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Developing strategies for patient safety implementation: a national study in Iran

Ali Maher (Department of Health Policy, School of Management and Medical Education, Shahid Beheshti University of Medical Sciences, Tehran, Iran)
Ali Ayoubian (Department of Hospital Management, Iran Ministry of Health and Medical Education, Tehran, Iran)
Sima Rafiei (Department of Healthcare Management, School of Health, Qazvin University of Medical Sciences, Qazvin, Iran)
Donya Sheibani Tehrani (Department of Hospital Management, Iran Ministry of Health and Medical Education, Tehran, Iran)
Farnaz Mostofian (Department of Patient Safety, Iran Ministry of Health and Medical Education, Tehran, Iran)
Pooneh Mazyar (Department of Hospital Management, Iran Ministry of Health and Medical Education, Tehran, Iran)

International Journal of Health Care Quality Assurance

ISSN: 0952-6862

Article publication date: 14 October 2019

564

Abstract

Purpose

Today, healthcare organizations focus mainly on development and implementation of patient safety strategic plan to improve quality and ensure safety of provided services. The purpose of this paper is to recommend potential strategies for successful implementation of patient safety program in Iranian hospitals based on a strengths, weaknesses, opportunities, threats (SWOT) analysis.

Design/methodology/approach

In this qualitative study, key informant interviews and documentation review were done to identify strength and weakness points of Iranian hospitals in addition to opportunities and threats facing them in successful implementation of a patient safety program. Accordingly, the research team formulated main patient safety strategies and consequently prioritized them based on Quantitative Strategic Planning Matrix (QSPM) matrix.

Findings

The study recommended some of the potential patient safety strategies including provision of education for employees, promoting a safety culture in hospitals, managerial support and accountability, creating a safe and high-quality delivery environment, developing national legislations for hospital staff to comply with patient safety standards and developing a continuous monitoring system for quality improvement and patient safety activities to ensure the achievement of predetermined goals.

Practical implications

Developing a comprehensive and integrated strategic plan for patient safety based on accurate information about the health system’s weaknesses, strengths, opportunities and threats and trying to implement the plan in accordance with patient safety principles can help hospitals achieve great success.

Originality/value

Ministry of Health and Medical Education (MOHME) conducted a national study to recommend potential strategies for successful implementation of patient safety in Iranian hospitals based on a SWOT analysis and QSPM matrix.

Keywords

Acknowledgements

The authors would like to thank all interviewees who participated in this research and are also grateful for advice and guidance of Mostofian, Dr Ganji, Dr Davari, Dr Akbarisari, Dr Sadat, Dr Mahdavi, Dr Hojatdoost, Fath Abadi, Safazadeh, Masoori, Mohsenzadeh, Asghari, Rahnamon, Mosavikhah, Ramazani and Shahraki.

Citation

Maher, A., Ayoubian, A., Rafiei, S., Sheibani Tehrani, D., Mostofian, F. and Mazyar, P. (2019), "Developing strategies for patient safety implementation: a national study in Iran", International Journal of Health Care Quality Assurance, Vol. 32 No. 8, pp. 1113-1131. https://doi.org/10.1108/IJHCQA-02-2019-0043

Publisher

:

Emerald Publishing Limited

Copyright © 2019, Emerald Publishing Limited

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