Publications by authors named "Esmaeil Mohammad Nejad"

5 Publications

  • Page 1 of 1

Medication errors of nurses in the emergency department.

J Med Ethics Hist Med 2013 24;6:11. Epub 2013 Nov 24.

PhD candidate in Nursing, International Branch, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Patient safety is one of the main concepts in the field of healthcare provision and a major component of health services quality. One of the important stages in promotion of the safety level of patients is identification of medication errors and their causes. Medical errors such as medication errors are the most prevalent errors that threaten health and are a global problem. Execution of medication orders is an important part of the treatment and care process and is regarded as the main part of the nurses' performance. The purpose of this study was to explore the medication error reporting rate, error types and their causes among nurses in the emergency department. In this descriptive study, 94 nurses of the emergency department of Imam Khomeini Hospital Complex were selected based on census in 2010-2011. Data collection tool was a researcher-made questionnaire consisting of two parts: demographic information, and types and causes of medication errors. After confirming content-face validity, reliability of the questionnaire was determined to be 0.91 using Cronbach's alpha test. Data analyses were performed by descriptive statistics and inferential statistics. SPSS-16 software was used in this study and P values less than 0.05 were considered significant. The mean age of the nurses was 27.7 ± 3.4 years, and their working experience was 7.3 ± 3.4 years. Of participants 46.8% had committed medication errors in the past year, and the majority (69.04%) had committed the errors only once. Thirty two nurses (72.7%) had not reported medication errors to head nurses or the nursing office. The most prevalent types of medication errors were related to infusion rates (33.3%) and administering two doses of medicine instead of one (23.8%). The most important causes of medication errors were shortage of nurses (47.6%) and lack of sufficient pharmacological information (30.9%). This study showed that the risk of medication errors among nurses is high and medication errors are a major problem of nursing in the emergency department. We recommend increasing the number of nurses, adjusting the workload of the nursing staff in the emergency department, retraining courses to improve the staff's pharmacological information, modification of the education process, encouraging nurses to report medical errors and encouraging hospital managers to respond to errors in a constructive manner in order to enhance patient safety.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3885144PMC
January 2014

Prevalence of HBV in HIV Patients Referred to Imam Khomeini Hospital, Tehran, Iran from 2008-2010.

Iran Red Crescent Med J 2013 Apr 5;15(4):379-80. Epub 2013 Apr 5.

Department of Nursing, International Branch, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran.

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http://dx.doi.org/10.5812/ircmj.4883DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3785921PMC
April 2013

The Prevalence of Tb in HIV Patients and Risk Factor With Frequent Referral (Iran, 2009-10).

Iran Red Crescent Med J 2013 Jan 5;15(1):58-61. Epub 2013 Jan 5.

Department of Infection Control, Tehran University of Medical Sciences, Tehran, IR Iran.

Background: HIV infection significantly increases the risk of tuberculosis and this disease is one of the most common opportunistic infections in HIV Patients.

Objectives: The aim of this study was to determine of the prevalence of tuberculosis and risk factor among HIV patients.

Materials And Methods: In this cross-sectional study, from September 2009 to September 2010, 71 HIV patients who referred to teaching hospital in Tehran, Capital Iran were enrolled. Records of patients that admitted to hospital at least once a year and have positive test for HIV with ELISA and Western Blot were assessed. TB diagnosis testes included clinical finding, chest X-Ray and culture positive sputum.

Results: 74.6 % and 38 % of them had prison history and history of addiction respectively, 28.2% of subjects co- infected with HIV / TB and 40% of patients were under treatment with anti-retroviral drugs. There was relationship Between TB and CD4 counts below 200 cells per micro-liters (P = 0.003), age (P = 0.000), anti-retroviral drugs (P = 0.001), discharge status (P = 0.004), prison history (P = 0.002) and alcohol and smoking (P = 0.01).

Conclusions: The prevalence rate of TB / HIV among intravenous drug abusers and prisoners was high also the prevalence of tuberculosis among HIV patients.
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http://dx.doi.org/10.5812/ircmj.4401DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3589780PMC
January 2013

Nurses awareness of patients rights in a teaching hospital.

J Med Ethics Hist Med 2011 26;4. Epub 2011 Feb 26.

Instructor, MSc in Nursing Training, Islamic Azad University, Aliabad Katoul Branch, Aliabad Katoul, Iran.

Patients' rights observance is one of the effective measures of patients' satisfaction of health care services. We performed this study at the aim of evaluation of nurses' awareness of patients' rights in a teaching hospital in Tehran. This cross-sectional study was conducted in 2010. In this study 156 nurses were randomly selected. Two-part questionnaire was used for data collection. The validity and reliability of questionnaire was determined and then it was distributed between subjects. The data were analyzed by SPSS version 15 using descriptive and inferential statistics. Our results showed that %58.33, %39.10 and % 2.56 of nurses have good, medium, and poor levels of awareness respectively. We observed a significant relationship between nurses awareness and work experience (P=0.008) and concurrent work in public and private hospitals (P=0.01). The most of the nurses (%95.51) were aware of "right to privacy protection and ensure confidentiality of information" and the least of them (%33.97) were aware of "right to receiving necessary information about the health care providers, the rate of tariff and insurance coverage". According to our survey it is concluded that implementation of Patients' Right Charter in this hospital is accompanied by some limitations which necessitates promotion of the nurses' awareness about patients' rights. Taken together in order to enhance nurses' awareness special measures and strategies should be considered.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3713951PMC
August 2013