行。由于保持护理质量是医疗保健系统的优先事项之一,因此本研究的目的是调查在将病房分配给Covid - 19患者之前和之后向患者提供的公共护理状况。方法:本横断面描述性研究在伊玛目礼萨医院急诊室、感染性和非感染性病房进行。研究工具是根据国家认证措施编制的清单。10位专家对其有效性进行了定量验证。收集这些病房分配给新冠肺炎患者前2个月和后2个月的相关评估数据,输入spss21软件,采用卡方检验进行分析。结果:总体而言,急诊病房和非感染病房的公共护理质量得分明显低于治疗前。在急诊科,礼仪的安装和在非传染性病房,遵守与压疮预防和身体约束相关的标准与冠状病毒大流行之前相比,有显着下降。与大流行之前相比,与传染病和非传染病病房的病人交付和转化有关的标准有所下降。其他指标,冠状病毒大流行前后无显著差异。结论:建议找出影响冠状病毒病区卫生标准符合性下降的因素,并考虑在大流行危机中适当的解决方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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