Masoud Ferdosi; Ahmadreza Raeisi; Hamid Ganji; Sahar Vesal; Amir Jannesari; Hamzeh Yazdi
Volume 13, Issue 4 , November 2016, , Pages 292-296
Abstract
Introduction: One of the 8 service packages in the first phase of Iran health transformation plan (HTP) is dedicated to improving the quality of outpatient visits. We investigated the average visits/hour criterion at the Alzahra university hospital, Isfahan, Iran, as the biggest province health center, ...
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Introduction: One of the 8 service packages in the first phase of Iran health transformation plan (HTP) is dedicated to improving the quality of outpatient visits. We investigated the average visits/hour criterion at the Alzahra university hospital, Isfahan, Iran, as the biggest province health center, after implementation of health transformation plan.Methods: This descriptive cross-sectional study, conducted in all 26 clinics of Alzahra hospital using visit/hour as the main indicator for evaluating the quality of outpatient services. Data gathered from June 2014 to July 2015 from clinic secretaries with the help of a checklist. Gathered data were analyzed via calculating the quarterly mean and standard deviation of visits/hour separately for internal and surgical clinics using SPSS18 software.Results: Considering 8 visits/hour as the desired standard number, the mean visits/hour in the internal clinics in the first, second, third and fourth quarter were 6.06 ± 2.27, 7.76 ± 4.80, 7.02 ± 4.18 and 6.37 ± 2.52, respectively. For the Surgical clinics, the mean visit/hour was 9.88 ± 6.09, 10.11 ± 5.47, 9.40 ± 6.26 and 7.63 ± 2.93 for first, second, third and fourth quarters, respectively. Conclusion: After implementation of health transformation plan in Alzahra hospital in May 2014, the visits/hour criterion worsened during the second quarter but improved in the third and fourth quarters. This can be due to the increase in the number of patients at the start of the plan or financial issues and the effects of which was reduced due to better supervision later on. We suggest using different standards for surgical and internal clinics in order to improve the effectiveness of the plan.Keywords: Hospitals; Visit; Outpatients; Health Transformation Plan; Iran
Alireza Jabbari; Ahmadreza Raisi
Abstract
Introduction: Patient safety is a critical component of health care quality. In addition to human suffering, unsafe health care exerts a heavy economic cost to the healthcare system. The aim of this study was to assess the Patient safety infrastructures in selected hospitals of Isfahan University of ...
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Introduction: Patient safety is a critical component of health care quality. In addition to human suffering, unsafe health care exerts a heavy economic cost to the healthcare system. The aim of this study was to assess the Patient safety infrastructures in selected hospitals of Isfahan University of Medical Sciences.Methods: The present descriptive-analytic study was carried out cross-sectional in spring of 2013. Data were collected Using compulsory standards checklist that is used by World Health Organization (WHO) to assess patient safety in hospitals through observation, interviews and reviewing documents in selected hospitals of Isfahan . the data using SPSS 21 , descriptive and inferential statistical methods was analyzed .Then, based on the Compliance level with infrastructures of patient safety, hospitals were classified into three levels of poor (lower than 50%), medium (5o-75%), and good (higher than75%).Results: The overall compliance level of patient safety infrastructure mean with 55,3% was evaluated intermediate in studied hospital. The leadership and management with the highest mean (69.5%) was evaluated average and the patient and public involvement domain with the lowest mean (37.5%) was evaluated weak .Conclusion: In total, the overall compliance level of patient safety infrastructure was evaluated intermediate in studied hospital. Given that acquiring hundred percent of critical standards in in the four domains are essential to be considered at the basic level of patient safety friendly hospital. Therefore, Necessary investments in strategic and operational planning must be considered in order to achieve 100% standards in the four domains
Efat Mohamadi; Ahmad Reza Raeisi; Mojtaba Nuhi
Volume 10, Issue 2 , July 2013
Abstract
Introduction: Insurance agencies are the most influential organizations in the health system so that they can enhance the effectiveness, efficiency and patient satisfaction through eliminating the financial relationship between provider and client services. Given the current health organizations in Iran ...
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Introduction: Insurance agencies are the most influential organizations in the health system so that they can enhance the effectiveness, efficiency and patient satisfaction through eliminating the financial relationship between provider and client services. Given the current health organizations in Iran and different definitions and higher goals, this study aimed to provide solutions to enhance the quality and quantity of health insurance in Iran. Methods: The present study was conducted in two stages. The first stage was done through literature review of databases related to insurance organizations, articles and study of laws and regulations related to various types of health insurance and the weaknesses and vulnerabilities in Iran. After identifying the factors in organized the checklist, they were discussed with experts. Results: Existence of many uncoordinated insurance agencies, lack of universal coverage, problems related to resource costs and problems related to lack of actual tariff were identified as a major weakness of current health insurance. Integration of health insurance law and defining a clear pattern, correct formulation of the basic health insurance package and a clear line between basic and supplementary insurance, expansion insurance coverage, legislation for the financial disconnect between the service provider and the recipient, and ultimately creating social cohesion in a way to provide cross-subsidies between low income and high income groups were the qualitative and quantitative approaches to enhance the health insurance system in Iran. Conclusion: Ministry of Health and Welfare and Social Security have to solve problems related to the health insurance system, enforcement action based on several studies done in this area and does not suffice to the rules provided in the development of multi-year program; because more damage of the process ultimately impact the weakest class of the society (patients, people with low income, etc.). Keywords: Insurance; Health Insurance; Qualitative Research
Mahbobeh Janghorbani; Ahmadreza Raisi,; Sanaz Dehghani; Arefeh Mousavi
Volume 9, Issue 7 , December 2012, , Pages 1066-1072
Abstract
Introduction: Global patient safety is the concern of all areas of the health care. In addition to the humansuffering in those inflicted unsafe care and services, it has a heavy economic cost. Due to the sensitivepatient safety in the operation rooms, the present study aimed to assess patient safety ...
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Introduction: Global patient safety is the concern of all areas of the health care. In addition to the humansuffering in those inflicted unsafe care and services, it has a heavy economic cost. Due to the sensitivepatient safety in the operation rooms, the present study aimed to assess patient safety in the operating rooms.Methods: This was a descriptive cross-sectional study that was conducted in Shahid Beheshti Hospital,Isfahan, Iran operating room in 2011. The data were collected through standard questionnaires for patientsafety friendly hospital census from 20 senior, middle and executive managers as well as operating roomstaff of Shahid Beheshti Hospital. In order to assess the level of patient safety, average score of 0-0.5represented a poor level of performance, 0.5-0.7 an average level and 0.7-1.0 showed an intermediate level.Results: Average score for rule and leadership was 0.7 ± 0.35. In community participation and interactionwith patients 0.56 ± 0.37, in evidence-based clinical services 0.73 ± 0.35, in safe and secure environment0.78 ± 0.37 which indicated the average, good, good, and good states, respectively. The average overallsafety score was 0.71 ± 0.36 and showed a good performance.Conclusion: Although the score for the level of safety was good, the organizational policies and programsin this area at present are not sufficient to achieve a higher level. Necessary investments in strategicplanning must be investigated in order to achieve 100% standards in the four domains
Maryam Yaghoubi; Mohammad Hossein Yarmohammadian; Ahmad Reza Raeisi; Marzieh Javadi; Sakineh Saghaiannejad Isfahani
Volume 7, Issue 0 , December 2011
Abstract
Introduction: Organizational justice is a variable that predicts many organizational variables. One of these variables that have an important role in many organizations today is organizational citizenship behavior. So this study aimed to study the relationship between organizational justice and organizational ...
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Introduction: Organizational justice is a variable that predicts many organizational variables. One of these variables that have an important role in many organizations today is organizational citizenship behavior. So this study aimed to study the relationship between organizational justice and organizational citizenship behavior among medical record staff in selected hospitals of Isfahan in 2008.Methods: In this descriptive correlation study, medical record stuffs were included. Data collected using two questionnaires: organizational justice, and organizational citizenship behavior questionnaire. The questionnaires reliability was supported based on Cronbach Alfa .and questionnaire validity confirmed by specialist view of point. Data analyzed by SPSS software.Results: Mean score of organizational justice among hospital stuff in Isfahan was 40.9+/-18.1.between hospitals in Isfahan. The highest and lowest score was related to distributive and interactive justice, respectively. There was no significant relationship between organizational justice and conscientiousness, altruism, sportsmanship. There was a significant relationship between organizational justice and civic virtue, courtesy and organizational citizenship behavior (P<0.001).Conclusion: Since the score of organizational citizenship behavior and organizational justice among stuff of selected hospitals were moderate and the score of interaction justices was weak. Therefore, hospital managers should provide the backgrounds of creating and improvement of perceived justice among staff.Keywords: Organizations; Behavior; Medical Records; Variables.
Ahmadreza Raeisi; Asghar Ehteshami; Mohsen Norouzi
Volume 7, Issue 0 , December 2011
Abstract
Introduction: Users of medical record information in accordance to relying on data and health information, they demand quality. Proper storage, maintenance, and archiving of old medical records forms for different purposes has led to lack of enough storage space and retention problems for health services ...
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Introduction: Users of medical record information in accordance to relying on data and health information, they demand quality. Proper storage, maintenance, and archiving of old medical records forms for different purposes has led to lack of enough storage space and retention problems for health services organizations. The objective of this study is to assess the effectiveness of medical record information by different users and the length of storage and retention time at Alzahra academic medical center.Methods: This research is an applied, descriptive cross sectional study. The research population included all medical records (about 6000 medical records) of patients which have been demand by users in the first half of 2008 and selected by Census sampling method. Research findings was collected in the form of checklist by referring directly to the Medical Records Department Center and extract data from documents and user requests information about the patients file. Validity of this instrument was confirmed by experts. Data analyzed by SPSS software and descriptive analysis tests.Results: The most requests for medical records information was made by the patient themselves in 36.4% of cases; followed by law enforcement agencies at 27.8%, insurance companies at 23.1%, and quality assurance committees at 1%. The requests time frame for of medical records information after discharge was one year with 73.3%, and 94% after 3 years of patient discharge. From the point of view of request time frames, the oldest request was made 14, 11, 11, 1, 15 and 13 years after the patient discharge respectively. The most requests for medical record forms from the patient chat were discharge summary, operating room report forms, and echocardiography report forms. From the point of view of disease code, the most requests for medical records was related to injuries and related disabilities and poisoning and overdose cases at 30% and 1% for eye diseases.Conclusion: These study results showed that utilization of medical records information decreases over the time and it is not cost effective to keep about 95% of primary files for more than three years. In addition, 95% of disease information regarding to psychological and behavioral disorders, congenital anomalies and malformation and chromosome aberrations have been requested over seven years after creating the file which can be kept separately, Therefore, the results of the study suggests that health services managers and policy makers should adjust the time frame for storage and retention of medical records in their temporary and permanent archiving methods according to the utilization patterns of their users and customers as far as possible.Key words: Medical Records; Hospitals; Self Efficacy; Users; Information.
Marzieh Javadi; Maryam Yaghoobi; Ahmadreza Raiesi; Hassan Ali Mandegar; Ali Ayoobian
Volume 8, Issue 5 , November and December 2011
Abstract
Introduction: Good relationships between patients and doctors and other health professionals have long been seen as the bedrock of patient satisfaction. In addition to important health care outcomes, health systems must also meet the non-medical expectations of the community. This study aimed to survey ...
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Introduction: Good relationships between patients and doctors and other health professionals have long been seen as the bedrock of patient satisfaction. In addition to important health care outcomes, health systems must also meet the non-medical expectations of the community. This study aimed to survey the accountability and non-medical service provision in selected hospitals in Isfahan Methods: This was a descriptive, retrospective study conducted in eight selected public and private hospitals in Isfahan during 2010. The statistical population included 320 inpatients and nurses selected through stratified random sampling. Data was collected was by the World Health Organization (WHO) questionnaire whose validity was confirmed by professors and administrators. The reliability of the questionnaire was also calculated to be 0.89 by Cronbach's alpha. Data was analyzed by SPSS. Results: The mean score of accountability from the viewpoints of nurses and patients was 2.3 ± 0.54 and 2.48 ± 0.58 (out of a maximum of 4), respectively. Nurses and patients respectively considered confidentiality (2.41 ± 0.8) and access to social support during the hospitalization period (2.62 ± 0.9) as the best aspects of non-medical services. However, choice of therapist and physical facilities of the treatment centers were determined as weak points by the patients and nurses, respectively. Conclusion: Since patients and nurses had almost identical perceptions toward the non-medical services. Therefore, in order to enhance service quality, which is of great importance to the WHO, more attention needs to be paid to accountability mechanisms and better quality services. Key Words: Quality of Healthcare; Patient; Patient Care; Hospitals.
Javad Monzavi Barzoki; Ahmadreza Raeisi; Sakineh Saghaeiannejad Isfahani; Nahid Tavakoli
Volume 7, Issue 3 , September 2010
Abstract
Introduction: Formation of professional associations is one point of inflection in the health care industry. Health Information Management Association in developed countries originally initiated its activities in the profession of medical records as Medical Records Librarians Association and later changed ...
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Introduction: Formation of professional associations is one point of inflection in the health care industry. Health Information Management Association in developed countries originally initiated its activities in the profession of medical records as Medical Records Librarians Association and later changed to Medical Record Association. This study aimed to compare structure, function and activities of Health Information Management Association in selected countries and Iran.Methods: This was a descriptive comparative study in cross-sectional method. The research sample included Health Information Management Association in Australia (HIMAA), United States of America (AHIMA) and Canada (CHIMA) as pioneer countries in initiation of Health Information Management Association and also Medical Record Association of Iran (IMRA). Related data about structural and functional entities was collected through the library investigation, internet and communication with research sample associations via email according to collection forms.Results: The structural and functional elements and entities of the Health Information Management Associations in the selected countries are mostly similar, although they had some differences. Canadian Health Information Management Association Board of Director’s is communal with Canadian College of Health Information Management. Type of association memberships in Australia is different with other associations. Vision and values of HIMAA and IMRA have not been identified and written. In comparison with the other associations, AHIMA has various and multiple activities in provide services to its members. Continuing education and certification in various scope is one of major the activities of AHIMA.Conclusion: commensurate with done Changes in the Health Information Management Profession, the Association of this Profession in countries of Australia, United States and Canada has experienced a lot of change in the structure and activities of their associations accordingly. Position of inspector only existed in Iran's Medical Record Association. In comparison with other association, Iran Medical Record Association with fifteen years of history had not had a lot of systematic and integrated activities. Review of Structural and functional entities and activities of this association, seems necessary.Keywords: Societies; Information Management; Health; Performance.
Ahmad Jamshidi; Mohammad Hossein Yarmohammadian; Fariba Arjmandi; Hedayatollah Asgari; Ahmadreza Reeisi
Volume 1, Issue 1 , March 2004, , Pages 1-4
Abstract
Introduction: Management is a specialized science and most of the health managers are not familiar with scientific management methods and direct their organization on the basis of their own experiences and assumptions, it is necessary to devise comprehensive educational programs according to the results ...
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Introduction: Management is a specialized science and most of the health managers are not familiar with scientific management methods and direct their organization on the basis of their own experiences and assumptions, it is necessary to devise comprehensive educational programs according to the results of needs assessment in order to promote the quality of health care services. Materials and methods: The health network managers, deputy managers, health care assistants, the managers of rural and urban care centers of nineteen health networks in Isfahan province were selected. To evaluate their educational needs, the researcher asked them to fill in questionnaire. Results: The majority of the managers (54%) were between 25 to 35 years old. Most of them (34.7%) had between five to nine years of service and 59% worked as manages between one to four years. 52% did not receive any training and 30% had participated in training courses. They mostly required executive (48.5%) and planning (46%) skills. There was a meaningful relationship between years of management services and all aspects of management skills. Discussion: Since the years of management services are related to all management skills, the level of experience can influence the individual’s skills. The years of service affect the executive skills and participation in training courses affect the planning quality. Key words: Needs assessment, health care management.
