Fatemeh Rangraz Jeddi; Mehdi Shaeri; Mohammadreza Rezaiimofrad
Volume 10, Issue 3 , September 2013
Abstract
Introduction: In a comprehensive health approach, emphasis has been more on education and self-care than care itself, and aims to increase patient’s knowledge to give decision making and independence ability to improve quality of lifestyle. These can develop with progress of information technology. ...
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Introduction: In a comprehensive health approach, emphasis has been more on education and self-care than care itself, and aims to increase patient’s knowledge to give decision making and independence ability to improve quality of lifestyle. These can develop with progress of information technology. The aim of this study was to evaluate hospital information system (HIS) in meeting the patient drug information needs for self-care management. Methods: A descriptive cross-sectional study was done in 2011. As HIS is maintained by 15 software companies and due to contingency software of each, a hospital from each company, was selected by a random simple sampling method. Essential drug data elements determined by a questionnaire (with face and content validity) and Delphi approach on three-step conversations with expert. Then a checklist was prepared and HIS was observed based on the checklist. Results: Finding showed number of repeated description, dosage, duration, time, adverse reaction, drug discontinuation, recommendation use, start date, number of drug, consume method, drug interaction, physicians drug prescription, preparative's methods, food-drug interaction, and drug form and prescription date were essential drug data elements recommended by the experts. History of drug administration was in 8 HIS software (53.33%) and prescription date were in 7 HIS software (46.66%). Conclusion: Feasibility of HIS is very low. HIS software's must be developed and upgraded by their providing companies. Keywords: Hospital Information Systems; Patients; Drugs; Self-Care; Information Systems; Technology
Maryam Rangraz Jeddi; Fatemeh Rangraz Jeddi; Mohammad Reza Rezaii Mofrad
Volume 8, Issue 4 , September and October 2011
Abstract
Introduction: Since prescription is a way of communication between the pharmacist, physician and patient, inattention to its principles may result in mis-consumption or incomplete use of the medicine, drug interactions, and increased probable adverse effects. Therefore, this research tried to investigate ...
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Introduction: Since prescription is a way of communication between the pharmacist, physician and patient, inattention to its principles may result in mis-consumption or incomplete use of the medicine, drug interactions, and increased probable adverse effects. Therefore, this research tried to investigate physicians' commitment to principles of prescription writing for outpatients insured by Medical Services Insurance Organization in Kashan.Methods: This cross-sectional descriptive study was performed on prescriptions of 1500 outpatient insured by Medical Services Insurance Organization in Kashan during 2007. The patients were selected by systematic random sampling. Data regarding legibility, pharmaceutical form, directions for consumption, physician and patient's identity were collected from the prescriptions. The data was then registered in a checklist prepared based on the World Health Organization (WHO) guidelines. By scoring the prescriptions between 0-21 they were divided into five categories of very weak, weak, moderate, good, and very good. Finally, the data was analyzed by descriptive statistics.Results: The prescriptions included 5245 drugs, 4661 (88.86%) of which were legible. Pharmaceutical form and directions for use were mentioned for 3807 (72.58%) and 2750 (52.44%) of the prescribed drugs, respectively. The average score of commitment to principles of prescription writing was determined as good (15.01). Moreover, dermatologists scored the lowest (12.18) and psychiatrists the highest (16.29).Conclusion: Although physicians are acceptably committed to principles of prescription writing, they may need to pay more attention to recording directions for use. Therefore, employing prescription computer software packages in physicians' offices, preparing new forms with specific places to make sure all necessary information is cited, including more units regarding practical prescription writing in the curriculum of medical students, and persistent retraining for physicians are suggested.Keywords: Prescription; Outpatients; Drugs.
