ایندکس
index journal
Volume 12, Issue 2 , April 2015, Pages 137-272
سرمقاله
Sima Ajami; Mostafa Rezaei
Volume 12, Issue 2 , April 2015, Pages 137-138
Abstract
About two centuries have passed since the first deaths due to traffic accidents. Recent research shows that 38% of unnatural deaths in Iran are because of road accidents. According to statistics published by Iran forensics, from 2000 to 2010, 235587 people have been killed in traffic accidents and 2281810 ...
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About two centuries have passed since the first deaths due to traffic accidents. Recent research shows that 38% of unnatural deaths in Iran are because of road accidents. According to statistics published by Iran forensics, from 2000 to 2010, 235587 people have been killed in traffic accidents and 2281810 people have been injured. [1] Given that planners and policy makers are concerned with decreasing accidents and also because information forms the fundamental part of preventive programs, lack of sufficient information regarding the causes of accidents will be an obstacle to fulfill such programs. Collection of appropriate data and access to sufficient information regarding the causes of traffic accidents such as the type of accident (traffic or non-traffic), compliance with safety regulations and standards (such as fastening seatbelt, no cell-phone use, no drinking or eating, use of helmet by motor cyclists, and etc.), vehicles involved, rate and type of injury, time and location of accident can help organizations in implementation of preventive programs. In this regard, Minimum Data Set (MDS) plays a fundamental role in meeting policy makers' needs. MDS make data comparison possible and allows medical institutions to identify patients and meet governmental requirements, institutional needs and medical society's ideals. [2, 3]Tee (2012) in his study entitled "Inception of an Australian Spine Trauma Registry: The Minimum Data Set" showed that there is a need to comprehensive registry of collected data associated with spinal cord trauma both regarding spinal column and spinal cord injuries in order to inform policy makers properly and create preventive strategies for future patients. [4]Shaban (2009) in his study "The Long Term Effects of early Analysis of a Trauma Registry in United Arab Emirates" concluded that creating a registry system is a challenging issue in developing countries; however, it is feasible and leads to development of nationwide data bases. [5]Coats (2009) in his study "Beyond the Trauma Registry" stated that the first step toward a high quality trauma registry system is a proper information center or MDS. [6]Executive regulations associated with mandatory use of seat belt and helmet which was a joint proposal by interior, justice, industries and mines, and road and transport ministries was passed in cabinet meeting dated on March 17, 2001and was delivered on April 10, 2001; however, it wasn’t forced until 2005. According to the study, the rate of deaths due to accidents has been 13% a year before the law enforcement and 9.7% a year after it. [7]Conclusion: Obviously, without reflection and dissemination of information and statistics on the causes of traffic accidents, organizations, responsible authorities, and policy makers wouldn’t pass the above regulations. Since information is the basis of decision making, it would be better to establish a Minimum Data Set for local and national accidents so that stemming and designing preventive programs is possible.
Original Article
Hamid Moqadasi; Hasan Haqiqi; Hamidreza Rasekh; Syyed Mohammad Tabatabaiee
Abstract
Introduction: The relationship between pharmacy information system and drug companies in different fields such as drug quality and monitoring of products after sale has major effects on improvement of drug care in patients and drug use management. The aim of this study is to present a solution which ...
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Introduction: The relationship between pharmacy information system and drug companies in different fields such as drug quality and monitoring of products after sale has major effects on improvement of drug care in patients and drug use management. The aim of this study is to present a solution which is designing structured conceptual model for an integrated information system between pharmaceutical company and pharmacy information system.Methods: This survey is an applied study. It was done in a training hospital of Shahid Beheshti university of medical science and a pharmaceutical company in Tehran at 2012 miladi. Data was gathered using a questionnaire and studying documents. Validity and reliability of tools was measures by content validity. Data were analyzed by descriptive statistics that was limited to cumulative and relative frequency. Integrated database was used to make pharmaceutical companies and hospitals related. Conceptual model of software was created using structured analysis method. Results: Integrated information system was used to create relationship between pharmaceutical companies and hospitals.Structured conceptual model for integrated information system which was designed. Designed conceptual model for integrated information system include 4 section which are drug information, selling and buying drugs, adverse drug reactions, and suggestions and opinions about drugs, and were represented by functional model, data model, behavioral model and data dictionary.Conclusions: More accurate analysis should be done for designing health information systems and interoperability must be considered in it. Due to unwillingness of pharmaceutical companies and hospitals to change their software which may be bought recently, and reinvestment caused by changing software, integrated information system can be used to make a relationship between them.
Original Article
Somayeh Derakhshan; Mohamad Reza Dalvi; Mahmoud Dehghan
Volume 12, Issue 2 , April 2015, Pages 150-161
Abstract
Introduction: Growing influence of the project as a way to organize things in many organizations require effective management of multiple projects. . Due to the complexity of IT projects in organizations due to resource constraints especially if you have multiple projects, the necessity and use of project ...
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Introduction: Growing influence of the project as a way to organize things in many organizations require effective management of multiple projects. . Due to the complexity of IT projects in organizations due to resource constraints especially if you have multiple projects, the necessity and use of project portfolio management in achieving project objectives in recent years much attention has been. In this research, portfolio management of IT projects in Isfahan University of Medical Sciences IT Project Portfolio Management at University level, based on a three-step model Bert De Reyck (1 - Inventory Portfolio 2- Portfolio Optimization 3 - Managing portfolio) were investigated.'s.Methods: the present study according to the aim is applied and according to the method of data collection is descriptive - survey Subset of Athletics -. Validity has been confirmed by a number of experts and professors and reliability using Alpha Cronbach coefficient was calculated to 82 Percent. Statistical Society, University ICT All employees that have been done in 1392 AP And to analyze the results of descriptive statistics - mean and standard deviation and ... - Univariate t-test and a significance level of 0/05 to Spss 18 software is used.Results: Descriptive analysis of the components of project portfolio management based on the three-organized model Bert De Reyck indicated that the first phase had a mean 2/45 ±0/81, the second stage has a mean of 2/02 ± 0/69 and The third phase has a mean of 1/87 ± 0/74 respectively. Effect of portfolio management on the effectiveness indicate that the average effectiveness of projects in each of their indices Optimal level and average has been over the 2/75 .(p-Value<0/05) And therefore effectiveness is in Positive relation to portfolio management ..The mean level of problems in each of its projects under portfolio management indicated that average was more than 2/75 .(p-Value<0/05) And therefore problems is in negative relation to portfolio management .Conclusion: University study showed that the level of IT project management is in the second stage of Bert De Reyck model.Also Under one Project Portfolio Management Can added On the effectiveness of projects And finally a review of the problems of portfolio management project portfolio management indicated that the level is lower than are added to the institutional project problems.
Original Article
Mehdi kahouei; Zainab Abbasi
Volume 12, Issue 2 , April 2015, Pages 162-170
Abstract
Introduction: The use of new technologies has created much concern about privacy and security of health information. As regards health care workers are the main users of hospital information system aiming to improve the quality of care, This study as aimed to evaluate employee's perspective towards electronic ...
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Introduction: The use of new technologies has created much concern about privacy and security of health information. As regards health care workers are the main users of hospital information system aiming to improve the quality of care, This study as aimed to evaluate employee's perspective towards electronic health information security. Methods: This descriptive study was performed on 400 workers working in medical centers affiliated to Semnan University of Medical Sciences in 2012-13. Data has collected by a research made questionnaire which its validity was confirmed by experts and its reliability was justified by test-retest and analyzed by descriptive testsResults: the findings indicated that 55.7% selected employees’ role, 38.3% chose the perception of the importance of information security, 33% selected in service training and 47.5% chose proper infrastructure as the most important factors in health information security.Conclusion: It is concluded, the employees selected organizational, behavioral and other factors as the most important factors. It seems the control policy, the training courses, the investing in technology and the appropriate infrastructures are necessary to improve electronic health information security in medical centers.
Original Article
Zahra Abazari; Farshad Parhamnia
Volume 12, Issue 2 , April 2015, Pages 171-182
Abstract
Introduction: Studies published sources, reflecting the pattern of resource use by researchers that could be the basis for most libraries in order to used collection library material. This study is athe comparative study of citation behavior and Iranian and New Zealand journals of public health authors ...
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Introduction: Studies published sources, reflecting the pattern of resource use by researchers that could be the basis for most libraries in order to used collection library material. This study is athe comparative study of citation behavior and Iranian and New Zealand journals of public health authors group participation in DOAJ database between the years 2010 – 2012.Methods: The method in this study is abibliometrics research with of using citation analysis and cross–sectional. In addition to that the co-authority method was used too. The research society was 10 journal regarding public health chosen from Iran and NewZealand .the date of the journals was like each other. The date was gathered through referring to database DOAJ and searching public health journals of Iran and NewZealand. 23239 cites were chosen from those journals and it was done with the use of Excel and description statistics.Results: The results indicates Iran that with 9 of 4.10% in the fifth and New Zealand with magazine number 8 equals 3.65 percentage ranks sixth in the journals indexed in DOAJ database. Iran and New Zealand whit total of 850 citations of journal articles 78.7 present of Iran and 21.3% of New Zealanders have published articles withby 23,239 citations from articles 77.5% of the country and a 5/22% of the New Zealand Journal of Iranian paper average 93/26 has been cited text.A total of 669 articles published from Iran, 4.9% of the articles without peerand 95.1 of the co-author of articles in the field of public health hasbeen And a total of 181 articles published in New Zealand, 11.5% of the paperswithout peer and a 88.95% co-author ofarticles. The findings showed that collaboration index of Iran and New Zealand, respectively, for each degree, 4.40, 3.93.Conclusions: Overall, the findings indicate that there is a cooperative involvement of a group of researchers in thefield of public health and the country is NewZealand that in contrast to other studies conducted in different areas of the course thegroup contributions.
Original Article
Elham Ahmadi; Farideh Osareh; Gholamreza Heydari
Volume 12, Issue 2 , April 2015, Pages 183-193
Abstract
Introduction: This study aims at Identification and analysis of encouraging and inhibiting factors of scientific collaboration among Faculty members of ShahidChamran University and Jundishapur University of Medical Sciences of Ahvaz at local, national and international levels.Methods: Data collection ...
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Introduction: This study aims at Identification and analysis of encouraging and inhibiting factors of scientific collaboration among Faculty members of ShahidChamran University and Jundishapur University of Medical Sciences of Ahvaz at local, national and international levels.Methods: Data collection instrument was a questionnaire made by researcher. The study sample consistsed of 292 Faculty members in two universities of shahidChamran University and Jundishapur University of Medical Sciences of Ahvaz.. Its reliability was determined through Cronbach's alpha coefficient α = 0/94.Results: Conducting factor analysis on the data revealed13 main factors were extracted by conducting a factor analysis. 6 of those factors were about encouraging and 7 of them were inhibiting factors. 6 ofencouragingfactors is encouraging factor political and scientific-research, encouragingfactors individuals, encouragingfactors creating skill, encouragingfactors communication, encouragingfactors cultural,encouragingfactors motivation. and The most important inhibiting factors in research is important inhibiting political and scientific-research factor, inhibiting cultural factor, inhibiting individual factor, inhibiting relating to international issues, inhibiting communicative factor, inhibiting individual factor, inhibiting motivating factor. The highest mean (74/09) belongs to political and scientific-research encouraging factor and the lowest mean (7/19) belongs to inhibiting motivational factor. Therefore, results indicate that political, scientific-research factor is the most important encouraging factor and inhibiting motivational factor is the least important factor in scientific cooperation among Faculty members.Conclusion: This study introduces the most important inhibiting and encouraging scientific collaboration, offers ways to improve and expand scientific collaborations among researchers and removing inhibiting.
Original Article
Abdolrasul khosravi; khadijeh Ahmadzadeh; Shole Arastoopoor; Rahim Tahmasbi
Volume 12, Issue 2 , April 2015, Pages 194-205
Abstract
Introduction: Health literacy is: “ the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions. Functional health literacy is critically important during the typical patient–provider encounter ...
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Introduction: Health literacy is: “ the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions. Functional health literacy is critically important during the typical patient–provider encounter so this research aims to investigate the level of the health literacy of diabetic patients attending health centers in Shiraz (Iran).Methods: In this descriptive survey, 400 diabetic patients attending health centers in Shiraz (Iran) during Mordad and Shahrivar 1391 were selected as a sample study. Health literacy was measured by Normalized Test of Functional Health Literacy in Adults. Its reliability was obtained using test-retest correlation (0.99). Data were analyzed using SPSS and Independent t-tests, One Way ANOVA and Pearson correlation at a significant level (pvalue>0.05).Results: The findings show that the level of the health literacy of these diabetic patients is in marginal level. Health literacy was associated by sexuality, education, type of work.Conclusion: Generally, this research showed that the health literacy level is not adequate. This result determines that notice to health literacy and trying to improve it is important. Providing easy and readable educational resources for patients, educational classes for them and so on are some ways to improve health literacy.
Original Article
Alireza Jabbari; Raja Mardani; Maryam Mofid; Marzieh Jafarian Jazi; Elahe Khorasani
Volume 12, Issue 2 , April 2015, Pages 206-216
Abstract
Introduction: nowadays, complaints handling is considered as a necessary part of healthcare systems for enhancing patients' satisfaction. The present study is to determine the state of the complaints handling of the visitors of Isfahan educational hospitals in order to identify the challenges available ...
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Introduction: nowadays, complaints handling is considered as a necessary part of healthcare systems for enhancing patients' satisfaction. The present study is to determine the state of the complaints handling of the visitors of Isfahan educational hospitals in order to identify the challenges available in this process.Methods: the method of the study is descriptive and its design is retrospective cross-sectional. The research environment is Isfahan educational hospitals among which two hospitals were selected for the study; one of them was a subspecialty hospital and the other was a general one. The population of the study includes the complaint cases of the visitors of the hospitals' complaint unit in 2012. In one hospital, there were 1203 cases and in the other there were 125 ones. To collect the data, a checklist, whose face and content validities were confirmed, was used. The data were extracted from the cases and using a frequency table created by Excel software program was described.Results: based on the results obtained from the study, it can be claimed that in one of the hospitals, the most cases of complaint were about the quality of services (63.6%) and public as well as welfare affairs of the hospital (43.1%). The complaints about the medical staff (45.45%) and administrative staff (54.5%) had the most proportions. In the other hospital, the proportion of the complaining the medical staff had been increasing during the year, however the total number of the complaints had been decreasing. After the medical staff, nursing staff (39.5%) assigned the second rank of complaint proportion in the hospital to itself.Conclusion: the results obtained from the study can be as an experience for reforming the future performance of hospitals. In general, the results of the complained individuals in the hospital A indicate that the most proportion of the complaints was about the physicians and learners and the least proportion was about the technicians and experts of anesthesia and operating room. It seems that the reason for these results is first the physicians' and learners' unawareness of patients' bill of rights. This bill of rights should be considered as important in teaching learners as other scientific contents. In the hospital A, the reason for complaining the physicians had not been recorded, which by recording them, we can be aware of the weaknesses available in this regard and do appropriate deeds to improve them. But, in general, the quality of services and public as well as welfare issues are the topics considered as important in this research.
Original Article
Zahra Kavosi; Erfan Kharazmi; Ahmad Sadeghi; Sajad DarziRamandi; Yalda Kazemifard; Hadieh Mosalanejad
Volume 12, Issue 2 , April 2015, Pages 217-228
Abstract
Introduction: medication errors, patient safety risk factors that attempt to identify and track which has been discussed in recent years. This study aims to identify, assess, prioritize and process analysis to medication administration errors in hospitals Peymanieh using Failure Mode and Effect Analysis ...
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Introduction: medication errors, patient safety risk factors that attempt to identify and track which has been discussed in recent years. This study aims to identify, assess, prioritize and process analysis to medication administration errors in hospitals Peymanieh using Failure Mode and Effect Analysis error as risk management techniques and was designed to enhance patient safety.Methods: This study is a descriptive study which combines quantitative - qualitative methodology Modes and Effects error with FMEA (Failure Mode and Effect Analysis) Peymanieh at the hospital in 2012, has analyzed. To collect data from a worksheet and standard error modes analysis technique and its effects and sampling was purposeful. In this method, each of errors based on the severity of the error occurrence rate of error and the probability of error detection was given a score between 1 and 10, which is obtained by multiplying the score RPN.Results: method FMEA, 81 cases of potential error in 11 selected areas of medication administration process to identify and evaluate and score each of RPN was calculated. The overall mean score eleven RPN scope of the drug was found to give the lowest score of nearly 190 references related to service personnel receive the highest score in drug-drug card for drugs belonged to the sphere of writing. For analysis data use of Excell 2010 software and data calculating and rating based on RPN= S.O.D formula.Conclusion: Considering the high rate of medical error, it seems that the field of study and understanding of working conditions and adjusted to reduce errors and provide. In general, techniques such as FMEA and a proactive approach must be based on teamwork, increase accuracy and attention to their employees' career potential weaknesses and trying to eliminate them.
Original Article
Moslem Sharifi; Mohammad Arab; Bahman Khosravi; Roozbeh Hojabri
Volume 12, Issue 2 , April 2015, Pages 229-235
Abstract
Introduction: All aspects of health care, along with the risk. Risk management is a set of continuous processes that are used throughout the hospital. The aim of this study is to assess the risk management programs at hospitals in Tehran from the view of two main groups of physicians and nurses' staff.Methods: ...
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Introduction: All aspects of health care, along with the risk. Risk management is a set of continuous processes that are used throughout the hospital. The aim of this study is to assess the risk management programs at hospitals in Tehran from the view of two main groups of physicians and nurses' staff.Methods: This study was a cross-sectional survey to assess the situation of the risk management programs, from the view of 800 medical and nursing staff working in 14 hospitals in Tehran (7 public hospitals and 7 private hospitals). Random - stratified sampling are taken and distributed based on the number of employees in each hospital. Data collection tools, was a part of the CGCQ standard questionnaire. Data entered in spss.17 and using correlation tests and compare means to analyze the data.Results: In the dimension of study, collect and report information, nongovernmental hospitals with an average of 3/31 ± 0/34 had better performance than public hospitals. In the dimension of status, trends and policies in the field of risk management nongovernmental hospitals with an average of 3/25 ± 0/03 was slightly better than the public hospitals. In general, the non-governmental hospital with an average of 3/27 ± 0/02 perform better than public hospitals with an average of 3/27 ± 0/02. Conclusion: Attention to risk management is essential for improving quality of care and increase patients and staff safety and hospital managers should allocate resources to risk management that it is the key factor for patient safety and quality improvement.
Original Article
Leila Zarei; Reza Dehnavih; Mina Anjomshoa
Volume 12, Issue 2 , April 2015, Pages 236-243
Abstract
Introduction: In this paper, first, the theoretical basis and the application of decision support systems have been reviewed. Then the readiness of teaching hospitals to developing decision support system based on a survey of senior and intermediate managers were reviewed.Methods: This study was an analytical-descriptive ...
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Introduction: In this paper, first, the theoretical basis and the application of decision support systems have been reviewed. Then the readiness of teaching hospitals to developing decision support system based on a survey of senior and intermediate managers were reviewed.Methods: This study was an analytical-descriptive and cross-sectional conducted in 2011. Statistical population included 44 senior and intermediate managers of teaching hospitals in Kerman University of Medical Sciences (kums). Because of the limited population census was used. Data was collected using "Assessing organizational readiness" questionnaire designed in the University of California. Face and content validity of the questionnaire was approved. Cronbach's alpha coefficients were calculated to determine the reliability of the questionnaire. Data analysis was done descriptive statistics, agreement tables and SPSS software.Results: According to the results there was no significant statistical difference among the hospitals. 15/4 percent of hospital readiness for developing decision support system was weak, while 42/3 percent of this average preparation and only 42/3 percent have been good preparation.Conclusion: with regard to the importance of developing DSS in teaching hospitals and lack of complete preparedness it is recommended to eliminate barriers.
Original Article
Arashk Masaeli; Hossein Sadeghih; Ali Ghanbari
Volume 12, Issue 2 , April 2015, Pages 244-254
Abstract
Introduction: From a long time ago, policy makers in health sector have been attempting to protect sick people and their family against high health costs, and financial catastrophic and impoverishment expenditures. As its primary purpose, this study aims to determine the extent of high health costs, ...
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Introduction: From a long time ago, policy makers in health sector have been attempting to protect sick people and their family against high health costs, and financial catastrophic and impoverishment expenditures. As its primary purpose, this study aims to determine the extent of high health costs, and catastrophic and impoverishment expenditures for informed policy making.Methods: Through WHO method, this study used income-expenditure data to measure the number and rate of household who face high health costs and catastrophic and impoverishment expenditures in 2011; about 19739 rural household and 18698 urban household were used. In addition, fair financial contribution index was assessed for the Iranian context both in rural and urban areas.Results: The percentage of people who face catastrophic and impoverishment expenditures with 40% of capacity to pay and high costs with 4 million Rials threshold are respectively 1.56 and 1.49. Without health expenditures, about 4 % of households live under poverty line and with health expenditures about 14% of the total poor fell below the poverty line because of the health expenditures.Conclusion: Most of the people, who face high costs, have to encounter with catastrophic expenditures. This shows that there is insufficient financial protection against financial high costs and catastrophic expenditures from insurance companies.
مقاله مروری نقلی
Marjan Ghazi saeedi; Rohulla Khara; Mohammad Hosseiniravandi
Volume 12, Issue 2 , April 2015, Pages 255-262
Abstract
In the field of health care, taken feedbacks about the current practices of health organizations is crucial to managers and professionals Decision making. Due to the large volume of data, collecting data from various and unstructured sources, using data in clinical and management decisions is extremely ...
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In the field of health care, taken feedbacks about the current practices of health organizations is crucial to managers and professionals Decision making. Due to the large volume of data, collecting data from various and unstructured sources, using data in clinical and management decisions is extremely difficult. The purpose of this study is expressing the necessity and importance of using the dashboards an appropriate method to display data related to key performance indicators to support decision making of managers and professionals in the field of health. This study is a narrative review and has been done by searching in the valid databases through the Internet. Has been tried to, the review papers, dissertations and books on the dashboard application and benefits in health and other industries, the potential benefits of their use for health information systems to be recognized. The benefits of dashboards, in several studies clearly is visible. According to the current state of health information systems and increasing of continuous data in this area, the dashboard is a vital tool for managers and clinical staff in health organizations. In this context, it is necessary that the key performance indicators in health organization be identified and for monitoring and reporting be placed on the dashboard. Doing this will improve informed decision in the country.
مقاله مروری نقلی
Ebtesam Savari; Sima Ajami
Volume 12, Issue 2 , April 2015, Pages 263-272
Abstract
On one hand, drug therapy is one of the most powerful tools for the treatment of diseases, and on the other hand, one of the most common medical errors is related to hand written prescription. Patient safety is endangered due to illegible of hand written prescription by physicians and thereby the potential ...
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On one hand, drug therapy is one of the most powerful tools for the treatment of diseases, and on the other hand, one of the most common medical errors is related to hand written prescription. Patient safety is endangered due to illegible of hand written prescription by physicians and thereby the potential of medical errors would increase. Implementation of electronic prescribing and electronic health records can solve multiple problems of hand written prescription and decrease expenses of medical errors. The aim of this study was to introduce electronic prescription and its impact on medical errors. The study was a narrative review, which was performed by searching in Google search engine, PubMed, ISI web of science, Scoupus, and Embas, with keywords such as Electronic Prescription، E-prescription، Medication Errors، Patient safety’, in journals (text and abstracts), books, proceeding of conference articles, and scientific documents from 2000 to 2014. This study was done in 2014. About 58 articles, books, theses, and proceedings were obtained of which 35 cases were selected based on their relation to this issue. E-prescribing technology is a powerful tool to manage patients' medication that can lead to improve the quality of drug treatment. This technology associated with Electronic Health Records and using the support of decision support systems (DSS) can reduce the medication errors and increase patient safety is medication.
