标题：Association between Evidence-Based Organization of Pathways and Quality Management System in Acute Myocardial Infarction (AMI) and Stroke in Tehran Hospitals
摘要：Introduction: The clinical pathways are an approach to standardizing care process whichsupports the use of clinical guidelines and protocols. The aim of this study was to investigatethe association between the evidence-based organization of pathways and quality managementsystem in acute myocardial infarction (AMI) and stroke in Tehran Hospitals.Methods: A random sample of 21 hospitals were studied. The anonymous questionnaireof Quality management system index (QMSI) was conducted through quality manager ofthese hospitals. The validity and reliability of the 40- item questionnaire were obtained. 450patient’s records in two acute conditions of acute myocardial infarction (MI) and stroke werereviewed with evidence-based organization pathway (EBOP) checklist. Data were analyzedusing descriptive statistics, Pearson corelation coefficient, ANOVA, T-Test, alpha Cronbachand multiple linear regression analysis. SPSS version 21 was used to analyze the data.Results: There was a positive association between quality management system and evidencebased organization pathway in (AMI) (β: 0.654) .PR>t: 0.014: and stroke (β: 0.833), PR>t:0.01, respectively. Hospital characteristic and QM were not related.Conclusion: We concluded that compliance of QM at the highest level of the hospital couldimprove the quality of special performance inpatient with two acute conditions in AMI andstroke. This study revealed that QM strategies were effective.
