Mehdi Kahouei; Roghayeh Eskrootchi; Farbod Ebadi Fard Azar; Hassan Abol Hassani
Volume 10, Issue 3 , September 2013
Abstract
Introduction: Given the complexity and dynamic nature of triage and ahead challenges in selecting the required information in emergency environment, this study aimed to improve the registration quality of triage process and shift it from paper-based to computer-based triage assessment through processing ...
Read More
Introduction: Given the complexity and dynamic nature of triage and ahead challenges in selecting the required information in emergency environment, this study aimed to improve the registration quality of triage process and shift it from paper-based to computer-based triage assessment through processing of the triage staff expectations data model of emergency information system. Methods: This descriptive study was performed on nurses and physicians working in triage units of affiliated hospital of Tehran, Iran and Shahid Beheshti University of Medical Sciences in 2009. This study was conducted in three steps. The first step was to collect data through interviews; the second step was modeling by methods of rational unified process (RUP) and unified modeling language (UML) and the third step was a Delphi approach to confirm the models scientifically using a valid, reliable and researcher-made questionnaire. Descriptive statistics were used to analyze the questionnaire data. Results: Through interviewing with the triage staff based on working process, we found that triage staff required data elements should have coherent and integrated association. In the Delphi, results showed that 82% of the statistical population agreed with the elements and information structure in the triage unit. Conclusion: The findings suggested that the triage unit staff had a broad understanding of the triage and recognized triage as a process in which the severity of disease, screening and data collection about assessment are combined. The results of this study can be used to guide and prioritize required information in the emergency information system in the triage area of victims and patients base on the triage nurses' and doctors' performance. Keywords: Triage; Emergency Care Information Systems; Hospital Information Systems
Mehdi Kahouei; Roghayeh Eskrootchi; Farbod Ebadi Fard Azar; Hassan Abolhassani
Volume 7, Issue 4 , December 2010
Abstract
Introduction: In medical education, ambulatory medicine education especially emergency is the most important part of medical education. Aim of this study is the survey of medial students information needs seeking behavior pattern. We expect this study impacts on the clinical education quality, the recognition ...
Read More
Introduction: In medical education, ambulatory medicine education especially emergency is the most important part of medical education. Aim of this study is the survey of medial students information needs seeking behavior pattern. We expect this study impacts on the clinical education quality, the recognition of students' education needs and better management of patients by medical students.Methods: This descriptive and analytic study examines the information needs of interns in the Emergency departments of teaching hospitals of Iran medical sciences university in 2008. Questionnaires and observations were used to collect data from seventy medical students. Observations and questionnaires were used. Reliability was assessed and there was found high reliability (0/80). Chi-square and two-tailed and bi variation correlation tests were used to investigate significant associations among the data.Results: The statistical test revealed significant association between the diagnosis and treatment needs (P < 0/001, Co = 0/576). The majority of the students information needs were laboratories test (84/3%). The least of those were dead persons transfer (1/4%). Medical students were most likely to rely on patient, patient chart, colleagues and printed sources. Significantly medical student were likely to pursue needs related to treatment with printed sources. (P = 0/01).Conclusion: A few organizational or management questions were asked. The students did not pay attention to legal issues. Many medical students prefer to obtain information from resources that are convenient, easy to use and reliable. It is recommended that initiate programs about importance of legal issues and organizational information in curriculum and development of educational programs to promote evidence–based decision making among medical students.Keywords: Health Services Needs and Demand; Students, Medical; Education, Medical; Emergency Service, Hospital.