Mehrdad Farzandipour; Zahra Meidani; Hossein Riazi; Manije Sadeqi
Volume 11, Issue 3 , September 2014, , Pages 293-307
Abstract
Introduction: Since hospital information systems in our country are limited on HIS first-generation activities it is necessary that these systems inter into a new wave by emphasizing on improving quality of care.Thus, this study was performed to design the quality improvement and patient safety requirements ...
Read More
Introduction: Since hospital information systems in our country are limited on HIS first-generation activities it is necessary that these systems inter into a new wave by emphasizing on improving quality of care.Thus, this study was performed to design the quality improvement and patient safety requirements in hospital information systems. Methods: This descriptive, sectional and applied research was done in15 hospitals affiliated to Tehran, Shahid Beheshti and Isfahan universities medical science in 2012. First, library studies and internet browsing was done and based on that, an index and a semi-strutted questionnaire were prepared and presented to 5 experts of first round. Then, based on pluralization of experts' opinions in firstround, the final questionnaire was prepared including 25 closed questions with Likret scoring, validity and reliability were confirmed through content validity and test-retest method and was presented to experts of the second round by verbal reference. Answers were graded from 0-4 and were analyzed using the software SPSS version 18 and the requirements that their average of final score was 3 and more were confirmed. Results: The mean score of all determined requirements was more than 3. All experts confirmed the need of warning in abnormal test results, %94/8 providing clinical guidelines and %94/7 providing warning in case of non-conformity of the prescribed measures with physiological parameters and providing a differential diagnosis based on clinical symptoms of the patient in hospital information system. Conclusion: All proposed requirements of the initial model were approved by experts, also some items added to it. Using this model for hospital information systems evaluation and selection are recommended. Keywords: Quality Improvement; Patient Safety; Hospital Information Systems; Clinical Governance
Mehrdad Farzandipour; Abbas Sheikhtaheri; Monireh Sadeghi Jabali
Volume 9, Issue 5 , November and December 2012, , Pages 646-654
Abstract
Introduction: Based on individual independence rights, patients can refrain from being treated orcan voluntarily discontinue their treatment after receiving full information. This study aimed toreview the reasons of treatment refusal and the status of informed refusals for patients.Methods: This was ...
Read More
Introduction: Based on individual independence rights, patients can refrain from being treated orcan voluntarily discontinue their treatment after receiving full information. This study aimed toreview the reasons of treatment refusal and the status of informed refusals for patients.Methods: This was a cross-sectional descriptive study. The study population included 135patients who refused to be treated in university hospitals of Kashan (except for the Psychiatricward) during summer 2010. Data were collected through a 35-item questionnaire by means ofinterviewing. The data were analyzed using SPSS software.Results: The most important common reasons for treatment refusals were patients’ inappropriatefeelings for hospitalization continuation (83%), low quality of hospital services (49%) andreceiving advices from their friends and families (35.5%). Providing information before signingthe consent form (64.2%), understandability of the consent form (69.2%) and interaction betweenthe patient and the physician (72%) were items with adequate or somewhat adequate statusmentioned by the patients.Conclusion: Improving status of hospitalization, mental condition, and patient tendency to behospitalized and also promoting health quality can result in decreasing personal satisfaction fordischarges against medical advices. To improve the status of informed refusals, more informationabout alternatives, their benefits and complications, and content of consent forms should beprovided to patients. Physicians should understand patients’ reasons to refuse treatment and try toeliminate obstacles and persuade them to continue their treatments.
