Masoumeh Sarbaz; Bita Dadpour; Atieh Malekinejad; Khalil Kimiafar
Abstract
Introduction: Medical records can be defined as a document of the patients' treatment process. Complete and accurate information recording in the medical records of poisoned patients can play an important role in their complete clinical coding. This study aims to determine the amount of registered information ...
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Introduction: Medical records can be defined as a document of the patients' treatment process. Complete and accurate information recording in the medical records of poisoned patients can play an important role in their complete clinical coding. This study aims to determine the amount of registered information required for clinical coding in the medical records of poisoned patients admitted to Imam Reza Hospital in Mashhad, Iran.Methods: This descriptive cross-sectional study was conducted in 2019. 387 records were selected and reviewed by simple random sampling from all medical records of patients admitted to the poisoning ward of Imam Reza Hospital of Mashhad University of Medical Sciences. The instrument was a valid and reliable checklist. Data analysis was conducted using descriptive statistics.Results: The type of poisoning was registered in 387 (100%) medical records and in only 20 (5.2%) medical records the poisoning substance was an unknown drug. In 183 (47.3%) medical records, an external cause was registered for the poisoning, with 19 (4.9%) and 1 (0.3%) medical records including the individual's place of exposure and activity during exposure, respectively.Conclusion: The findings of this study can be used to plan and compile the necessary guidelines for the proper accurate documentation of medical records and the possibility of high quality clinical coding.
Fereshteh Manouchehri-Monazah; Khalil Kimiafar; Mojtaba Esmaeili; Masoumeh Sarbaz
Abstract
Introduction: Among the different types of cancers, breast cancer is the most common and the second leading cause of death in women aged 35-55 years. Patients' knowledge has a critical role in cancer management and control of treatment-related adverse events. Therefore, the purpose of the present study ...
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Introduction: Among the different types of cancers, breast cancer is the most common and the second leading cause of death in women aged 35-55 years. Patients' knowledge has a critical role in cancer management and control of treatment-related adverse events. Therefore, the purpose of the present study was to evaluate the knowledge, awareness, and information sources of patients with breast cancer undergoing chemotherapy.Methods: This survey study was performed in 2019. The study population consisted of 190 women with breast cancer undergoing chemotherapy referred to two specialized cancer centers in Mashhad, Iran, within two months. The research tool was a valid and reliable questionnaire. Data analysis was done using descriptive statistics.Results: Approximately half of the patients in the study (54.2%) considered the goal of chemotherapy to be the cure for the disease, which was used as adjunctive therapy after other treatments. Most patients knew about the cause of the blood test before chemotherapy. Most of them could meet their information needs through the information brochure. The most important source of information for patients to meet their information needs were physicians and nurses, respectively. Observance of public health (82.1%) and avoidance of sick people and crowded places (62.1%) were the most and least prevalent action done by patients during the treatment, respectively. Among the side effects of treatment, patients had the most attitudes about hair loss (91.6%) and fatigue (82.1%), and the least attitudes about the effect on fertility (9.5%) and reduced kidney function (8.4%).Conclusion: Even though in many cases the knowledge of patients is at a good level, but in some cases, some training and empowerment of patients is required. Performing these interventions can improve the quality of life of this group of patients.
Saeid Pourdoulati; Kazem Ashjaei; Simin Khaiatzadeh; Mostafa Farahbakhsh; Mehran Sayffarshd; Ahmad Kousha
Volume 8, Issue 2 , May and June 2011
Abstract
Introduction: Private health care providers (PPs) considered a major gateway to the health services for TB (Tuberculosis) patients. However, TB management practices by PPs is inadequate. National TB program need to collaborate with private health care providers. This paper is aimed to provide a comprehensive ...
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Introduction: Private health care providers (PPs) considered a major gateway to the health services for TB (Tuberculosis) patients. However, TB management practices by PPs is inadequate. National TB program need to collaborate with private health care providers. This paper is aimed to provide a comprehensive management program for public private mix (PPM) in TB DOTS (directly observed treatment short course) for effective case management of TB patients and reporting through a proper referral and information system in Tabriz, Iran.Methods: Mixed quantitative and qualitative methods in 5 stages have been used including: 1) Cross sectional study of current TB situation in Tabriz, Iran and a comparative study of various PPM TB DOTS programs worldwide. 2,3) Stakeholder analysis and SWOT (Strengths, weaknesses, opportunities and threats) analysis using qualitative directed content analysis method 4) Adaptation of WHO’s recommended tools for PPM TB DOTS to local situation 5) Development of action plan using eight steps in leading change method.Results: 3.4% of new TB cases have been detected by public health network system and 96.6% by other health care providers. New smear positive case finding in Tabriz and East Azerbaijan province, Iran was 25% and 28.5% respectively. Treatment success rate in Tabriz and East Azerbaijan province, Iran was 94.8% and 87% respectively. All PPM DOTS findings showed that this program can significantly accelerate case finding while maintaining high cure rates.Conclusion: Cure rate in TB patients whom have been found in Tabriz, Iran is favorable, but case detection rate is less than expected. It is necessary to involve PPs with more sensitivity in case detection and more alliance with national TB program in treatment and patient follow up. Regarding improving case detection rate, promoting patient satisfaction, providing more accessibility and affordability the mentioned program would be an effective approach in management of TB control program.Key words: Partnership; Public Sector; Private Sector; Tuberculosis.
Masoumeh Sarbaz; Khalil Kimiafar
Volume 8, Issue 2 , May and June 2011
Abstract
Introduction: In health care, emphasis on basic human rights is especially important. Patient’s privacy protection becomes important when the human is exposed to shortcomings of social and health systems. This study was performed to compare the patient’s rights in developed countries and ...
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Introduction: In health care, emphasis on basic human rights is especially important. Patient’s privacy protection becomes important when the human is exposed to shortcomings of social and health systems. This study was performed to compare the patient’s rights in developed countries and suggest a proper model for Iran.Methods: This research was a comparative and descriptive case study. Research population included the USA (New York, Florida, Missouri, Minnesota and Texas), England, Canada and Iran. Data collected by internet and e-mail based on a library search method. Furthermore, in Iran, we used a questionnaire that its validity and reliability were tested. Finally, the suggested model of patient's rights for Iran was tested by some specialist in this field with Delphi method.Results: Findings of research showed that patients’ rights of accessibility to treatment and health care, privacy, consent for treatment and protection (the right of claim) were included in “patient’s rights” of all studied countries, except Iran. The right of confidentiality is considered in all studied countries. The rights of having translator and pain relief just were seen in some states of the USA.Conclusion: Considering that patient rights have many shortcomings in Iran, generally, main reviews in this field should be performed according to comparative surveys. So, accordingly the appropriate model for developing “Patient’s bill of rights” in Iran was proposed.Keywords: Rights; Patient’s Rights; Comparative Study.
