aDepartment of HealthCare Management, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
bHospital Management Research Center, Shahid Sadoughi Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
cHealth Policy Research Center, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Copyright © 2016 Korea Centers for Disease Control and Prevention. Published by Elsevier Korea LLC.
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
1. Indicators of input: specifically point out that the slides are activities to be done
2. Parameters of the process: monitoring and supervising of operational activities
3. Indicators of output: results of operations measures include knowledge, attitude, and behavior changes resulting from the activities
4. Indicators related to outcome: the long-term effects of specific activities or results and include changes in the health status of the community
5. Key indicators: refer to causes of diseases, or other issues such as environmental factors or unsanitary environmental conditions 8, 9
Row | Development indicators | Expected values (standard) | Ward performance | Functional status | ||
---|---|---|---|---|---|---|
Afshar | Sadoughi | Afshar | Sadoughi | |||
1 | Ratio of obstetricians and gynecologists to inpatient bed | 2 people up to 20 beds; next, 1 per 10 beds will be added (13) | 7 obstetricians and gynecologists to 19 inpatient bed | 7 obstetricians and gynecologists to 38 inpatient bed | Much higher than expected | Higher than expected |
2 | Patient per capita for nurse | 29 patients per nurse (13) | 17 patients per capita for nurse | 40 patients per capita for nurse | Much higher than expected | Lower than expected |
3 | Average bed for each pain room | 1 to 2 (15) | 5 beds | 2 beds | Much lower than expected | As expected |
4 | Ratio of fetal monitoring device to childbirth bed | 1 in each delivery block (15) | 3 devices | 7 devices | Higher than expected | Much higher than expected |
5 | Standard contents of childbirth pack | Scissors straight- Scissors episiotomy- Forceps hemostat-shan-Pat Gale Ring Feb seps-Gas and cotton-Gan-towels (15) | 100% | 100% | As expected | As expected |
6 | Presence of fence for all beds of the ward | 100% (13) | 100% | 100% | As expected | As expected |
7 | Ratio of midwife to the patient entering labor | 1 to 2 (15) | 3 to 5 | 1 to 2 | Lower than expected | As expected |
8 | Ratio of midwife to the patient who is in recovery after labor | 1 to 2 (15) | – | 1 to 6 | – | As expected |
9 | Mean record of management in the ward | 1. Having at least a midwifery degree and at least 2 y of experience in the block period supplementary documents approved by the Bureau of Labor and Population Health, Youth, Schools and Families of the Ministry of Health 2. Having at least a bachelor's degree in obstetrics and gynecology and at least 3 y of experience in the block as well as at least 30 h of courses in public administration documents and supplementary documents approved by the Office of Population, Health, Young People, Schools and Families of the Ministry of Health (16) | 27 y with the terms of paragraph 2 | 23 y with the terms of paragraph 2 | Much higher than expected | Much higher than expected |
10 | Bed occupancy ratio | 75% (13) | 83% | 69% | higher than expected | Lower than expected |
11 | Number of postpartum beds for each labor bed | For every flat delivery, 6 postpartum xbeds (17) | Recovery bed with pain room | 2 postpartum beds for each labor bed | – | Much lower than expected |
12 | Ratio of midwife to the patient who is in cesarean section | 1 to 1 (18) | 1 to 1 | 1 to 1 | As expected | As expected |
13 | Oxygen output and central suction for each bed | 1 device per bed (15) | 1 device per bed | 1 device per bed | As expected | As expected |
14 | Portable suction device in labor room | 1 device per bed (15) | Devices; each room has 5 beds | 1 device in each pain room | Lower than expected | As expected |
15 | Number of hygienic service for each pain room | 1 hygienic service per pain room (15) | 1 hygienic service per pain room | 1 hygienic service per pain room | As expected | As expected |
16 | Average bed for each ward room | Average of two beds per room (15) | 2 beds | 2 beds | As expected | As expected |
Row | Development indicators | Expected values (standard) | Ward performance | Functional status | ||
---|---|---|---|---|---|---|
Afshar | Sadoughi | Afshar | Sadoughi | |||
1 | Access to emergency trolley drugs in preeclampsia | 100% (13) | 100% | 100% | As expected | As expected |
2 | Percent of observing breastfeeding instruction | 100% (13) | 100% | 100% | As expected | As expected |
3 | Use of nonmedicinal methods of pain alleviation | 100% (15) | 40% | 100% | Much lower than average | As expected |
4 | Use of medicinal methods of pain alleviation | 100% (15) | 40% | 100% | Much lower than average | As expected |
5 | Percent of observing rooming in instruction | 100% (15) | 100% | 100% | As expected | As expected |
6 | Average time of hospitalization for natural labor | 24 h (15) | 1.02 | 1.13 | As expected | Lower than expected |
7 | Presence of registration form or reporting system of medical errors | 100% (15) | 100% | 100% | As expected | As expected |
8 | Average time of hospitalization for cesarean section | 48 h (15) | 2.52 | 2.09 | Lower than expected | As expected |
Row | Development indicators | Expected values (standard) | Ward performance | Functional status | ||
---|---|---|---|---|---|---|
Afshar | Sadoughi | Afshar | Sadoughi | |||
1 | Patient satisfaction | 90% (13) | 66.74% | 86.2% | Lower than expected | Much lower than expected |
2 | Personnel satisfaction | 90% (13) | 79.8% | 88.42% | Lower than expected | Much lower than expected |
3 | Hospital infection | 25% (19) | 0% | 0.1% | Much lower than expected | Much lower than expected |
4 | Neonatal death to total labor | This amount should not exceed 2% of the total deliveries (13) | 0.4% | 0.53% | Much lower than expected | Much lower than expected |
5 | Ratio of cesarean to total labor | 5–15% of all pregnancies (20) | 34.07% | 38.43% | Much lower than expected | Much lower than expected |
6 | Percentage of trained patient | 100% (13) | 100% | 100% | As expected | As expected |