Original Article
Health Information management
Ali Rashidpoor; reza Karimihoseinabadi; mehrdad sadeghi
Abstract
Introduction: Patient safety is a serious global challenge and a very important aspect of healthcare quality. Unsafe care and services, in addition to imposing hardship on humans, also incur heavy economic costs. The purpose of this study was to investigate patient safety culture among nurses working ...
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Introduction: Patient safety is a serious global challenge and a very important aspect of healthcare quality. Unsafe care and services, in addition to imposing hardship on humans, also incur heavy economic costs. The purpose of this study was to investigate patient safety culture among nurses working at Ayaullah Kashani Educational and Medical Center in Isfahan in 1403.Methods: In this cross-sectional study conducted in 1403, 170 nurses from Ayaullah Kashani Hospital in Isfahan were selected using stratified sampling. Participants completed the demographic questionnaire and the patient safety culture assessment questionnaire. 129 people answered the questionnaires completely. Data analysis was performed using SPSS version 26 software. Findings were presented with an error rate of less than 0.05 as statistically significant.Results: Among the 12 dimensions of patient safety culture, expectations and management actions towards patient safety and information exchange and transfer have the highest score, and communication and providing feedback on errors have the lowest score among the dimensions of patient safety culture. There is a significant relationship between the current and desired status of patient safety culture in Ayaullah Kashani Hospital, Isfahan. Patient safety culture was significantly related to working hours of more than 40 hours per week and to educational qualifications.Conclusion: In line with the main mission of hospitals, which is to provide effective and safe services, attention to the culture of patient safety should be a priority in management programs, and in order to increase this culture, the groundwork for improving patient safety should be provided. Special attention should also be paid to the dimensions with low averages in this study in order to improve and strengthen these dimensions.Keywords: Patient safety culture, nurse, patient safety, educational medical center
Original Article
Health Information management
Nahid Zarinsadaf; Mojgan Derakhshan; Amin Nikpour; Hamid Reza Mollaei
Abstract
Introduction: Human resources play a vital role in delivering quality services within the health system, and evaluating their analytical status impacts performance and productivity and Human resource analytics, through the collection and analysis of employee data, assists managers in making better decisions. ...
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Introduction: Human resources play a vital role in delivering quality services within the health system, and evaluating their analytical status impacts performance and productivity and Human resource analytics, through the collection and analysis of employee data, assists managers in making better decisions. The aim of this research is to construct and validate an scale for assessing human resources analytics in the health system.Methods: This research has an applied purpose and utilizes a descriptive-survey method to examine the validity of the scale through confirmatory factor analysis (CFA). The statistical population comprised 206 managers and experts from the Pole Eight Universities of Medical Sciences, with 132 individuals selected through stratified random sampling and available for the study. Questionnaire items were developed based on a qualitative study, achieving a reliability score of 0.976 using Cronbach's alpha. Hypotheses were tested using SPSS24 and AMOS24, evaluating both the reliability and validity of constructs through CFA.Results: The structural model of human resources analytics comprises 24 sub-components organized into three main components: information system redesign, cultural change, and systemic thinking. The confirmatory factor analysis confirmed the strong fit of the proposed model with the data and the significance of all factor loadings and construct validity was established.Conclusion: The results demonstrate that the human resources analytics scale possesses good validity and reliability, making it an effective tool for enhancing management and decision-making processes in the health system. This scale can be utilized alongside other tools to assess the state of human resources analytics.
Original Article
Health Information management
Gholamreza Sadeghi; Amin Ghasem Begloo; Mohammadkarim Bahadori
Abstract
Introduction: The use of electronic prescription systems can reduce medical errors and enhance patient safety. The present study aimed to identify and rank the implementation challenges of electronic prescribing from the perspective of service providers in two Social Security hospitals in Qazvin Province.Methods: ...
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Introduction: The use of electronic prescription systems can reduce medical errors and enhance patient safety. The present study aimed to identify and rank the implementation challenges of electronic prescribing from the perspective of service providers in two Social Security hospitals in Qazvin Province.Methods: This mixed-method study was conducted in 2024 in two phases. In the first phase, using a Conventional content analysis approach, 12 service providers were selected through purposive and snowball sampling. Semi-structured interviews were conducted with the participants to identify the implementation challenges of electronic prescribing. The collected data were categorized using MAXQDA 2020 software. In the second phase, the TOPSIS technique was applied using Excel 2021 to rank the identified challenges.Results: The findings revealed that the implementation challenges were classified into two main categories: “Infrastructural Issues” and “Performance Issues.” Within the category of infrastructural issues, “Incomplete medical service codes” ranked highest with a relative closeness of 1, while “System update deficiencies” ranked lowest with a relative closeness of 0.241. In the category of performance issues, “Increased time required to work with the system” had the highest rank with a relative closeness of 0.978, whereas “Increased errors in prescription entry” had the lowest rank with a relative closeness of 0.262.Conclusion: Based on the findings, it is recommended that policymakers allocate financial resources to review and revise the defined medical service codes in the system and simplify its processes, in order to improve system performance and enhance service providers’ satisfaction.Keywords: Electronic Prescribing, Challenges, Ranking, TOPSIS
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