Hosein Dargahi; Niloofar Masoori; Reza Safdari; Somayeh Fazaeli
Volume 8, Issue 3 , July and August 2011
Abstract
Introduction: Limited resources and rapid increase of costs, makes productivity improvement in hospitals considerably important. This study tries to measure the productivity in medical records departments of selected hospitals and provide a comprehensive image of their performance.Methods: This applied ...
Read More
Introduction: Limited resources and rapid increase of costs, makes productivity improvement in hospitals considerably important. This study tries to measure the productivity in medical records departments of selected hospitals and provide a comprehensive image of their performance.Methods: This applied descriptive analytical study tries to assess the Malmquist index in medical records departments of Tehran University of Medical Sciences hospitals during 2006-2008. Data gathering was conducted through interviews and studying the statistics of all activities in medical records departments. The data was analyzed using DEAP 2.1 software.Results: This study showed that while medical records departments in Razi and Vali-e-Asr had the highest improvement in productivity, the rates at Imam Khomeini Hospital and the Heart Center were almost constant. In addition, medical records department of Farabi and Ziaeeyan hospitals had the lowest total factor productivity index.Conclusion: Considering the improved Malmquist index in more than one-third of studied medical records departments, they can provide a good model for productivity improvement in other departments. Moreover, other methods, such as hiring medical records graduates and experienced managers, can help improve the productivity in the mentioned departments.Keywords: Efficiency; Organizational; Medical Records Department; Hospital; Productivity.
Mahdi Yousefi; Gholamreza Moradi; Marjan Ghazisaeidi; Somayeh Fazaeli
Volume 8, Issue 2 , May and June 2011
Abstract
Introduction: Efficient use of information systems in provision of health services is very important for achieving efficiency, effectiveness and service quality. In this study the various aspects of clinical information systems implementation and estimate of one of main users' knowledge about these systems ...
Read More
Introduction: Efficient use of information systems in provision of health services is very important for achieving efficiency, effectiveness and service quality. In this study the various aspects of clinical information systems implementation and estimate of one of main users' knowledge about these systems in hospitals was investigated.Methods: This study was conducted in two-stages: in the first step using available information resources during 1997-2008, different aspects of clinical information systems implementation have been studied. In the second step, the knowledge of medical record department's administrators of Tehran University of Medical Sciences affiliated hospitals has been determined. Validity of questionnaire was confirmed by expert panel and a reliability of 78% with test-retest coefficient was confirmed. Obtained data was analyzed with Excel 2007 software.Results: Clinical information system with improve quality and quantity of health care provided mission, is including components such as clinical documentation systems, medication management, pathology and etc. Studies indicated that there are some obstacles such as financial, behavioral and technical problems in implementation of these systems. The results of second part showed that the mean of knowledge of medical record department administrators from various aspects of clinical information systems was 53 percent.Conclusion: For effective clinical information system, review of effective factors and risk factors in the clinical information system implementation are important for prevention of repeated mistakes and neglect in cases that threat successful implementation of the project. Emphasize on education can be a key factor to promote awareness of the main users of clinical information systems about various aspects of these systems.Keywords: Hospital Information Systems; Hospitals; Medical Record Administrators.
