background demand for icu beds is exceeding its supply. since the sources are limited in some centers, it is necessary to design a model to identify the patients who benefit more from icu beds. objectives the present study aimed to develop a model to prioritize adult patients according to their clinical indications by a three rounded delphi method study. patients and methods in this study, 22 p...

background critically ill patients under mechanical ventilation require frequent suctioning of airway secretion. closed suction permits suctioning without disconnection from ventilator; so it might decrease hypoxemia and infection rate. objectives this study aimed to evaluate the effect of closed tracheal suction system (ctss) versus open tracheal suction system (otss). patients and methods thi...

conclusions considering the personal and background characteristics of personnel and understanding their association with stress and stressful situations encompasses the ability to persevere and adapt to contextual stressors. patients and methods in this cross-sectional study, 3643 anonymous questionnaires were disseminated among nurses in different hospitals in tehran, iran, by utilizing multi...

medication errors account for about 78% of serious medical errors in intensive care unit (icu). so far no study has been performed in iran to evaluate all type of possible medication errors in icu. therefore the objective of this study was to reveal the frequency, type and consequences of all type of errors in an icu of a large teaching hospital. the prospective observational study was conducte...

BACKGROUND Specialist health services are often organised on a regionalised basis whereby clinical resources and expertise are concentrated in areas of high population. Through a high volume caseload, regionalised facilities may provide improved clinical outcomes for patients. In some cases, regionalisation may be the only economically viable way to organise specialist care. While regionalisati...

CONTEXT Although critical access hospitals (CAHs) have limitations on number of acute care beds and average length of stay, some of them provide intensive care unit (ICU) services. PURPOSE To describe the facilities, equipment, and staffing used by CAHs for intensive care, the types of patients receiving ICU care, and the perceived impact of closing the ICU on CAH staff and the local communit...

development of antibiotic resistance in intensive care units (icus) is a worldwide problem. the purpose of this study was to evaluate the effect of an antibiotic stewardship program (asp) by carbapenems restriction on gram-negative antimicrobial resistance in icu. the study was designed in a 21 bedded general icu of a teaching hospital with two wings (one and two) in tehran, iran. carbapenem pr...

background and objective:acinetobacter spp.a gram-negative coccobacillus is increasingly reported as important cause of nosocomial infections. multi-drug resistance (mdr) ofacinetobacterspp., raises concerns over our ability to treat serious infections with these organisms. the aim of this study was to determine the frequency and associated risk factors for infections with mdr acinetobacter spp...

background and purpose: organizational commitment has been on a downward trend among medical staff in different sections of the health care system. this study aimed to investigate the level of organizational commitment among the nurses engaged in the intensive care units (icus) of mazandaran heart center in sari, iran. methods: this descriptive-analytical study was conducted at the educational ...