الفهرس 
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Abstract
This was a cross sectional study, conducted during the period from
June 2018 till April 2024 and the practical part was conducted in the period
from January 1st, 2021 to 1st of July, 2023, conducted in four hospitals, that
were selected randomly following the stratified random sampling technique
according to these hospitals categories: One tertiary, one general, one
specialty hospital, one district hospital) in Menoufia Governorate hospitals.
This study revealed that policies for general patient’s safety in the
organization which complies with Egyptian and WHO recommendations and
polices for handling critical values and tests were met in ICU departments,
and NICU departments, and that policies for medication safety, safe surgery
policies for environmental safety wet met in different hospitals with no
difference among them and with percentage of 100%.
This study showed that:
In this study it was found that 60% of the staff and the organization in
ICU and 62.2% in NICU were aware of the Egyptian and WHO patient safety
recommendations.
This result for the discard of Single usage injection devices was met
in almost all visits in ICU and NICU departments (98.3 & 100%;
respectively).
Regarding implementation of medication management in ICU and
NICU departments, it was met with percentage (over 80% and 85%;
respectively) in regard to look-alike medication, concentrated medications,
labelling of medication specially concentrated medicated not removed from
patients’ areas.
It was concluded that implementation of safe surgery policies in the
form of having a checklist for all documents and equipment was met in
62.2% and that accurate patient identification and marking site of operation
preoperatively were met with average among hospitals of 63.3% and 66.3%.
Medical record evaluation was good in relation to patients’
identification, admission sheet, progress notes, physician notes, nurse notes,
vital signs, medication pressure ulcer and fall assessment with percentages
of (71.4, 32.6, 38, 50.7, 47.2, 74.6, 69, 68.1,70, 48.2, respectively).
This study showed that in relation to fire safety the highest met
requirements are the availability of fire and smoke safety plan, having low
prohibiting smoking in the organization, and that fire extinguishers are
always ensured to be working with percentages of 100, 100, 90%. The lowest
met requirement was absence of heaters and stoves in the hospital with
percentage of 56.5%
In the current study management plan for waste was 100% met and
correct separation, segregation of hospital waste was met in more than 85%
of the visits.
Medical equipment, in 90% of the visits a maintenance card was
regularly updated and present next to each device, 93.3% of them power
failure affected less than 2% of vital equipment and in all visits, generators
work well and effectively.