The Rankingof Healthcare Before and After the Implementation of Quality Management System of ISO Standard

2013 
The purpose of this research is ranking the healthcare before and after the implementation of quality management system of ISO standard that is cross-sectional in application and time horizon. The current researching statistical society includes: (a) All patients that refer to Golestan, Mehr and Imam Khomeini hospitals once before the establishment of quality management and once after it that their number is 24821 persons; and (b) All personnel that are working in hospital wards with the number of 171 persons. Since in the present study, two kinds of statistical societies are involved, therefore; a sample size is determined from each of these two societies based on Kerjcie and Morgan Table, proportional to the size of statistical societies. So, the sample size of patients is equal to 385 persons and the sample size of medical staff is equal to 119 persons. Statistical data collecting tool in this study is two kinds of questionnaires that one assessing the satisfaction amount as well as health level and the other is the questionnaire for assessing the effectiveness of training as well as reducing the working errors of care personnel. Checking the validity of the questionnaire, the faculty supervisor and consultant as well as other experts were consulted and confirmed. Cronbach’s alpha coefficient for satisfaction and health level is equal to 0.73, for the questions of effectiveness of the training as well as reducing the working errors of personnel is equal to 0.91 and reliability of the whole questionnaire is equal to 0.78. Analyzing the data, Kruskal Wallis nonparametric test is used. The gained results from the current study show the effectiveness of correct implementation of quality management on the
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