Introduction: Car accident traumas is one of the most prevalent referrals to the emergency departments and the main reason of death in the first four decade of life in different societies. The objective of the study was to determine the condition of the wounded in motor vehicle accidents at Shahid Rajaie educational health treatment centre in Qazvin.

Methods: This is a descriptive survey study based on collecting questionnaires regarding the wounded referrals to Shahid Rajaee hospital.

Findings:Within 20 days set for conducting the research out of all the referrals to the center, 203 cases were related to car, accidents. 46.9%, happened in the city and 53.1% be longs to old Qazvin - Take stan read and the fewest number belongs to Qazvin Zanjan free way. Results : For the most part the cause of city fatalities was due to driving without a lisence, and the cause of road accidents was due to unsafe roads and negliengence driving.

   Introduction: quality of services provided to patients Is prominent in hospitals as a large and complex service organization and the most important service units within the health system, Patients can determine the quality of services provided. The aim of this study is assessment of service quality gaps in educational and therapeutic Imam Khomeini Complex in Tehran, by using the difference between patients' perceptions and expectations from Services and then analysis and discussion of findings.

  Methods: Reviews of 116 patients admitted in educational and therapeutic Imam Khomeini Complex in Tehran, were examined by using the six-dimensional SERVQUAL model in a cross-sectional method. Validity and reliability were confirmed by researchers. Samples were estimated using the Cochrane statistical formula and the data were analyzed Using an independent t-test, correlation test and ANOVA.

  Results: There was a negative gap in all dimensions of The quality of services provided. The most gap was figured (-2.55) in the access dimension and the lowest gap (-0.697) was in assurance dimension. Also, none of the variables, including gender, marital status, insurance, visit frequency, age and education, was obtained significant relationship with service quality gap (Pvalue>0.05).

  Conclusion: In any dimension, expectations of patients are not being met and can, by affecting on each side of expectations' or perceptions' dimensions affect on the other side, except in the access dimension. In general, there is much opportunity for improvement in the quality of services at this center.