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6 "/ F, L; J+ Q "% VR! q 5 =i VR! A A0- I "% V"G % F "% S % ISO D>% 6 A % yi k &aq %F 2000 & V"G - A! j A,"R -G. :8 % Pa Rh# yi. AG A(6 1 Rh# g. A% 1 A!! "# V\. 4, # A%! A%e &R&R. 1%,ZR Ag(K B.! & %.) 4 A - q -D AR. &G h A!. Y.- 4 c R d- &> &%%# &:8 V6 - > &% d,.(11-14) A % &RF "% VR! % D>% 6. g A R &> A &R_.) A 4, # A % A &R^q. g 4^q % -S VW c - F I =e % F VR! e 4j. % f- "% VR!,R s 1%,ZR. I\ Ag(K. g &> % ^> A % Q S % Q %F%! ^ A ) - A! D>% 6 5 VR!.j &R_.) A. ^> "# c - " References 1. Maarse H, Mur-Veeman I, Spreeuwenberg C. The reform of hospital care in the Netherlands. Med Care 1997; 35(10 Suppl): OS26-OS Swinehart K, Zimmerer TW, Oswald S. Adapting a strategic management model to hospital operating strategies. A model development and justification. J Manag Med 1995; 9(2): Delgoshahi B, Maleki MR, Dehnvieh R. Assessing the essential needs to implementation of TQM in educational and medical complex of Hazrat Rasool Akram, Iran University of Medical Sciences. Payesh 2004; 3(3): [In Persian]. 4. Danial Z. Effect of total quality management in determining the educational needs of critical wards nurses. Iran J Crit Care Nurs 2009; 2(3): [In Persian]. 5. Tishehzan M, Kafilzadeh B. Innovation in educational management with the utilization of total quality management. Journal of Management Development Process 2001; (52): [In Persian]. 6. Tourani S, Tabibi SJ, Shahbazi B. Influencing factors on implementation of total quality management at teaching hospitals affiliated with Iran University of Medical Sciences. Hakim Res J 2008; 11(2): [In Persian]. 7. Breedlove TH. Measuring the impact of quality improvement efforts. Healthc Financ Manage 1994; 48(9): 32-4, Lagrosen S. Born with quality: TQM in a maternity clinic. International Journal of Public Sector Management 2000; 13(5): van der Wiele A, Williams AR, Brown A, Dale BG. The ISO 9000 series as a tool for organisational change: Is there a case? Business Process Management Journal 2001; 7(4): Hamidi Y, Bashirian S, Jalilian F, Eivazi M, Nasirzadeh M, Mirzaei Alavijeh M. Factors Affecting Job Satisfaction among the Staff of Teaching Hospitals in Hamadan, Iran. J Health Syst Res 2012; 8(1): [In Persian]. 11. Abdollahi AA, Rahmani H, Khodabakhshi B, Behnampour N. Assessment of level of knowledge, attitude and practice of employed nurses to nosocomial infection in teaching hospitals of Golestan University of Medical Sciences (2000). J Gorgan Uni Med Sci 2003; 5(1): [In Persian]. 12. Darvishpour A, Hashemian H, Faal E, Fasihi M. Survey of Nosocomial Infection and Accompanied Factors in Neonatal Intensive Care Unit. J Guilan Univ Med Sci 2010; 19(73): [In Persian]. 13. Bagheri NS, Allegranzi B, Syed SB, Ellis B, Pittet D. Health-care-associated infection in Africa: a systematic review. Bull World Health Organ 2011; 89(10): Nazari R, Rezaee R, Saatsaz S, Haji Ahmadi M. Discrepancy between self-reported and observed hand hygiene behavior in healthcare professionals: A study based on theory of planned behavior. Journal of Mashhad Nursing and Midwifery 2010; 10(2): [In Persian]. 661

7 23 The Effectiveness of Implementing a Quality Management System (ISO ) on Improvement in Shohada Hospital, Kermanshah, Iran Behzad Karami-Matin 1, Farid Najafi 2, Nozar Mohammadi 3, Amin Karami-Matin 4, Elnaz Salimi 4, Fazel Zinat-Motlagh 5 Original Article Abstract Background: Implementation of quality management system in hospitals could lead to improved performance of the services. This study evaluated the effect of a quality management system (ISO ) on services effectiveness in Shohada hospital at Kermanshah, Iran. Methods: This was a before and after quasi-experimental study. The mean duration of hospitalization, hospital infection rates, mortality, and patient and staff satisfaction was measured. Data were analyzed using SPSS software. Findings: The results indicated an increase in staff and patient satisfaction mean score and reduction in hospital infection rates, hospitalized patients mortality rate, and the mean duration of hospitalization after implementation of the system. Conclusion: It seems that ISO system implementation could be useful in improving hospital efficiency. It was an appropriate cost-benefit economical project. Key words: Quality Management, Effectiveness, Hospital Citation: Karami-Matin B, Najafi F, Mohammadi N, Karami-Matin A, Salimi E, Zinat Motlagh F. The Effectiveness of Implementing a Quality Management System (ISO ) on Improvement in Shohada Hospital, Kermanshah, Iran. J Health Syst Res 2013; 9(6): Received date: 10/06/2013 Accept date: 24/08/ Assistant Professor, Department of Public Health, School of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran 2- Associate Professor, Department of Epidemiology and Statically, School of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran 3- Social Security Organization, Kermanshah, Iran 4- Department of Public Health, School of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran 5- Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran (Corresponding Author) motlaghf@yahoo.com 662

Knowledge, attitude and self-efficacy of nursing staffs in hospital infections control

Iranian Journal of Military Medicine Vol. 13, No. 3, Fall 2011 Pages: 167-172 MSc PhD MSc * BSc * SPSS 16 p< Knowledge, attitude and self-efficacy of nursing staffs in hospital infections control Ghadamgahi