69 J Health Man & Info, April 2020, 7(2) Clinical pathway and quality management in Iran JHMI Journal of Health Management and Informatics htp://jhmi.sums.ac.ir J Health Man & Info 2020, 7(2), 69–75 Original Article Abstract Introduction: Te clinical pathways are an approach to standardizing care process which supports the use of clinical guidelines and protocols. Te aim of this study was to investigate the association between the evidence-based organization of pathways and quality management system in acute myocardial infarction (AMI) and stroke in Tehran Hospitals. Methods: A random sample of 21 hospitals were studied. Te anonymous questionnaire of Quality management system index (QMSI) was conducted through quality manager of these hospitals. Te validity and reliability of the 40- item questionnaire were obtained. 450 patient’s records in two acute conditions of acute myocardial infarction (MI) and stroke were reviewed with evidence-based organization pathway (EBOP) checklist. Data were analyzed using descriptive statistics, Pearson corelation coefcient, ANOVA, T-Test, alpha Cronbach and multiple linear regression analysis. SPSS version 21 was used to analyze the data. Results: Tere was a positive association between quality management system and evidence- based 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 could improve the quality of special performance inpatient with two acute conditions in AMI and stroke. Tis study revealed that QM strategies were efective. Keywords: Hospital quality management, Evidence-based organization pathway, stroke, acute myocardial infarction Association between Evidence-Based Organization of Pathways and Quality Management System in Acute Myocardial Infarction (AMI) and Stroke in Tehran Hospitals Zeinab Abbasi Senjedary 1,2* , Iravan Masoudi Asl 3 , Katayon Gahangiri 4 , Leila Riahi 1 1 Department of Health Services Management, Medical Sciences and Technologies School, Science and Research Branch, Islamic Azad University, Tehran, Iran 2 Department of Midwifery, Nursing and Midwifery School, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran 3 Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran 4 Department of Health in Disasters and Emergency, School of Health, Safety, Environment (HSE), Shahid Beheshti University of Medical Sciences, Tehran, Iran Article History: Received: 26 November 2019 Accepted: 12 May 2020 *Correspondence to: Zeinab Abbasi Senjedary, Science and Research Branch, Islamic Azad University, Tehran, Iran Tel: +98 9125509750 Email: Abasi.zeinab@yahoo.com Introduction N owadays, evidence-based guidelines pathways are developed systematically to manage the quality of care in healthcare concerning the standardization and organization of the care processes of patients with acute conditions (1). Implementation of clinical pathways reduces the variability in clinical practice and improves clinical outcomes in acute care (2). Two acute conditions of acute myocardial infarction (MI) and stroke are major public health-care concern in the world. Annually, 15 million people worldwide sufer an episode of stroke. Of these, 5 million die and another 5 million are lef permanently disabled, with added burden to the family and community (3, 4). Cardiovascular disease (CVD) is the global leading cause of premature death. CVD led to about 17.9 million deaths in 2012 and 347.5 million disability adjusted life years (DALYs) were due to CVD in 2015 worldwide(5, 6). In Iran, despite the advances in management of Acute Myocardial Infarction (AMI) and Stroke, the most prevalent causes of mortality are these two acute conditions. Te frst leading cause of mortality is acute myocardial infarction that leads to 46% of all deaths (7), and stroke occurs in 130 per 100000 people in a year. Te reports indicate that in Iran, compared with some of the developed countries, ischemic stroke occurs approximately one decade Please cite this paper as: Abbasi Senjedary Z, Masoudi Asl I, Gahangiri K, Riahi L Association between Evidence- Based Organization of Pathways and Quality Management System in Acute Myocardial Infarction (AMI) and Stroke in Tehran Hospitals. J Health Man & Info. 2020; 7(2): 69-75.