چکیده
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A B S T R A C T
Aims: The aim of intensive care units of the hospitals is decreasing mortality
rateand improving health of the society. This study was done with the aim of
“studying and comparing the performance of intensive care units by
determining mortality rate and finding its relationship with structural situation
of these units”.
Methods: This cross-sectional study was done during six months in 2011 in the
intensive care units of educational hospitals inHamedan. The study was done
on 200 patients through convenient sampling in the intensive unit of Besat
hospital and in two intensive care units of ShahidBeheshti hospital. Data
collection tools included SAPS3 checklist that its validity and reliability were
confirmed in different studies and a researcher-made structural standards
checklist in three areas (human force, physical environment and medical
equipment). The ratio of the actual death to the expected death (SMR:
standardized mortality rate) was determined by SAPS3 and its relationship with
the structural standard score was measured. For data analysis, Kruskal-Wallis,
Mann-Whitney, chi-square and Spearman correlation coefficient and SPSS17
software were used.
Results: Based on the SAPS3 scoring system, the ration of the actual death to
the expected death (SMR) was more than one in all the units of the study which
means weak performance; in a way that SMR of Besat, Ghaem and Milad units
were respectively; 2.29, 1.38 and 1.56. Structural situation score of the units of
the study were also less than 50% of the standard in a way that Besat, Ghaem
and Milad units had respectively 48%, 45% and 41% of the structural standards
scores. There was no significant relationship between structural standards
scores of the units of the study and their SMR performance score (p=0.66).
Conclusion: Performance score of all the three units was weak and regarding
structural standards the mentioned units were less than moderate. It is necessary
to try to improve structural stand
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