Abstract

Aim. The purpose of this review of article is to assess the reuse of angioplasty devices as a challenge to the health center.

Background. Processing and reuse of disposable medical products began in the United States in 1970.

Method. Nowadays, infection is one of the common post-operative complications which have different severities and types based on social, financial and cultural conditions in different countries. Ignoring the proper disinfection and sterilization of hospital devices and equipment is one of the most important sources for distribution and transmission of nosocomial infections. The papers from 1998 to 2013 were searched for based on the key words "Reuse", "Single Use Only", "Disposable", "Medical Equipment", and "Reuse of Single Used Devices (SUD)" (alone or in combination) in Cumulative Index of Nursing and Allied Health Literature (CINAHL), Scopus, Medline, EMBASE, and PsycINFO.

Findings. The main problems in reusing angiography devices include the failure in cleaning, disinfection and sterilization of equipment due to structure design, lack of knowledge and not providing information  to patients and families regarding to reuse of  disposable devices, unclear  cost for the equipment, ambiguous disinfection and sterilization techniques for disposable medical equipment due to lack of proper staff supervision, lack of informed consent for reusing equipment, contradiction to the principles of clinical governance, patient safety, JCI standardization, and negligence of the ethical issues of patient care.

Conclusion. According to the lack of efficient reprocessing the angiography devices in country, lack of official license and policies issued by Ministry of Health and the Center of Medical Equipment, and the above mentioned risks, the reuse of these devices is not recommended.

Abstract

Aim. This study aimed to assess the domains of patient safety culture issues at Rajaie Cardiovascular, Medical and Research Center in 2012.

Background. Patient safety is a critical component of health care quality. As health care organizations continually strive to improve, there is a growing recognition of the importance of establishing a culture of safety.

Method. This descriptive analytical cross-sectional study was conducted in Rajaie Cardiovascular, Medical and Research Center. Multi-stage random sampling, proportionate to the number of the hospital staff., was used to recruit the participants. The sample consisted of the physicians, nurses, and laboratory personnel. The questionnaire “Hospital Survey on Patient Safety Culture” was used to collect the data.

Findings. The total mean score was 65%. The highest score was achieved by the paraclinical and diagnostic departments in the issue of team-work within organizational units (83%), and the lowest score belonged to the paraclinical and diagnostic departments in the issue of error occurrence (42%) and the intensive care units in the issue of staff affairs (42%).

Aim. The aim of the study is to investigate the need for hospital infection control and prevention.
Background. Nosocomial infections are among the major health problems which increase mortality and hospital costs, especially in intensive care units. Successful control of nosocomial infections depends on recognition of hospital challenges in this issue.

Method. This study is an overview study. The keywords “hospital infection” and “ICU”, alone or together, with Persian equivalents were searched in websites such as Iranmedex, CINAHL, Scopus, Medline, Embase, SID, PubMed, Magiran and Irandoc.

Findings. Based on the findings, the main causes of nosocomial infections included multiple procedures and invasive diagnostic and therapeutic treatments, especially in ICUs. Compromised immune system, duration of hospitalization, absence of hospital surveillance reporting system, inappropriate disinfection and sterilization of equipment, inappropriate physical structure of ICU, non-cooperative managers and departments, and lack of knowledge of medical staff, especially physicians and nurses.

Conclusion. Identifying causes of hospital infections and the use of especial measures to promote safety and enhance quality of care in the treatment and prevention of these infections are necessary for a comprehensive and integrated controlling program.