Asghar Ehteshami; Sakineh Saghaeiannejad-Isfahani
Maryam Jahanbakhsh; Majid Matinfar; Sakineh Saghaeiannejad-Isfahani; Akbar Hassanzadeh; Habibollah Nikafraz
Volume 14, Issue 5 , October 2017, , Pages 199-204
Abstract
Introduction: Hospital websites have a high potential for providing information and services to customers. The assessment and comparison of hospital websites determine the extent of their utilization and contributes to the formation of constructive competition between hospitals. Therefore, the present ...
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Introduction: Hospital websites have a high potential for providing information and services to customers. The assessment and comparison of hospital websites determine the extent of their utilization and contributes to the formation of constructive competition between hospitals. Therefore, the present study was conducted with the aim of comparative assessment of the websites of public and private hospitals.Methods: This applied research is an analytical-descriptive study and was conducted in 2017. The study population included 13 public hospital websites and 3 private hospital websites in Isfahan, Iran. The data were gathered through a checklist based on 11 main and 69 sub-criteria and analyzed by inferential statistics.Results: There was a significant difference between the average of scores obtained from public and private hospitals’ websites in terms of the 4 main criteria including contact information and access methods, admission service and reservation, features, design and updating of pages and public relations. However, there was no significant difference between the average of scores obtained in terms of 7 other criteria and the overall score.Conclusion: The assessed websites did not fully utilize web capabilities and did not have a favorable status. Therefore, according to the results of this research, the authorities in this area must provide the information and services to the customers in a desirable way so that they can compete with other hospitals in order to attract more customers and improve customer satisfaction.
Sakineh saghaeiannejad Isfahani; Ahmadreza raeisi; Hassan Jannesari; Asghar Ehteshami; Awat feiz; razieh mirzaeian
Volume 10, Issue 5 , October 2013, , Pages 655-664
Abstract
Introduction: Supporting a therapeutic approach and medication therapy management, pharmacy information system acts as one of the central pillars of hospital information system. This ensures that medication therapy is being supported and evaluated with an optimal level of safety and quality similar to ...
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Introduction: Supporting a therapeutic approach and medication therapy management, pharmacy information system acts as one of the central pillars of hospital information system. This ensures that medication therapy is being supported and evaluated with an optimal level of safety and quality similar to other treatments and services. Methods: The present study was an applied, descriptive and analytical study which was conducted on the pharmacy information system in use in the selected hospitals. The research population included all the users of pharmacy information system. The research sample is the same as the research population. The data collection instrument was self designed checklist developed following the guidelines of the American Society of Health-System Pharmacists, Australia pharmaceutical Society and Therapeutic guidelines of the Drug Commission of the German Medical Association. The checklist validity was assessed by research supervisors and pharmacy information system pharmacists and users. results: The findings of the study on the pharmacy information system revealed that the degree of meeting the standards given in the guidelines issued by the Society of Pharmacists, the highest rank in observing the input standards belonged to Social Services hospitals with a mean score 32.75. While teachingEducational hospitals gained the highest score both in processing standards with a mean score of 29.15 and output standards with a mean score 43.95 and the private hospitals had the lowest mean score of (23.32,17.78, 24.25) in input, process and output standards respectively. Conclusion: Pharmacy Information System (PIS) is composed of three data banks, namely patient information, medication information (managerial, financial and scientific data) and medication prescriber information. It is expected that this system be effective in three fields of operational management, financial management and scientific support to the medication services in hospitals. In addition, it is also expected that administering and using these data banks entail reduction of errors and increase of the speed of managing the orders and dispensing the medications. Hence, when PIS is to be administered, informational requirements and hardware, software, manpower and educational resources needed for establishing the medications plans, standards, policies and laws must be taken into account. In sum, the findings of the present research showed that among the 8 information systems in question, the Social Services System and Pouya Samaneh gained the highest ranks in observing the input standards, while the highest mean score in meeting the standards related to processing and output standards belonged to Sayan Rayan e Ekbatan System and Modiriat e Amar System respectively. It is worth noting that due to inattention to such system's capabilities, all of them suffer from some deficiencies that need to be obviated Since one of the most significant and effective elements of PIS, i.e. medication's scientific data bank has been ignored and the PISs in question have not been equipped with some software suitable for providing the prescriber with scientific backup in his/her making decision process, the prescribers have just contented themselves to their own information making medication errors in health care domain inevitable. Before designing and administering PIS, due attention must be given to the users' informational requirements as well as their expectations from the system. The availability of informational elements effective on managing and monitoring the medication related complications, reducing medication errors, checking the medication therapy information to ensure the suitability of medication regimen and medication warns to identify drug allergies, system potential relation with other systems supporting physicians in their making decisions and at last, recording the prescribers' orders are some capabilities that can promote this system so that it can be regarded as a clinical system with a treatment approach. Keywords: Evaluation; Pharmacy; Information Systems; Performance Assessment
Mahmood Keyvanara; Maasomeh Sadeghi; Sakineh Saghaeiannejad Isfahani; Hamidreza Tadayon
Volume 9, Issue 2 , May and June 2012
Abstract
Introduction: Acute coronary syndrome (ACS) includes ST segment elevation myocardial infarction (STEMI), non- ST segment elevation myocardial infarction (NSTEMI), and unstable angina. It is among the leading causes of death. Registry systems are designed and implemented to collect and analyze the data ...
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Introduction: Acute coronary syndrome (ACS) includes ST segment elevation myocardial infarction (STEMI), non- ST segment elevation myocardial infarction (NSTEMI), and unstable angina. It is among the leading causes of death. Registry systems are designed and implemented to collect and analyze the data related to a specific disease. Decreasing the burden ACS would need some strategies such as designing and implementing a registry system. This study tried to compare ACS registry systems in selected countries.Methods: This comparative descriptive research used an applied approach. The data was collected from the national registry of ACS in the USA, Switzerland, and Malaysia and myocardial infarction (MI) registry in Isfahan (as the first MI registry in Iran). Data was mainly collected from articles, journals, websites, and other written documents using a checklist which was designed based on the minimum requirements of a registry system. The validity of the checklist was confirmed by specialists. Since most resources were in English, translations were performed by an expert team to maximize the concordance with the source. Data was analyzed using comparative tables.Results: In all three countries, there were national registries for ACS. They registered all stages including gathering and analyzing data and distribution of information. Although there is no national registry in Iran, an MI registry has been implemented in Isfahan which only covers data collection. The registry systems in the USA and Switzerland are supervised by specialty associations relevant to coronary disease. In Malaysia however, the database is under the control of Ministry of Health. The American ACS had the highest level of experience and the best features among the studied registry systems.Conclusion: Overall, according to the large burden of heart diseases in Iran, designing and implementing a national registry is essential. It could bring a better management for controlling and preventing diseases.Keywords: Acute Coronary Syndrome; Information Systems; Registry.
Mahmood Keyvanara; Shirin Zardoeigolanbar; Saeid Karimi; Sakineh Saghaeiannejad Isfahani
Volume 8, Issue 1 , March and April 2011
Abstract
Introduction: Population-based mortality statistics are derived from the information recorded on death certificates. This information is used for many important purposes, such as development of public health programs and allocation of health care resources. Therefore, the accuracy of death certificate ...
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Introduction: Population-based mortality statistics are derived from the information recorded on death certificates. This information is used for many important purposes, such as development of public health programs and allocation of health care resources. Therefore, the accuracy of death certificate data is important. The aim of this study was to evaluate the quality of death certificates records and its recording accuracy in educational and non-educational hospitals in Kermanshah, Iran. Methods: In this descriptive and applied study, 321 death certificates of patients admitted and expired in educational and non-educational hospitals (1994 death) of Kermanshah, Iran during first six months in 2007 selected randomly and evaluated. Data was collected by a checklist which validity was approved by professionals. Obtained data analyzed using SPSS software and descriptive statistics. Results: 51.1% and 24% of death certification in educational and non-educational hospitals were qualified respectively. The demographic information of death certification were incomplete in 7.6% and 28.8% of cases in educational and non-educational hospitals, respectively. 3.3% and 12.2% of death certificates in educational and non-educational hospitals were filled by attending physician, respectively. In 33.7% and 45.4% of cases in educational and non-educational hospitals the mechanism of death or nonspecific condition listed as the cause of death, respectively. Regarding the cause of death in 64.1% and 74.7% of cases in educational and non-educational hospitals sequence of events dose not make sense, respectively. Conclusion: Current status of death certificate record quality in the hospitals, especially non-educational ones is inappropriate and needed to contemplate. Considering the importance and value of data contained in the death certificate and its many uses, it is necessary to improve the awareness of physicians about different types of errors in completing death certificates. Keywords: Quality Control; Cause of Death; Hospital, Teaching; Vistal Statistic.