Abstract

This study aimed to evaluate the design of emergency departments regarding to the patients' and staff's privacy, confidentiality and facilities in gen-eral teaching hospitals. Emergency departments of all the general teaching hospitals of Shahid Be-heshti University of Medical Sciences, Tehran, Iran were evaluated in 2007 through both direct observation and interview with hospital authorities, and staff. Rele-vant criteria were studied by a 27-item questionnaire including 19 items for facili-ties and 7 items for privacy and confidentiality. Extent of emergency depart-ments was the last common criterion. Data analysis has been done using t-test and descriptive statistics when appropriate. SPSS Software version 16 was used to facilitate quantitative analysis. Eleven out of nineteen criteria (58%) for the facilities were not found in the emergency departments. Privacy criteria had an overall partially more accept-able situation. Only one criterion of privacy and confidentiality was negative for all the emergency departments. It was calm gynecologic and delivery room with spe-cific toilet. The mean was 469.6 (SD= 96) square meters for existing extent of emer-gency departments and 1461.6 (SD= 262.1) square meters for the ideal val-ues (P< 0.01). Privacy, confidentiality and enough facilities should be considered in designing of teaching hospitals for both stuff and patients. Most of them need to be reconstructed based on new national standards.

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