Health Information management
Aidin Ahmadi; Fatemeh Torabi; Alireza Hashemian; Reza Vaghardoost
Abstract
Introduction: The great interest in cosmetic surgeries and the possible risks of these types of surgeries make it necessary to pay attention to health literacy for the applicants of these types of surgeries in order to evaluate and make correct decisions. Therefore, the purpose of this study is to evaluate ...
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Introduction: The great interest in cosmetic surgeries and the possible risks of these types of surgeries make it necessary to pay attention to health literacy for the applicants of these types of surgeries in order to evaluate and make correct decisions. Therefore, the purpose of this study is to evaluate the level of health literacy of cosmetic surgery applicantsMethods: The research method is cross-sectional. The research sample includes 189 applicants for cosmetic surgery referring to Hazrat Fatemeh Teaching Hospital in Tehran, and the Iranian Adult Health Literacy Questionnaire (HELIA) was used to collect the data. Descriptive statistics and U-Mann-Whitney and Kruskal-Wallis statistical tests were used for data analysis.Results: The average health literacy of the participants was higher than the average of the questionnaire. The highest average is related to the understanding component (85.65) and the lowest average is related to access (76.60). There is a significant relationship between the average level of health literacy of women and men in the dimension of understanding and the average of health literacy. Also, there is a significant relationship between the level of health literacy and the level of education. Applicants with a higher education degree also have a higher level of health literacy. Also, the most sources of obtaining health information for applicants is the Internet (40.74 percent).Conclusion: Although according to the results of the research, the health literacy level of the cosmetic surgery applicants was above average, but it is necessary to provide the necessary training on promoting health literacy among different groups, especially people with low literacy levels. Also, it is necessary to provide valid educational and advertising brochures in health and treatment centers for applicants
Health Information management
Hamid Moghaddasi; Maryam Dehghani; hassan emami; Farkhondeh Asadi
Abstract
Introduction: After the establishment of the Integrated Health System (SIB) with the aim of collecting people's health information and creating an electronic health record for the general public, the necessity of evaluating users' views on its function, goals and characteristics doubled and the present ...
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Introduction: After the establishment of the Integrated Health System (SIB) with the aim of collecting people's health information and creating an electronic health record for the general public, the necessity of evaluating users' views on its function, goals and characteristics doubled and the present study was carried out.Methods: It was a descriptive research that was conducted on 30 experts of electronic health records (leaders) of medical sciences universities across the country. A cluster method was used for sampling. The data collection tool was a questionnaire made by the researcher, whose validity (reliability) was estimated to the extent of... and its index... It was measured through content validation and with...Results: Participants in the study were 46.7% women and 53.3% men.The results of the present study in the Application section ("has applications and full implemented " 65.1%, has applications and incomplete performance 27.08%,has applications and not implemented 1.56% and"not application" 2.07%),Objectives("infrastructure" and full implementation 43.7%,Incomplete implementation 42.3%, not implemented 2.7% and "no infrastructure" 9.01%)and Characteristics ("has characteristics "and full implementation 48.55%,has characteristics and incomplete implementation 35.24%,has characteristics not implemented 2.37% and "no characteristics" 13.81%).Conclusion: From the point of view of the users, the system needs further development in terms of goals and features, so that by expanding it and creating the necessary infrastructure, the electronic health record can be formed for the general public. In the application section, this system was at a relatively acceptable level. Also, the educational field and work experience of the apple system experts are very important; Because the lack of familiarity of employees with international standards and inappropriate training of personnel leads to incorrect use of information, which as a result affects managerial and clinical decisions.
Maryam Jahanbakhsh; Majid Matinfar; Sakineh Saghaeiannejad-Isfahani; Akbar Hassanzadeh; Habibollah Nikafraz
Volume 14, Issue 5 , October 2017, , Pages 199-204
Abstract
Introduction: Hospital websites have a high potential for providing information and services to customers. The assessment and comparison of hospital websites determine the extent of their utilization and contributes to the formation of constructive competition between hospitals. Therefore, the present ...
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Introduction: Hospital websites have a high potential for providing information and services to customers. The assessment and comparison of hospital websites determine the extent of their utilization and contributes to the formation of constructive competition between hospitals. Therefore, the present study was conducted with the aim of comparative assessment of the websites of public and private hospitals.Methods: This applied research is an analytical-descriptive study and was conducted in 2017. The study population included 13 public hospital websites and 3 private hospital websites in Isfahan, Iran. The data were gathered through a checklist based on 11 main and 69 sub-criteria and analyzed by inferential statistics.Results: There was a significant difference between the average of scores obtained from public and private hospitals’ websites in terms of the 4 main criteria including contact information and access methods, admission service and reservation, features, design and updating of pages and public relations. However, there was no significant difference between the average of scores obtained in terms of 7 other criteria and the overall score.Conclusion: The assessed websites did not fully utilize web capabilities and did not have a favorable status. Therefore, according to the results of this research, the authorities in this area must provide the information and services to the customers in a desirable way so that they can compete with other hospitals in order to attract more customers and improve customer satisfaction.
Leila Nemati-Anaraki; Seyed Ehsan Seyyedan; Fatemeh Nejatbakhsh
Volume 14, Issue 2 , July 2017, , Pages 78-83
Abstract
Introduction: Since the science of medicine is based on observation, in addition to medical personnel, the general public also searches the internet when faced with a certain disease in order to gather information about that disease and attempt to treat it through traditional or modern methods. The purpose ...
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Introduction: Since the science of medicine is based on observation, in addition to medical personnel, the general public also searches the internet when faced with a certain disease in order to gather information about that disease and attempt to treat it through traditional or modern methods. The purpose of this study was to rank Iranian-Islamic medicine websites using WebMedQual scale.Methods: This was a descriptive survey with applied results. To gather the necessary data, a checklist was used based on the standard WebMedQual scale. The initial study population consisted of 97 Iranian-Islamic medicine websites. After eliminating websites below a certain quality threshold, a total of 74 websites were evaluated. The minimum and maximum possible scores in the checklist were 0 and 83 points, respectively. There are a total of 89 questions in the checklist; 83 until the end of the confidentiality section and 6 questions regarding e-commerce. The acceptable score for websites was 41.5. The results are presented as mean score and optimal score.Results: The results indicate that the websites were average in terms of content and credibility, relatively good in terms of design, accessibility, and usability, almost good in terms of links, moderate in terms of user support, and relatively weak in terms of confidentiality. The best Iranian-Islamic medicine website was Tandorostan with a total score of 72.Conclusion: It can be concluded that the majority of websites in this area have moderate to high quality. These results identified credible websites in medicine and can be used to create a subject list of Iranian-Islamic websites.
Rezvan Ansari; Reza Khajouei
Volume 13, Issue 5 , October 2016, , Pages 320-325
Abstract
Introduction: Websites of university research institutes play an important role in communicating and providing services to their users. The aim of this study was to determine the quality of websites of research institutes affiliated to Iranian universities of medical sciences.Methods: This applied study ...
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Introduction: Websites of university research institutes play an important role in communicating and providing services to their users. The aim of this study was to determine the quality of websites of research institutes affiliated to Iranian universities of medical sciences.Methods: This applied study was carried out using cross-sectional method in winter 2014. The dedicated websites of research institutes were evaluated using a pre-validated checklist. This checklist addressed four dimensions of websites quality: content, design, organization and user-friendliness. For sorting the quality of websites, a score of 1 to 5 was given to each criterion of these dimensions by experts. Excel software was used to analyze the data.Results: The studied websites conformed to standard quality criteria by means of 81% for content, 85% for design, 89% for organizing and 77% for user-friendliness. Overall, the obtained scores in four dimensions of websites quality ranged from 74% to 90% of the maximum score for each item.Conclusion: In general, the websites of the research institutes affiliated to Iranian universities of medical sciences were in desirable conditions in terms of conforming to four dimensions of website quality. However, to increase the efficiency and productivity of these websites, research institutes should consider other neglected quality criteria in the design of their websites.
Haniyeh Sadat Sajadi; Rouhollah Zaboli
Volume 13, Issue 1 , May 2016, , Pages 55-60
Abstract
Introduction: The health system reform plan is currently being implemented in Iran due to the emphasis of health policy makers and planners on the financial protection of patients, equity in access to health services, and improvement of the quality of hospital services. This study aimed to ...
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Introduction: The health system reform plan is currently being implemented in Iran due to the emphasis of health policy makers and planners on the financial protection of patients, equity in access to health services, and improvement of the quality of hospital services. This study aimed to investigate the positive effects of health reform plan from the perspective of hospital directors. Methods: This qualitative cross-sectional study was conducted in December, January, and February of 2015. Semi-structured interviews were used for data collection. The participants were selected through purposive sampling from among hospital directors and managers in Tehran, Iran. The content of 18 interviews were audio-typed, transcribed, coded, and then, analyzed using NVivo software. Results: The positive effects of health reform plan implementation were categorized into 8 themes and 21 sub-themes. The main themes were insurance coverage of patients in need of healthcare, performance indicators improvement, hospital management system modification, interhospital referral system improvement, improvement of patient payments control and management, improvement of selected quality indicators, increased health system accountability, and increased hospital income. Conclusion: Implementation of the health reform plan in Iran may result in the increasing of patient satisfaction and improving of health services quality if sustainable financial resources can be provided for the plan.
Mohammad Reza Dalvi; Vahid Mohammadi
Volume 12, Issue 4 , August 2015, , Pages 426-434
Abstract
Introduction: Moment awareness of the status of each of the contracting organization can assist administrators in securing and allocating resources. This information may include the precise specifications of the contract, the contract cost resources, contract statements, information and documents, accounting ...
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Introduction: Moment awareness of the status of each of the contracting organization can assist administrators in securing and allocating resources. This information may include the precise specifications of the contract, the contract cost resources, contract statements, information and documents, accounting and so on. That is why the contract to provide the information updated automatically and accurately can be very useful for managers. This descriptive survey research methodology, and is a branch of athletics.Methods: The study population consisted University of subordinate units has been agreements specialists whose number is 64 people according to the number of available taking a census. According to research the design and implementation of software quality evaluation software via questionnaires distributed among users were .To check the validity of academics were used to estimate the reliability coefficient Cronbach's alpha (77 % = Α) were used. Data and descriptive statistics were analyzed using SPSS software.Result: According to study data recording software contracts, web design and implementation of the University, The assessment of software quality from the user perspective represents it is to achieve the quality of software designed from the perspective of the users in order of preference to reusable 85.4% reliability and 85.0%, portability 81.2% interoperability and inter-operability 80.4%, flexibility 80.4%, usability 80.4% security 79.6%, effective 79.4% availability, 79.0%. stability 77.8% respectively.Conclusion: Results indicate that the establishment and operation of management information systems in organizations using innovative technologies and with the participation of the employees is possible. In this regard, the University must provide an active and supportive environment that provides appropriate context.
Fatemeh Ghaderi; Behrouz Moradhasel
Volume 12, Issue 4 , August 2015, , Pages 483-494
Abstract
Introduction: The rapid development in today's world, knowledge of developments and consequently planning to achieve the objectives by possible shortest ways Undeniable necessity makes. Any organization to achieve its goals and mission should review the current situation and explain the route ahead, ...
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Introduction: The rapid development in today's world, knowledge of developments and consequently planning to achieve the objectives by possible shortest ways Undeniable necessity makes. Any organization to achieve its goals and mission should review the current situation and explain the route ahead, be systematically planned and organized in order to benefit from internal and external sources in the light of the strategic planning. This study aimed to analyze the success of strategic management of treatment vice presidency of Hamedan University of medical sciences (UMSHA).Methods: This research is an applied, descriptive cross sectional study.The strategic plan of study and degree of success in achieving its strategic objectives is measured based on the balanced scorecard (BSC) and then, The organization's success in achieving the objectives Was evaluated with The target population of of Hamedan University of medical sciences workers (28 people, including all managers and treatment vice presidency Experts. The data collection tool was a research’s questionnaire so the experts confirmed the validity and reliability of the method by Test-retest and were confirmed by Alpha Cronbach measurements 94 percent. Descriptive statistics, inferential statistics and SPSS15 software were used for data analysis.Results: Studied Organization Achieved its goals In terms of Financial to 85%, Customer to72%, in processes to 90% and in learning and growth to 100% and in total have been achieved success in achieving their goals 82 percent. Also Failure to achieve the objectives was the result of weakness or failure in every stage of the strategic management.This means that up to 95 percent, Lack of proper design and selection of inappropriate strategies, lack of proper implementation strategies and the lack of proper evaluation of the implementation of the strategic plan of the organization's lack of effectiveness of the strategic managment.Conclusion:Using an appropriate model for the organization's strategic plan, it is considered important to the success of the program but more importantly, it need to have a strategy that is based on accurate knowledge and built on understanding of strategic thinking environment. Commitment to right implementation the strategies is essential and Implement appropriate monitoring and evaluation system can promote the implementation of the strategic plan in organization.
Mohammad Mahmoudi Maymand; Tahere Yaghoobi; Parnaz Naghdi sede
Volume 12, Issue 3 , June 2015, , Pages 287-297
Abstract
Introduction: Hospital information systems are one of the most important systems in improving the quality of health care. Because of the enormous costs that would be spent for installation and implementation of health information systems, it is important to evaluate these systems. The purpose of this ...
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Introduction: Hospital information systems are one of the most important systems in improving the quality of health care. Because of the enormous costs that would be spent for installation and implementation of health information systems, it is important to evaluate these systems. The purpose of this study was to evaluate the performance of Hospital Information Systems in the Laboratory module of University Hospitals of Isfahan based on the International standard ISO 9241-110.Methods: This was an applied, descriptive study and was performed in 2013-2014. The Statistical population included 225 laboratory users in hospitals affiliated to Isfahan university of Medical Sciences. Sampling method was random stratified sampling and the Sample size was calculated based on Cochran formula as 141 subjects.Data were collected by using a standardized Isometric questionnaire 9241-110. The questionnaire contains 35 questions in seven sections. Its validity and reliability were confirmed by Information Technology specialists and Chronbach's alpha (r=0.95) respectively.Data were analyzed by descriptive (measures of frequency, frequency percentage, mean, standard deviation) and inferential statistics (Independent T-test and ANOVA) by using the SPSS software.Results: Findings showed that all hospital information systems (KOSAR compliance averaging 3.65, RAYAVARAN TOSEE compliance averaging 3.47, SAYAN RAYAN EKBATAN compliance averaging 3.25, POOYA SAMANEH DIVA compliance averaging 3.09) based on the principles of ISO 110-9241 was upper than average.Data analysis suggested the following percentages concerning the software: Suitability for the task 3.81, Self-descriptiveness 3.68, Conformity with user expectations 3.67, Error tolerance 3.45, Controllability 3.44, Suitability for learning 3.42, Suitability for individualization 3.05.Conclusion: System designers should consider to promoting the Seven Principles of Iso 9241-110 and specially paying attention to improving the ability of self-learning and Suitability for individualization principles.
Fereidoon Azadeh; Elahe Ommati; Sayed Javad Ghazi Mirsaeed; Mohammadreza Alibeyk
Volume 12, Issue 1 , May 2015, , Pages 78-87
Abstract
Introduction: Utilization of resources of evidence based medicine depends on quick and easy access to reliable databases, which meet different functionalities of a user interface, usability and technical issues. Given the importance of evidence based medicine resources in accelerating response to ...
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Introduction: Utilization of resources of evidence based medicine depends on quick and easy access to reliable databases, which meet different functionalities of a user interface, usability and technical issues. Given the importance of evidence based medicine resources in accelerating response to clinical questions, the present study is an attempt to evaluate compliance of evidence based medicine resources based on Ovid Criteria. Methods: This study is an applied work, which was carried through surveys and webometric methods between 2012 and 2013. The population was consisted of six evidence based medicine resources. Evaluations were done using Ovid criteria. The collected data was analyzed in SPSS (20) using descriptive statistics (frequency and frequency percentage).Results: Findings indicated that resources of evidence based medicine obtained less than half of the total rating Ovid Criterion. In general, they were placed at 36.92% level and obtained 319 points out of 864. Therefore; compliance of all resources of evidence based medicine based on Ovid criteria was at the low level.Conclusion: Despite the fact that resources of evidence based medicine are aimed to provide rapid access to medicine evidence; the problems regarding satisfactory ease of use, effective user interface and observance of the technical issues were undeniable. Dealing with these problems successfully, leads to quick and easy access to the evidences by users. It is suggested, based on the findings, those experts of database design and public information need to pay more attention to the components such as search, service, display, links, guides or documentation.
Ehsan Mosa Farkhany; Hosein Khooban; Behruz Dahrazama; Vahid Reza Arefi; Fariba Saadat
Volume 12, Issue 1 , May 2015, , Pages 117-124
Abstract
Introduction: The goal of health system reform in Iran is embarking on a series of continued changes for improving efficiency, fixing justice for people's use of health services, protecting people against financing dangers due to disease, and reforming payment system. Family physician program is selected ...
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Introduction: The goal of health system reform in Iran is embarking on a series of continued changes for improving efficiency, fixing justice for people's use of health services, protecting people against financing dangers due to disease, and reforming payment system. Family physician program is selected as the base of health system reform. The aim of this study is to determining the causes of discontinuation of family physicians working in Mashhad University of medical sciencesMethods: In this cross-sectional study 156 of family physician working in Mashhad University of medical sciences randomly selected and self-constructed Questionnaire completed for them. The statistical analysis was performed by using the Statistical Package for Social Sciences [SPSS version19].Results: More than half of family physicians (59%) were female. about 80% of family physician ages being between 25 to 42 years. Mean age of family physician was 32.7 ± 6.06 years. About 82% of family physicians were married. The average work experience in family physicians was 16 months. The main reason of discontinuation of family physicians was; low salary (26.7%), effect of monitoring score on the salary (11.7%), and high responsibilities of the physician (9/9%).Conclusions: factor related to the salary and effect of monitoring score on the salary with more than 38% was the most important reason of discontinuation in family physicians. According result of this study the ministry of health and medical education must create dramatic changes in the physician payment.
Hassan Ghahnaviyeh; Hedayatollah Asgari; Mohammad Hossein Yarmohammadian
Volume 10, Issue 7 , December 2014, , Pages 1106-1108
Sedigheh Abedi; Reza Khajouei; Leila Ahmadian; Sara Kaveh
Volume 11, Issue 4 , November 2014, , Pages 392-399
Abstract
Introduction: Due to the mission of the university websites for providing services to users, the effective design of their content leads to their efficient use. Among them are websites of educational departments which can contain valuable information for faculty members, students and other personnel. ...
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Introduction: Due to the mission of the university websites for providing services to users, the effective design of their content leads to their efficient use. Among them are websites of educational departments which can contain valuable information for faculty members, students and other personnel. The objective of this study was to review the information content of Health Information Management and Technology Departments in Iran. Methods: This research is a cross-sectional study which has been performed on 14 websites in the winter of 2013. The information elements were gathered using a data collection form, validated by three Medical Informatics specialists, and the extent of their necessity was discussed in a focus group. The results were analyzed using SPSS 16. Results: In this study, a total umber of 36 information headings were extracted from the 14 evaluated websites. These elements were categorized in six information groups: the field, faculty members, research, educational, department performance and other information. The most cases were related to research and educational information (each with 22 percent) and the least were related to the field information (8percent). Eighty three percent of existing information elements was identified as necessary by the focus group. Conclusion: Information elements of educational websites were different either by their heading or by their information content. This difference can reduce the efficiency and cause user confusion in finding information. The results of this research can be used for design and improvement of educational websites by educational departments, webometric managers and designers of the websites.
Mohammadreza Amiresmaili; Leila Zarei; Elaheh Sheibani; Azimeh Arabpur
Volume 10, Issue 1 , May 2014, , Pages 3-15
Abstract
Introduction: Evaluation of hospital information system (HIS) is a complex endeavor, in which allhuman, technical and organizational aspects should be considered. This study aimed to develop indicatorsfor HIS evaluation.Methods: Present qualitative study was carried out through a cross-sectional method ...
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Introduction: Evaluation of hospital information system (HIS) is a complex endeavor, in which allhuman, technical and organizational aspects should be considered. This study aimed to develop indicatorsfor HIS evaluation.Methods: Present qualitative study was carried out through a cross-sectional method in 2012 in Kermanprovince, Iran, using Delphi technique. Given the objectives of this study, three independent phases wereperformed including literature review, providing draft indicators for HIS evaluation and reachingconsensus. Required data were obtained through interviews and designed forms. Twenty-three expertscomposed the study population in interview and reaching consensus phases. Validity and reliability wereconfirmed through content validity and test-retest method, respectively. Data were analyzed usingdescriptive statistics.Results: Final set of indicators for HIS evaluation consisted of ninety-one indicators under 8 main topics,i.e. technical quality, software quality, architecture and interface quality, vendor quality, after-sale servicesquality, workflow support quality, support department, outcome quality and HIS cost.Conclusion: Given the complexity of information system evaluation, all human, technical andorganizational aspects have to be taken into account in any evaluation. Proposed indicators provide thepossibility of comprehensive evaluation of HIS.
Mohammad Reza Delavi; Hassan Ghorbani; Fakhrodin Simakani
Volume 10, Issue 1 , May 2014, , Pages 47-57
Abstract
Introduction: Hospital information system (HIS) plays an important role in enhancing the quality ofremedy in hospitals. HIS is considered as an information system that may have great influence on theeffectiveness and efficiency of hospital management. Evaluation system is one of the most importantissues ...
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Introduction: Hospital information system (HIS) plays an important role in enhancing the quality ofremedy in hospitals. HIS is considered as an information system that may have great influence on theeffectiveness and efficiency of hospital management. Evaluation system is one of the most importantissues that is greatly emphasized in the management system. This paper evaluate HIS based on Ahituv andNeumann model. The general objective of this study was to assess HIS in hospitals where Kowsarsoftware is in use.Methods: This study used a descriptive-field survey approach and carried out in 2012. The data werecollected via both field and library sources. Subset of this research contained ten governmental hospitalsunder supervision of Isfahan University of Medical Sciences, Iran. Indeed, the Kowsar software wasinstalled in all the studied hospitals. Since the number of subjects was 209, it was feasible to use all staff.The volunteers were given localized questionnaires based on Ahituv and Neumann model indices (time,content, and structure) to assess the HIS. The questionnaire included 37 items with regard to the fivechoicelikert scale. The elite panel confirmed questionnaire content validity. In addition, reliability wascalculated via Cronbach’s alpha (0.85).Results: Data analysis showed that there were two true hypotheses among the three. In fact, both time andcontent were verified with 0.95 reliability rate but the structure was not in an acceptable level.Conclusion: The HIS governing the organization was in a proper condition in terms of timeline, accuracy,relevancy, and appropriateness of brevity; however, in terms of frequency, period, and universality it wasnot satisfactory and needed modification. HIS basically requires restructuring and also detailedinformation and several figures and charts to illustrate statistical outputs. Altogether, a newer version ofKowsar can be released to overcome the drawbacks.
Sakineh saghaeiannejad Isfahani; Ahmadreza raeisi; Hassan Jannesari; Asghar Ehteshami; Awat feiz; razieh mirzaeian
Volume 10, Issue 5 , October 2013, , Pages 655-664
Abstract
Introduction: Supporting a therapeutic approach and medication therapy management, pharmacy information system acts as one of the central pillars of hospital information system. This ensures that medication therapy is being supported and evaluated with an optimal level of safety and quality similar to ...
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Introduction: Supporting a therapeutic approach and medication therapy management, pharmacy information system acts as one of the central pillars of hospital information system. This ensures that medication therapy is being supported and evaluated with an optimal level of safety and quality similar to other treatments and services. Methods: The present study was an applied, descriptive and analytical study which was conducted on the pharmacy information system in use in the selected hospitals. The research population included all the users of pharmacy information system. The research sample is the same as the research population. The data collection instrument was self designed checklist developed following the guidelines of the American Society of Health-System Pharmacists, Australia pharmaceutical Society and Therapeutic guidelines of the Drug Commission of the German Medical Association. The checklist validity was assessed by research supervisors and pharmacy information system pharmacists and users. results: The findings of the study on the pharmacy information system revealed that the degree of meeting the standards given in the guidelines issued by the Society of Pharmacists, the highest rank in observing the input standards belonged to Social Services hospitals with a mean score 32.75. While teachingEducational hospitals gained the highest score both in processing standards with a mean score of 29.15 and output standards with a mean score 43.95 and the private hospitals had the lowest mean score of (23.32,17.78, 24.25) in input, process and output standards respectively. Conclusion: Pharmacy Information System (PIS) is composed of three data banks, namely patient information, medication information (managerial, financial and scientific data) and medication prescriber information. It is expected that this system be effective in three fields of operational management, financial management and scientific support to the medication services in hospitals. In addition, it is also expected that administering and using these data banks entail reduction of errors and increase of the speed of managing the orders and dispensing the medications. Hence, when PIS is to be administered, informational requirements and hardware, software, manpower and educational resources needed for establishing the medications plans, standards, policies and laws must be taken into account. In sum, the findings of the present research showed that among the 8 information systems in question, the Social Services System and Pouya Samaneh gained the highest ranks in observing the input standards, while the highest mean score in meeting the standards related to processing and output standards belonged to Sayan Rayan e Ekbatan System and Modiriat e Amar System respectively. It is worth noting that due to inattention to such system's capabilities, all of them suffer from some deficiencies that need to be obviated Since one of the most significant and effective elements of PIS, i.e. medication's scientific data bank has been ignored and the PISs in question have not been equipped with some software suitable for providing the prescriber with scientific backup in his/her making decision process, the prescribers have just contented themselves to their own information making medication errors in health care domain inevitable. Before designing and administering PIS, due attention must be given to the users' informational requirements as well as their expectations from the system. The availability of informational elements effective on managing and monitoring the medication related complications, reducing medication errors, checking the medication therapy information to ensure the suitability of medication regimen and medication warns to identify drug allergies, system potential relation with other systems supporting physicians in their making decisions and at last, recording the prescribers' orders are some capabilities that can promote this system so that it can be regarded as a clinical system with a treatment approach. Keywords: Evaluation; Pharmacy; Information Systems; Performance Assessment
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
Lida Shams; Golrokh Atighechian; Sayed Mohammad Ehsan Farahabadi
Volume 9, Issue 7 , December 2012, , Pages 1039-1046
Abstract
Introduction: Due to the fact that nurses constitute the highest percentage of hospital staff and quality ofhealth care is largely influenced by their performance, evaluation of the internal environment from theirperspective can greatly indicate the improvement and the strength points of the hospital. ...
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Introduction: Due to the fact that nurses constitute the highest percentage of hospital staff and quality ofhealth care is largely influenced by their performance, evaluation of the internal environment from theirperspective can greatly indicate the improvement and the strength points of the hospital. This study aimedto clarify nurses’ view regarding the status of the internal environment component.Methods: A quantitative-analytical study was carried out in educational, non-educational and privateselected hospitals of Isfahan University of Medical Sciences, Iran in 2010. The sampling method wasclustering method and inside the cluster, it was done proportionally. Finally, nurses were selectedrandomly. Inclusion criteria were being nurse with bachelor and master degrees. On this basis, the numberof sample was estimated equal to 384. Data were collected using standard questionnaire (WiseboardSix-Dimension Box Model) with Cronbach's alpha of 89.7. Data were analyzed using statistical tests suchas Pearson correlation, independent t-test and analysis of variance (ANOVA).Results: Considering the factors included in this study i.e. “purposes”, “structure”, “helpful mechanisms”“relationships”, “leadership”, “reward mechanism”, the weakness of all the hospitals in the rewardmechanism was revealed (educational hospitals = 22.6, non-educational hospitals = 24.0, privatehospitals = 25.4). The organizational structure was the weakness of non-educational hospitals and alsoable to improve in the other studied groups (educational hospitals = 19.88, private hospitals = 19.93).Conclusion: Systematic approach at the design and development of a fair compensation mechanism withrepresentatives of staff can have a significant impact on improvement of the current situation of studiedhospitals and also facilitates organization to achieve its goals
Saeed Saeedbakhsh; Asghar Ehteshami; Mahtab Kasaei Isfahani
Volume 9, Issue 4 , September and October 2012, , Pages 490-501
Abstract
Introduction: Hospital managers and healthcare providers should access to hospital informationsystem (HIS) in order to enhance their efficiency and effectiveness in the organization. Accurate,appropriate, precise, timely and valid information as well as an appropriateness informationsystem are required ...
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Introduction: Hospital managers and healthcare providers should access to hospital informationsystem (HIS) in order to enhance their efficiency and effectiveness in the organization. Accurate,appropriate, precise, timely and valid information as well as an appropriateness informationsystem are required for their tasks and a basis for decision-making in various levels of thehospital management. The present study was conducted to assess selected HIS in hospitalsaffiliated to Isfahan University of Medical Sciences, Iran, according to ISO 9241-10.Methods: This was an applied, descriptive cross-sectional study in which seven selected HISmedical records modules were assessed using ISO 9241-10 questionnaire consisting 74 rankedcomponents and entities in hospitals of Isfahan University of Medical Sciences. The contentvalidity and reliability were confirmed and the obtained data were analyzed through SPSSsoftware, and descriptive statistics were used to examine measures of central tendencies.Results: Data analysis suggested the following percentages concerning the software: 68%appropriateness for user’s tasks, 67% self-descriptiveness, 70% controllability by user, 74%compatibility with user’s expectations, 69% error tolerance, 53% possibility of individualization,and 68% possibility of desired learning for user. The total acceptability with the ISO 9241-10Software was 67%.Conclusion: Information is the basis for policy and decision-making in various levels of thehospital management. Consequently, it seems that developers of HIS should reduce HIS errorsand increase its appropriateness for the tasks, self-descriptiveness, controllability, conformitywith user’s expectations, error tolerance, appropriateness for individualization andappropriateness for user’s learning.
Hossein Ghalavand; Roghayeh Eskrootchi; Mohammadreza Alibeyk
Volume 9, Issue 6 , March 2012, , Pages 814-821
Abstract
Introduction: Many criteria are involved in the assessment of websites. The importance of these criteriadiffers depending on their various subject areas. The purpose of this study was to identify the importanceof assessment criteria of health websites based on the opinions of hospital librarians.Methods: ...
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Introduction: Many criteria are involved in the assessment of websites. The importance of these criteriadiffers depending on their various subject areas. The purpose of this study was to identify the importanceof assessment criteria of health websites based on the opinions of hospital librarians.Methods: This descriptive study was conducted in 2011. After face and content validity of the researcherconstructed questionnaire (based on the likert scale) were evaluated, its reliability was determined byCronbach’s alpha coefficient (0.98). The questionnaire was distributed between all librarians of 30hospital libraries affiliated with Tehran University of Medical Sciences and Shahid Beheshti University.53 questionnaires were collected. Data analysis was done using descriptive statistics (mean, median,mode, and standard deviation) in SPSS for Windows (version 19).Results: Of the information quality criteria, accuracy had of the highest degree of importance (4.56), andprice and response time had the lowest degree of importance (2.52). Moreover, in the external indicatorsgroup author credentials had the highest mean (4.73), and accessibility and advertising policy had thelowest mean of importance (2.20).Conclusion: Based on librarian’s opinions, the evaluation criteria of websites’ content information qualityare of greater importance than their external indicators.
