Shiva Onegh; Shaghayegh Vahdat
Abstract
Introduction: Health promotion services has a significant impact on health system, and hospitals are the best places for health promotion and preventive services. Therefore, this study aimed to determine the level of implementation of standards and activities of health promotion in hospitals (HPH) in ...
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Introduction: Health promotion services has a significant impact on health system, and hospitals are the best places for health promotion and preventive services. Therefore, this study aimed to determine the level of implementation of standards and activities of health promotion in hospitals (HPH) in four areas of health promotion.Methods: This was a descriptive-survey study, and the research environment of hospitals in Golestan Province, Iran. The managers, authorities, and experts being in contact with the process of HPH standards and activities (n = 80) were our sample population. A researcher-made questionnaire was employed to gather data, and analysis was performed using one-sample t-test.Results: Standards and activities were implemented in hospitals with good and desirable level in the dimensions of staff (6.01) and patients (5.60), and moderate level in the dimensions of environment (4.22) and society (4.03); the efficacy was in a significant level (P < 0.01). Moreover, the comparison of dimensions with Friedman test showed that the dimension of the staff and society had the highest and lowest level of implementation.Conclusion: Some of the standards and activities of the health promotion hospital are being carried out in hospitals. Therefore, achieving and fully implementing of these standards and activities for improving the quality of health services and improving the situation of hospitals require to encourage policymakers and healthcare managers, create consistent policies for the knowledge promotion and train of health promotion skills (patients, staff, and community), and promote health centers and turn it into a healthy work environment, cooperation, coordination, and interaction with all stakeholders (internal and external).
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.
Rouhollah Sheikh Abumasoudi; Sahar Koohi Habibi; Maryam Ataei; Nazila Esmaeili
Abstract
Introduction: considering the information threats and the need to procedures for develop and improve security and confidentiality, international standard organization (ISO) established information security standard ISO/IEC 27001. Getting ISO/IEC 27001 standard certificate helps the organization to identify ...
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Introduction: considering the information threats and the need to procedures for develop and improve security and confidentiality, international standard organization (ISO) established information security standard ISO/IEC 27001. Getting ISO/IEC 27001 standard certificate helps the organization to identify the problems and defeats in its departments and processes, in addition to promoting organization’s competitive position and giving the organization the competitive advantage that it needs. The goal of this study is to evaluate information management systems in Isfahan University of Medical Science using ISO/IEC 27001 standard.Methods: This applied research is a descriptive study. Research community is all departments of information technology at Isfahan University of Medical Science, computer centers of faculties and hospitals, in 2011. In this research we used ISO/IEC 27001:2005 international checklist as a tool for collecting the information. The checklist includes 11 primary parts and each part includes several additional parts and questions. The information was gathered through interviewing, observation and documents of researchers and was analyzed by Excel 2010.Results: the assessment results indicates that in standard main parts including security policy, organization of information security, asset management, human resources security, physical and environmental security, communications and operations management, access control, information system acquisitions, development and maintenance, information security incident management, business continuity management and compliance, the organizations implemented 31, 40, 28, 65, 73, 54, 54, 44, 58, 38 and 54 percent of the requirements.Conclusion: considering the importance of developing information security management in organizations that deliver information technology services and also the importance of international standard ISO/IEC 27001 in establishing the organization’s processes based on information security and confidentiality protection, integrity and accessibility, the organization should put more effort into implementing this standard in its processes. The results indicate that except for the human resources security and physical and environmental security areas, the organization didn’t develop information security management requirements properly in its internal processes.
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
Farahnaz Sadoughi; Masoud Salehi; Leila Amirhajlou
Volume 10, Issue 1 , May 2014, , Pages 16-25
Abstract
Introduction: Good data management practices are essential to any clinical trial, yet this area is one ofwhich can be neglected during the planning stages of a trial. This study focused on the management of thedata during each stage of the life for a trial from planning to archive in compliance with ...
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Introduction: Good data management practices are essential to any clinical trial, yet this area is one ofwhich can be neglected during the planning stages of a trial. This study focused on the management of thedata during each stage of the life for a trial from planning to archive in compliance with good clinical datamanagement practice (GCDMP) standard in clinical trials conducted by the clinical research centers.Methods: This cross-sectional study about data management of clinical trials in clinical research centerswas conducted in 2010. A checklist containing 239 questions for total objectives was developed using thestandards described in the GCDMP. Based on the Ministry of Health evaluation scores, clinical researchcenters were divided into three categories of strong, average, and weak. We reviewed documents,facilities, records and any other resources of 15 clinical trials for each category. Collected data wereanalyzed by Mann-Whitney U and analysis of variance (ANOVA) tests using SPSS software.Results: Results showed that there was a statistically significant difference between strong, average, andweak groups. In terms of data quality and reporting, no statistically significant difference was indicateedbetween strong and average clinical trials groups.Conclusion: Clinical trial data management in Iran did not meet GCDMP requirements. Therefore,development of national specific and practical standard with technical detail, establishing a data qualitymonitoring committee, clinical research assistant training for GCDMP requirements are necessary forachieving data quality and international expectations.
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.
Mohammad Hossein Yarmohammadian; Mohammad Hossein Yarmohammadian; Farideh Movahedi
Volume 8, Issue 8 , January 2012, , Pages 1226-1234
Abstract
Studies can be found in two groups of primary and secondary studies. Review articles are the most important secondary studies in which the researcher comprehensively surveys published articles in a specific field. However, the deep gap between scientific evidence is an undeniable fact ...
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Studies can be found in two groups of primary and secondary studies. Review articles are the most important secondary studies in which the researcher comprehensively surveys published articles in a specific field. However, the deep gap between scientific evidence is an undeniable fact that is probably caused by the large volume of publications. Reviewing such a wide variety of publications would definitely be time-consuming. Therefore, a high-quality review article related to a specific question would help improve quality of your research while reducing the amount of time spent. Review articles compress a large volume of information to a comprehensible format and thus facilitate the advancement of science. Using review article is necessary because of bombardment of information, weak studies, inconsistencies in the results of studies, loss of time and money, losing time and money, and research needs assessment. This review article tried to represent guidelines for types, content, and structure of writing standard review articles. According to the available literature, review articles do not have an organized structure and are non-uniform. Researchers are recommended to use an appropriate structure based on the field of their study.
