Farahnaz Sadoughi; Somayeh Nasiri; Mostafa Langarizadeh
Volume 11, Issue 6 , November 2014, , Pages 667-680
Abstract
Introduction: A Minimum Data Set (MDS) is a core set of data elements agreed by the National Health Information Management Group in Australia for mandatory collection and reporting of data at a national level. It has important role in the health care industry for data exchange and implementation of electronic ...
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Introduction: A Minimum Data Set (MDS) is a core set of data elements agreed by the National Health Information Management Group in Australia for mandatory collection and reporting of data at a national level. It has important role in the health care industry for data exchange and implementation of electronic health records. The aim of this study was to design of perinatal MDS for Iran. Methods: This was an applied and mixed method study (qualitative - comparative and Delphi) conducted in 2013. For the first step, perinatal MDS in Australia, Canada, New Zealand, America, England and Iran were studied and compared via library sources, the Internet, correspondance with foreign authors, and available forms. The instrument of the study were data collection forms and a questionnaire that content validity of which was determined by the experts of the field. Then, the initial model for MDS of perinatal period was suggested. The questionnaire was tested by Delphi technique in two rounds. Data analyses was performed by comparing tables and determining similarities and differences in the selective countries at the stage of comparison of MDS of perinatal period. At the stage of data validation for the model, this was accomplished with descriptive statistics (frequency, percentage, mean) and Excel software. Results: In the initial model for MDS of perinatal period, from 251 data elements and 11 sections were subjected to discussion. Finaly, 105 data elements with consensus and 122 with collective agreement were confirmed. Data elements were proposed in 15 subsets. Conclusion: Present problems has faced in country such as poor documentation, lack of data elements of standard. MDS improve the quality of perinatal care and access to accurate and timely data. Keywords: Health Information Systems; Data Set; Perinatal Care; Electronic Health Records
Haleh Ayatollahi; Mostafa Langarizadeh; Habib Chenani
Volume 10, Issue 5 , October 2013, , Pages 675-683
Abstract
Introduction: Although nurses are among the main users of hospital information systems, sometimes their resistant to using information technology are reported. The main objective of this study was to compare nurses’ satisfaction with, and expectations of, hospital information systems in Firoozgar ...
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Introduction: Although nurses are among the main users of hospital information systems, sometimes their resistant to using information technology are reported. The main objective of this study was to compare nurses’ satisfaction with, and expectations of, hospital information systems in Firoozgar and Imam Khomeini teaching hospitals. Methods: This was an applied research study. The study population was nurses worked in Firoozgar and Imam Khomeini teaching hospitals. The study sample was 267 nurses. Data were collected using two questionnaires. Content validity and coefficient Cronbach Alpha were used to check the validity and the reliability of the questionnaires. Data were analyzed using descriptive and inferential statistics (t-test). Results: The results of the study showed that most of the nurses’ expectations of the system were not met in Firoozgar (n=88, %92.6) and Imam Khomeini (n=74, %89.2) teaching hospitals. Also, the results showed that there was a significant relationship between the nurses’ expectations confirmation and the perceived system usefulness (P<0/001), between the nurses’ expectations confirmation and their satisfaction with the systems (P<0/001), and between the perceived system usefulness and nurses' satisfaction with the systems (P<0/001). Conclusion: The findings of the study suggested that the nurses’ expectations of hospital information systems were not met in most areas. It seems that more attention should be paid to the nursing processes and nurses’ information needs. Moreover, it is necessary to involve nurses in the process of designing and developing hospital information systems. Key words: Hospital Information Systems; Evaluation; Nurses
Roghayeh Abbaspour; Mostafa Langarizadeh; Maryam Ahmadi
Volume 10, Issue 5 , October 2013, , Pages 684-691
Abstract
Introduction: Because of increasing incidence of burn injuries, prevention programs become more important. Accurate information is the essential requirement for implementation of such programs which obtained based on correct and high quality coding. In this research, coding quality for burn injuries ...
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Introduction: Because of increasing incidence of burn injuries, prevention programs become more important. Accurate information is the essential requirement for implementation of such programs which obtained based on correct and high quality coding. In this research, coding quality for burn injuries in deceased and non-deceased patients' records in Tabriz Sina Hospital were studied and compared. Methods: This was a cross-sectional comparative study. Research population was included 1500 medical records of hospitalized burned patients in Sina hospital, Tabriz in 2010-2011. The sample size based on pilot study was determined 75 cases from each groups and was performed using systematic random sampling. Data were collected using a data extraction form that content validity was confirmed by panel of experts. SPSS software version 16 has been used for data analysis and descriptive and inferential statistics such as frequency, percentage, mean, SD and Mann-Whitney test were applied. Results: The accuracy of 41.8% and completeness of 61.4% were obtained from the deceased patients’ record while it was 47.3% and 71.2% for the non deceased patients respectively. The fifth character were not been coded in neither deceased nor non-deceased group. Timelines was average 50 day that there was great distance with standard of WHO (2 days). Conclusion: To improve the coding quality in the deceased patients, coding of other diagnosis and activity should be considered by coders. Accordingly some attraction, punishments, or relative regulations should be defined for coders to attract them to do their best and on time coding in line with entrance of codes into Hospital Information System. Keywords: International Classification of Diseases; Burns; Coding
Mostafa Langarizadeh; Mahmudreza Gohari; Azita Koohestani
Volume 10, Issue 6 , December 2012, , Pages 800-809
Abstract
Introduction: Technology Acceptance Model is used to describe human behavior in relation to the information systems. Concentrating on the model, the present research tries to recognize and examine the factors affecting the hospital information system in the teaching hospitals of Tehran University of ...
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Introduction: Technology Acceptance Model is used to describe human behavior in relation to the information systems. Concentrating on the model, the present research tries to recognize and examine the factors affecting the hospital information system in the teaching hospitals of Tehran University of Medical Sciences. Methods: This paper was a cross- sectional and correlation study conducted in 1390 AH (March 19, 2011 to March 20, 2012). The research population covered 185 respondents including the medical records personnel of the teaching hospitals of Tehran University of Medical Sciences. The data were gathered using a questionnaire (developed by the author comparing the similar studies), which validity was confirmed by a committee of experts and the reliability was calculated (before the study began) using a Cronbach α (α=0.93) in a 50 people sample. The descriptive statistics and non-parametrical analysis of the Spearman rank correlation was applied to the data analysis using an SPSS18. Results: The findings suggested a positive correlation individually between Behavioral Intention and the factors of perceived usefulness (Pvalue<0.01, r=0.521), perceived ease of use (Pvalue<0.01, r=0.469), self efficacy (Pvalue<0.01, r=0.548), end user support (Pvalue<0.01, r=0.399), social norms (Pvalue<0.01, r=0.383), Trust (Pvalue<0.01, r=0.501), job relations (Pvalue<0.01, r=0.587), and training (Pvalue<0.05, r=0.263), but no correlation was seen between Behavioral Intention and the factors of anxiety (Pvalue<0.01, r=0.150), voluntariness (Pvalue<0.01, r=0.147), and facilitating conditions (Pvalue<0.01, r=0.046). Conclusion: Based on the results obtained from this study, it could be concluded that pay more attention to the factors affected on users’ acceptance may caused to more usage of new technologies in medical records departments. In addition, the results of such studies could be useful in terms of designing new systems to make better coverage on users needs. Keywords: Hospital Information Systems; Technology; Medical Records Department
Leila Seyyed Esfahani; Haleh Ayatollahi; Mostafa Langarizadeh
Volume 9, Issue 5 , November and December 2012, , Pages 663-670
Abstract
Introduction: Prior to offer and implementation of new jobs, the readiness of staff for fulfillingthese jobs and the factors affecting on their readiness should be investigated. This study aimed todetermine the relationship between the readiness of staff working in the medical recordsdepartment, in undertaking ...
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Introduction: Prior to offer and implementation of new jobs, the readiness of staff for fulfillingthese jobs and the factors affecting on their readiness should be investigated. This study aimed todetermine the relationship between the readiness of staff working in the medical recordsdepartment, in undertaking new roles of health information management and the motivational andinhibitory factors of their participation in the continuing educational courses.Methods: This was an applied research study. The study population composed of 40 graduates inthe field of “medical records” working in the hospitals affiliated to the social securityorganization in Tehran. Due to the limited number of participants, no sampling method was usedin this study. Data were collected using Likert scale questionnaire. To confirm the validity of thequestionnaire, experts’ views were investigated and the reliability of the questionnaire was alsoconfirmed using the test-retest method (r = 0.945). Descriptive and inferential statistics, such asSpearman’s rho (rs) and t-test, were used to analyze the data.Results: The results showed that there was a significant relationship between the participants’awareness of new jobs in health information management (HIM) and their age, work experienceand graduation year. Moreover, there was an inverse significant relationship between the awarenessof new jobs in the field of health information management and the motivational factors forattending in the continuing educational courses. No significant relationship was found between theawareness and inhibitory factors for participating in the continuing educational courses.Conclusion: It is important to offer necessary training courses to increase the level of awarenessand improve staff skills before offering new jobs to them. Staff participation in the training courseswill be facilitated if motivational factors are identified and inhibitory factors are controlled.
