Masoumeh Jafari; Marziyhe Meraji
Abstract
A significant proportion of perinatal deaths are preventable. The most critical factor contributing to the failure of international programs aimed at reducing preventable perinatal deaths is the lack of sufficient and accurate information about the causes of these deaths. This deficiency hinders countries' ...
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A significant proportion of perinatal deaths are preventable. The most critical factor contributing to the failure of international programs aimed at reducing preventable perinatal deaths is the lack of sufficient and accurate information about the causes of these deaths. This deficiency hinders countries' ability to develop effective interventions to reduce perinatal mortality rates. Various classification systems have been developed to categorize the causes of perinatal deaths, aiming to enhance understanding and prevention efforts. However, these systems face challenges, including assigning a considerable portion of perinatal deaths to unknown causes and limitations in usability in developing countries with high perinatal mortality rates. The need for a comprehensive and unified international system for classifying the causes of perinatal mortality is crucial due to the diverse classification systems currently in use, which hinder data comparison at national and international levels. The purpose of this editorial study is to introduce the first classification system of causes of perinatal mortality with international applicability developed by the World Health Organization.
Masoumeh Sarbaz; Khalil Kimiafar; Majid Khadem-Rezaiyan; Mohammad Javad Ghasri; Mohammad Reza Farhang Far; Yones Bondar Sahebi; Alireza Omranzadeh
Abstract
Introduction: An adverse event (AE) is defined as an intended condition caused by medical errors or during hospitalization. Evidence in this regard is scarce and outdated. The present study aimed to evaluate the prevalence of medical and surgical AEs in three tertiary hospitals in the northeast of Iran.Methods: ...
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Introduction: An adverse event (AE) is defined as an intended condition caused by medical errors or during hospitalization. Evidence in this regard is scarce and outdated. The present study aimed to evaluate the prevalence of medical and surgical AEs in three tertiary hospitals in the northeast of Iran.Methods: This cross-sectional study was conducted on all the admitted patients to three trauma-specialized hospitals affiliated to Mashhad University of Medical Sciences due to AEs (n=1,121) in 2014. Identification of the AEs was accomplished using the International Classification of Diseases 10.Results: The prevalence of AEs was estimated at 1.2%. The mean age of the patients exposed to AEs was 36.5±19.5 years, and 74% of these cases (n=830) were male. The mean length of hospital stay in these patients was 9.8±12.7 days. The majority of the reported AEs (n=1,020; 91%) were caused by surgical and other medical procedures, such as the abnormal reaction of patients, later complication, and not mentioning the misadventure upon the procedure. The mortality rate among the patients was determined to be 2.4%.Conclusion: Although the rate of postoperative complications was relatively low, more strict academic protocols must be exploited in order to prevent AEs, especially in critical periods, such as summer.