Sima Ajami; Ebtesam Savari
Volume 12, Issue 6 , December 2016
Sima Ajami; Shekofeh Afkhami
Volume 13, Issue 1 , May 2016, , Pages 1-2
Sima Ajami; Saeedeh Ketabi
Volume 9, Issue 5 , November and December 2012, , Pages 697-710
Abstract
Introduction: Medical Records Department (MRD) is important for evaluating, planning andprioritizing health care services. The major aim of this study was to evaluate the performance ofthe MRDs of hospitals using multi-criteria decision-making approach in the selected hospitals ofIsfahan city, Iran.Methods: ...
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Introduction: Medical Records Department (MRD) is important for evaluating, planning andprioritizing health care services. The major aim of this study was to evaluate the performance ofthe MRDs of hospitals using multi-criteria decision-making approach in the selected hospitals ofIsfahan city, Iran.Methods: This was an analytical and cross-sectional study that was conducted in spring 2008 inIsfahan, Iran. The study population consisted of the MRD of Al-Zahra, Kashani and Khorshidhospitals in Isfahan. Data were collected through brainstorming technique. Expert Choicesoftware was used to analyze the data.Results: The results showed that relative weight of archiving unit had the higher degree ofimportance than others in terms of information management. However, in terms of customeraspect, relative weight of admission unit had the higher degree of importance than others.Relative weight of medical records departments in Al-Zahra, Kashani and Khorshid hospitals inIsfahan were 0.394, 0.342 and 0.264, respectively.Conclusion: It is necessary for managers to allocate and prioritize resources according toMultiple Criteria Decision Making (MCDM) ranking at every units of the MRD.
Sima Ajami; Farideh Movahedi
Volume 9, Issue 6 , March 2012, , Pages 929-941
Abstract
Lean thinking requires certain techniques and tools to support lean processing and to penetrate anorganization in which 5S system (sorting, set in order, shining, standardization, sustaining) is to developvalue process workflow system. Kanban, a card containing a set of manufacturing specifications andrequirements ...
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Lean thinking requires certain techniques and tools to support lean processing and to penetrate anorganization in which 5S system (sorting, set in order, shining, standardization, sustaining) is to developvalue process workflow system. Kanban, a card containing a set of manufacturing specifications andrequirements used to regulate the supply of components, is one of the most famous and important leantools. 5S system is in fact a technique to minimize wastes in the workplace and thereby can establish abetter environment, a better communication, optimize productivity and eventually provides a general 5Ssystem in the organization. 5S system has been founded in the West and was developed in Japan andevolved all around the world. Development and acceptance of 5S system in various countries withdifferent cultures indicates that the concepts of this system are compatible with a variety of cultures. Thereare some lessons and doctrines in Islam and Iranian national culture which are compatible with the 5Ssystem and can facilitate the acceptance of this system. Lean processing emphasizes on performing thebest well-organized task in the most appropriate place and in the first opportunity to reduce waste andoptimize the processes in line with the customer’s needs. Industrial societies have long used leanmanagement to improve their processes. In addition, arrival of lean management in healthcare system hadsignificant impacts on management structure and providing healthcare services. Healthcare system canremarkably improve its performance through implementing the lean management system and provide theservices in a just-in-time (JIT) and an optimized level for the clients. This new approach system has beenestablished as a cultural strategy in order to provide high quality services at lowest price during theshortest time in hospitals. 5S system is a tool, a management system and a philosophy for changing theapproach of hospitals toward a managed and organized method. This system is a methodology whichallows hospitals to increase quality of health care with reducing errors and waiting time. 5S system is anapproach to support health staff and physicians, eliminate the current obstacles in the workflow and helpthem to merely focus on providing patient’s healthcare. Therefore, the present study aimed to introducethe establishment of the 5S system which is one of the major lean tools in the healthcare system andextend its principles with an Islamic view. This was an unsystematic review study conducted in 2012using the Google engine search in sites of journals, the Holy Quran, Nahj-al-Balagha, Bihar-al-Anwar, Al-Kafi, Kanz al-A’mal, Wasael al-Shia, and Al-khesal and using keywords of 5S system, lean, healthsystem, healthcare, set-in-order, discipline, purification, cleanliness, hygiene, purity, durability in full textsand abstracts. Approximately, 100 articles, verses, hadiths and abstracts were obtained among which 45cases were found to be related with the objects of this study. Regular enforcement of the 5S procedurescan provide a clean and sanitary environment. Moreover, efforts to establish correct habits in staff is themost important factor in accomplishing standardized and sorted workplaces and this major factor is doneby implementing the fifth technique (5th S i.e. sustaining). An organized environment is due to providehigh quality services.
Sima Ajami; Leila Ghaderinansa
Volume 8, Issue 5 , November and December 2011
Abstract
Introduction: Student admission indicators typically depend on either student fields or community current career needs. In addition, specific fields have particular needs. The main aim was to determine student admission indicators in medical records field in different degrees in Isfahan Medical Sciences ...
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Introduction: Student admission indicators typically depend on either student fields or community current career needs. In addition, specific fields have particular needs. The main aim was to determine student admission indicators in medical records field in different degrees in Isfahan Medical Sciences University in Iran in 2007.Methods: This study was analytical in which data were collected by questionnaire and checklists. The statistical population was concluded Medical Records students, Medical Records Department staff and faculties in medical records department in Isfahan Medical Sciences University in Iran. To analyze data SPSS was used.Results: Results show 586 students graduated in higher diploma, bachelor and master that from 1368 to 1385. But unfortunately half of staffs in medical record departments of Isfahan have diploma and lower. Chi-Square test showed that occupied position by the organization of medical records did not match their qualifications. But the indicators related to student admissions, allocation of resources as well as students and faculty in the index number is desirable.Conclusion: From student admission indicators, indicator of allocation and facilities to students was very well and number of academic member indicator was desirable. But Medical Records department had better to do best for engaging people with Ph.D. degree as an academic members. In addition, they should recommend to policy settings that engage only Medical Records practitioners in Medical Records department in all health centers in Isfahan.Keywords: Science Education; Employment; Medical Records; Students.
Sima Ajami; Shahram Tofighi; Nahid Tavakoli; Afsaneh Ebadsichani
Volume 7, Issue 1 , March 2010
Abstract
Introduction: Medical Records Department (MRD) is an important source for evaluating and planning of care services. The main goal of this research was performance evaluation of medical records department with Balanced Scorecard (BSC) approach in a hospital of Isfahan, Iran. Methods: This research was ...
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Introduction: Medical Records Department (MRD) is an important source for evaluating and planning of care services. The main goal of this research was performance evaluation of medical records department with Balanced Scorecard (BSC) approach in a hospital of Isfahan, Iran. Methods: This research was a descriptive, cross sectional in which data were collected by questionnaires, observation and forms. The population was medical records department of a hospital in Isfahan, Iran. To analyze data first of all objectives of medical records department according to mission and perspectives was setting. Then objectives were measured. Subsequently, findings from the performance will compare with expected score. If necessary, reform for the programs, activities, and plans in order to achieve the final target will be done. Results: The medical records department of this hospital was successful in providence of customer suggestion value (satisfaction). In customer perspective was customer satisfaction of admission 82%, statistics satisfaction 83%. Conclusion: Researcher proposes that it had better improve quality and period length of services, for achiving the mission of medical records department.Keywords: Performance Assessment; Medical Records Department Hospital; Hospitals.
Sima Ajami; Saeedeh Ketabi
Volume 5, Issue 1 , March 2008
Abstract
Abstract Introduction: The hospital discharge process is a basic bottleneck in hospital management. Improved discharge process is the main strategy that covers many hospital activities. Discharge process is the last patient's contact with hospital system. Therefore, it is the most important stage affecting ...
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Abstract Introduction: The hospital discharge process is a basic bottleneck in hospital management. Improved discharge process is the main strategy that covers many hospital activities. Discharge process is the last patient's contact with hospital system. Therefore, it is the most important stage affecting patient's satisfaction. If this process takes long, not only it makes patients dissatisfied but it also will not be beneficial for the hospital. The main objective was determining average waiting time of patient discharge process at Beheshti Hospital in Esfahan, Iran in the spring of 2006. Methods: This study was case study in which data were collected by questionnaires, observation and forms. The statistical population was all personnel involved in discharge process and patients discharged throughout the spring of 2006. To analyze data SPSS and Win QSB (Windows Quantative Systems for Business) were used. Results: According to the personnel's views, the main factors affecting average waiting time were patients' financial problems and un-accessibility of interns to complete the summery sheets. The longest patient's waiting time for discharge was 345 minutes and the least was 35 minutes. Average time for patients in discharge process was 197 (±65) minutes. Conclusion: Discharge planning is a routine feature of health systems in many countries. Hospital information system should be implemented at least between wards, Para-clinics stations, accounting and cashier station. It causes many stages in manual patients' discharge process will be omitted. Keywords: Hospitals; Patient Discharge; Time
Sima Ajami; Faeze Kalbasi; Mahnaz Kabiri
Volume 4, Issue 1 , March 2007
Abstract
Introduction: Nowadays, researches are used in various disciplines of science as a powerful means of evaluating the latest scientific achievements. The most important source in medical studies, however, seems to be patients' documents in hospitals' archives. The basic aim of this study was to determine ...
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Introduction: Nowadays, researches are used in various disciplines of science as a powerful means of evaluating the latest scientific achievements. The most important source in medical studies, however, seems to be patients' documents in hospitals' archives. The basic aim of this study was to determine the importance and the application of medical records in doing researches from the viewpoint of Isfahan's educational hospitals' researchers. Methods: This research was descriptive – cross sectional. A sample of 300 researchers was randomly chosen and studied in our survey. Data collection was performed via use of selfquestionnaire according to the research aims during spring and summer of 2005. Findings were analyzed with descriptive-statistical methods within the SPSS. Results: The cause of researchers' reluctance to use medical records in their studies was 37.5% due to incomplete information of the records and illegible documents in 31% of cases. The case that researchers used medical records in research was centralized information and easy access. Conclusion: Accuracy, complements and legibility of medical records during documentation process not only enhances use of medical records by researchers but also enhances validity and reliabilities of finding of researches based on these records.Keywords: Medical Records; Research; Research Personnel; Documentation
Sima Ajami; Ozra Tavakoli Moghadam
Volume 3, Issue 1 , March 2006
Abstract
Introduction: Information management system is a formal approach to collect the necessary information in its due time for managers to facilitate decision-making, planning and management. Medical records system which is closely associated with pieces of information and their true value can play an important ...
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Introduction: Information management system is a formal approach to collect the necessary information in its due time for managers to facilitate decision-making, planning and management. Medical records system which is closely associated with pieces of information and their true value can play an important role in health care organizations. The main objective of this study is to compare information management system of medical records office in Kashani hospital with the existing standards. Methods: It is a case study in which seven people working in admission, statistics, filing and code-making units and the manager's advisor were observed and interviewed in spring 1385. The data were collected by a checklist and a questionnaire whose validity were approved by experts and whose reliability were confirmed based on common accreditation standards of the U.S. healthcare organizations. Results: Findings indicate that registration, collection, retrieval and distribution of information are not based on standards of Canada and the U.S. However, the distribution of information is nearly improving. Conclusion: Lack of congruity of information management system of medical records office in Kashani hospital with the expected standards diverts the direction of the planned activities of this office and therefore, it is necessary to modify information management system of medical records office. Key words: Hospital Information System; Management Information System; Medical Records; Reference Standards; Information Management.
