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Objective(s): One of the most significant influencing factors in patient safety is the existence of a patient safety culture in the hospital. Patient safety culture is one of the important topics and one of the important concerns of managers and policy makers of the health system. This systematic review was conducted with the aim of determining the status of patient safety culture in Iranian hospitals. Methods: In this systematic review study, electronic search in Farsi and English using keywords Patient Safety, Hospital, Patient safety culture, in databases Medline, Google Scholar, Elsevier Direct Science, Ovid, PubMed and patient safety culture, patient safety and The hospital was conducted in the database of Jihad University Scientific Database (SID), Iran Nursing Publications Bank (Nindex), Magiran and Iranmedex between 2010 and 2020. Articles were extracted in 2021. Results: A total of 182 articles were extracted and finally 23 articles were analyzed. In most hospitals, the overall scores of patient safety culture were reported as low and moderate. The highest score was related to the dimensions of the manager's expectations and actions in the direction of patient safety and the transfer of important patient information between different departments and shifts, team work within the department and organizational learning, and the lowest score was related to the dimensions of non-punitive response to events and the dimension of openness of communication channels. Conclusion: valuing patient safety can be effective in the development and progress of hospitals in the country in order to improve the culture of patient safety. Improving relationships and teamwork within hospital units and creating a non-punitive environment can be effective in improving patient safety in the hospital.

Background: Hospitals, as the most important medical institutions, must be adequately prepared before accidents to cope with emergencies and provide rapid response to disasters. This study aimed to determine the preparedness of hospitals in Ardabil Province during the COVID-19 pandemic. Materials and Methods: The present study is a cross-sectional study, and the study population included all hospitals in Ardabil Province, Iran (17 hospitals in total). The data collection tool was a standard checklist of 92 questions for COVID-19 Crisis Preparedness issued by the Iran Ministry of Health and Medical Education. The obtained data were analyzed using descriptive and inferential statistics (the Pearson correlation analysis) in SPSS software v. 22. Results: The mean relative score of preparation for the COVID-19 pandemic was 80.27% among the hospitals in the province. In the studied hospitals, the relative scores of preparedness were as follows: leadership and coordination, 92.64%, resource management, 94.36%; information management, 79.90%; communications, 77.94%; human resources, 77.69%; surge-capacity, 86.55%; rapid identification, 57.18%; diagnosis, 71.32%; isolation and patient management, 81.09%; and infection prevention and control, 84.05%. Conclusion: The level of hospital preparedness in most dimensions (9 out of 10 dimensions) was good, and only in the area of ​​rapid identification was at a moderate level. However, further evaluation is needed at different stages of an epidemic.

Objective (s): Hospital indicators are very important in indicating their performance. Indicators are used as a tool to compare the number of services, evaluate services, compare services with standards or compare them with previous years. The aim of this study was to determine performance indicators of hospitals in a number of teaching hospitals and comparing them with performance indicators of Ministry of Health and Medical Education, 2019 Methods: This was a cross-sectional study that descriptively examined the performance indicators of 12 hospitals affiliated to Ardabil University of Medical Sciences. The data were collected by referring to statistical unit of health deputy and analyzed using SPSS22 software. Results: The ratio of active beds to fixed in 9 hospitals (75%), bed performance ratio, admission ratio per bed and average length of stay in 10 hospitals (83.3%) and bed turnover interval in 7 hospitals (58.4%) were desirable. The bed occupancy ratio in 7 hospitals (58.4%) was poor compared to the standards. Conclusion: The performance indicators of the hospitals affiliated to Ardabil University of Medical Sciences were relatively good compared to the standards. However, there is a need for promotion and improvements. Therefore, it is necessary that managers take the necessary proceedings to increase hospitals’ performance indicators.