Yafteh

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Background: Hospital standards are one of the valuest concepture items in an organization and hospital management. The research purpose was determination of luchs of hospital evaluation current way throght the comparission with ISO quality management standards and suggestion of a model to hospital standard development based on aquired findings. Materials & Methods: This research is a descriptive – comparative study that was been doing on hospital standards, »B Hospital evaluation handout« in comparission with »1994-29000 ISO principles«. In first stage, theorrical analysis and comparission of handout items with ISO necessities was done, then 8 stage model of hospital standards development was provided through the use of brain storming method to lists determination, multiple vote taking method, nominal team technic for chosing, AHP hierarchy analysis process methods and selection matrix for priority ullocation and benchmarking to choices. The provided model was authenticated with using delph: like method. Results: Totally, 853 question were evaluated about conforming with ISO principles in »B Handout« and ISO items were brought 1026 onces in front of 853 items of handout. In this adaptation »quality internal ausits«, »process control« and »inspection and test«items from 1994-9000 ISO standards were repeated 339, 302 and 158 once, orderlly that in total, they consist of 77.8% of writted items and other 17 items were consisted only 22.2% of the whole of ISO items repeatting onces that 7 items from these were never in »B hand out« at all and also 5 other items were less than 7 evidence (from 1010 questions). Conclusion: Writing method of evaluation items in »B hand out« has significant difference with what is done in ISO audit. Research findings showed that in spite of leaping that »B hand out« developing had in national. There are serious lacks in hospital compelete evaluaton so that consider a hospitals system, means and content beacause of lack of enough experiment in standard development based on ISO principles.

Keywords: Standard, ISO, evaluation, quality management, general hospital evaluation

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