Original Article(s)
Feisolah Akbari; Sayed Mostafa Hosseini; Abolghasem Pourreza; Shahram Tofighi; Samaneh Heidari
Volume 7, Issue 4 , December 2010
Abstract
Introduction: Hospital has a complex and special structure and the important question that hospital management facing with is how technology can change structure. In the near future, no factor like IT is able to change the structure of organization. This research is a way to know the effect of IT on ...
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Introduction: Hospital has a complex and special structure and the important question that hospital management facing with is how technology can change structure. In the near future, no factor like IT is able to change the structure of organization. This research is a way to know the effect of IT on triple dimensions of organization structure includes complexity, formalization, and centralization.Methods: This cross- sectional analytical-descriptive research includes all of the people in hospitals that have management job and IT expertise. We use simple random sampling and we select finally ten hospitals. All data are collected by valid questionnaire. We analyze data with Normal distribution, Pearson correlation, and linear and multi regression testes.Results: According to the findings, there is significant relationship between generality IT with centralization (p=0.01) and between that with formalization (p=0.06). Study relationship between the five dimensions of IT (including network, hardware, software, staff and utilization) and triple dimensions of organization structure indicating that with the exception of network, rest of them have significant relationship with centralization and there is significant relationship between network and utilization with formalization.Conclusion: The influence of IT was not able to make fundamental change in structure of this organization.Keywords: Information Technology; Organization and Administration; Hospital Administration.
Original Article(s)
Mehdi Kahouei; Roghayeh Eskrootchi; Farbod Ebadi Fard Azar; Hassan Abolhassani
Volume 7, Issue 4 , December 2010
Abstract
Introduction: In medical education, ambulatory medicine education especially emergency is the most important part of medical education. Aim of this study is the survey of medial students information needs seeking behavior pattern. We expect this study impacts on the clinical education quality, the recognition ...
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Introduction: In medical education, ambulatory medicine education especially emergency is the most important part of medical education. Aim of this study is the survey of medial students information needs seeking behavior pattern. We expect this study impacts on the clinical education quality, the recognition of students' education needs and better management of patients by medical students.Methods: This descriptive and analytic study examines the information needs of interns in the Emergency departments of teaching hospitals of Iran medical sciences university in 2008. Questionnaires and observations were used to collect data from seventy medical students. Observations and questionnaires were used. Reliability was assessed and there was found high reliability (0/80). Chi-square and two-tailed and bi variation correlation tests were used to investigate significant associations among the data.Results: The statistical test revealed significant association between the diagnosis and treatment needs (P < 0/001, Co = 0/576). The majority of the students information needs were laboratories test (84/3%). The least of those were dead persons transfer (1/4%). Medical students were most likely to rely on patient, patient chart, colleagues and printed sources. Significantly medical student were likely to pursue needs related to treatment with printed sources. (P = 0/01).Conclusion: A few organizational or management questions were asked. The students did not pay attention to legal issues. Many medical students prefer to obtain information from resources that are convenient, easy to use and reliable. It is recommended that initiate programs about importance of legal issues and organizational information in curriculum and development of educational programs to promote evidence–based decision making among medical students.Keywords: Health Services Needs and Demand; Students, Medical; Education, Medical; Emergency Service, Hospital.
Original Article(s)
Maryam Jahanbakhsh; Nahid Tavakoli; Abbas Hadadpour
Volume 7, Issue 4 , December 2010
Abstract
Introduction: Disaster occurs almost daily in the world and increases the issue of it because of high volume of population, industrialization and acts of terrorism, my country is one of the most unexpected event areas of the world. Health care systems encounter special challenges in disaster management, ...
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Introduction: Disaster occurs almost daily in the world and increases the issue of it because of high volume of population, industrialization and acts of terrorism, my country is one of the most unexpected event areas of the world. Health care systems encounter special challenges in disaster management, that they include triage and treatment a large number victims and also victims' information management. To ensure correct way of documentation of victims as introduction information management and effective triage and treatment, useful medical record are necessary, because medical record usually used for patients are too complicated and ineffective to use in case of emergency.So the objective of this research is design the disaster-victim medical record to document and triage easily for victims in disaster.Methods: This research is an applied study and has been performed as descriptive study. Source of information is libraries and accepted articles in indexed journals. During survey of corresponding organizations about disaster in Isfahan and absence a medical record for documentation of victims, researchers identified the organizations of disaster in the world and then gathered necessary data elements for medical record in disaster. Then necessary parameters for the medical record extracted from American and European models.Results: According to situation and standards of Iran, a proper and final pattern designed with assisting management and medical emergencies center in Isfahan province.Conclusion: Medical record in disaster relief operations must be simple and useful; medical record used in hospitals isn't effective. The proposed model is simple and proper form for documentation of victims and easy reference for accessing clinical, administrative and statistics information in disaster.Keywords: Disasters; Triage; Medical Record; Safety Management; Information Management.
Original Article(s)
Mehrdad Farzandipour; Abbas Sheikhtaheri; Laila Shokrizadeh Arani
Volume 7, Issue 4 , December 2010
Abstract
Introduction: Using hospital databases is extremely depended on an accurate classification that is based on clinical coding. We aimed to determine the validity of procedural coding in teaching hospitals.Methods: In this cross-sectional study, we selected 246 medical records from Kashan hospitals in 1386 ...
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Introduction: Using hospital databases is extremely depended on an accurate classification that is based on clinical coding. We aimed to determine the validity of procedural coding in teaching hospitals.Methods: In this cross-sectional study, we selected 246 medical records from Kashan hospitals in 1386 and recoded procedures. Procedures, coders’ information, and documentation principals were recorded in a valid checklist. Accuracy was determined by agreement between original codes and recodes. We analyzed the data using SPSS through X2, fisher test, OR, and CI 95% for OR.Results: There were 46 (18.7%) errors in procedure codes. Using the coding book significantly accompanied more code errors; however, there were fewer errors in records which coders checked codes with tabular index. Documenting more information decreases the errors (not significant). There were fewer errors in readable records. In addition, clear abbreviations reduced errors.Conclusion: We can trust on procedure databases. Better documenting the procedure details and factors related to coders can increase the quality of procedure coding and databases.Keywords: Classifications; Coding; Files; Medical Records.
Original Article(s)
Nahid Tavakoli; Farzaneh Gerami; Najme Zibaei; Fatemeh Amini; Somaye Yazdani
Volume 7, Issue 4 , December 2010
Abstract
Introduction: One of the most fundamental duties of HIM professionals is the duty to maintain health Information about their patients. This duty is imposed explicitly by state and federal statuted and regulations as well as by accreditation standards. Also one of the most important responsibilities HIM ...
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Introduction: One of the most fundamental duties of HIM professionals is the duty to maintain health Information about their patients. This duty is imposed explicitly by state and federal statuted and regulations as well as by accreditation standards. Also one of the most important responsibilities HIM professionals have is keeping confidential health information out of the hands of unauthorized users through appropriate policies and procedures, facility and space planning, information systems design and selection, staff education, and other measures. The purpose of this research is study of health information disclosure process in Isfahan's hospitals.Methods: In this descriptive, cross sectional study, the medical record departments of 30 hospitals in Isfahan city were contributed in this research.A six-section checklist was designed for data collection .The researcher observed and interviewed with medical record staff and complete the checklist. The collected dates were analyzed with SPSS.Results: It was shown %100 of medical record practitioners are alert in regard to health information disclosure laws .It was copied the original patient record with %92/3 frequency when it is needed for use in court. In most of cases (%69/2) the attorney of patient is authorized to access to the patient record, if he or she was authenticated by the patient. It was not guideline for deliver the patient record to another health care facility with %76/9 frequency.Conclusion: HIM professionals have important responsibility in health care facilities to protect the confidential health information; also they must earn the regulations of disclosure of health information and perform them in their hospitals.Keywords: Information; Confidentiality; Patients; Hospitals; Medical Records.
Original Article(s)
Mehdi Abzari; Mohammad Hosein Yarmohammadian; Hoorsana Iravani
Volume 7, Issue 4 , December 2010
Abstract
Introduction: Netiquette is network etiquette or the etiquette of cyberspace. Recognizing organizational culture and its relationship with the netiquette Offers Strategies applied in order to Communication Development and creating learning organizations through the Internet for senior management. The ...
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Introduction: Netiquette is network etiquette or the etiquette of cyberspace. Recognizing organizational culture and its relationship with the netiquette Offers Strategies applied in order to Communication Development and creating learning organizations through the Internet for senior management. The purpose of this study has been Relationship between Organizational Culture and Netiquette among Academic Staff in IUMS.Methods: To achieve this end, the research method in this study was correlational which was a category of descriptive survey search. The target population comprised 594 faculty members of IUMS from which a sample 138 was randomly selected based on a simple stratified sampling method. For collecting the required data, two researcher developed questionnaires were formulated. The reliability of the questionnaires was computed by Chronbach's alpha coefficient formula. Reliability of the Organizational Culture's questionnaire happened to be 0.97 and Reliability of netiquette's questionnaire was 0.89 .Ultimately, SPSS Version #15 was used for the statistical analysis of the data.Results: The findings revealed that the there was no significant relationship between netiquette and organizational culture of the faculty members. As an illustration, sample members' favoring the team, focusing on details, seeking stability and courage outcomes varied in terms of their sex. In addition, regarding achievements and courage varied meaningfully concerning their employment record. Finally, members' viewpoint about innovation, favoring the team, risk taking, focusing on details, seeking stability and courage outcomes differed considerably based on their educational certificate and academic rank. There was no meaningful relationship between netiquette and demographic variables.Conclusion: Overall, organizationally culture and netiquette can be improved by engaging members in activities requiring cooperative thinking and exchange of knowledge; for the promotion of netiquette, the lows of netiquette must be taught, as well as, facility communication among member base on custom and traditions which must be train in Isfahan Medical university and in other government offices trough out the country.Keywords: Culture; Internet; Higher Education; Faculty.
Original Article(s)
Mohammad Reza Hashemian; Alireza Hoveyda; Masoomeh Khoshkam
Volume 7, Issue 4 , December 2010
Abstract
Introduction: This is a descriptive study to study the conditions of hospital libraries at Iran ,Tehran and Shahid beheshti university of medical sciences and compares the staff, printing sources, services and physical situations with “standards for hospital libraries 2002” and “standard of educational ...
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Introduction: This is a descriptive study to study the conditions of hospital libraries at Iran ,Tehran and Shahid beheshti university of medical sciences and compares the staff, printing sources, services and physical situations with “standards for hospital libraries 2002” and “standard of educational and treatment center library collection”.Methods: This survey has been done on 35 hospital libraries among Iran, Tehran and shahid Beheshti University of medical sciences. Data were collected by questioner and analyzed by Excel software.Results: Based on this research about half of the hospital libraries have personnel who are below the standards levels 29% of library managers on the course of study and their education value are standards. None of the libraries are not standard on the collection. Based on the service hours f
Original Article(s)
Kayvan Kousha; Mahshid Abdoli
Volume 7, Issue 4 , December 2010
Abstract
Introduction: Citation analysis is one of the quantitative methods in information science which have been widely used in Scientometric studies for impact assessment of research. With an increasingly amount of scientific sources deposited on the Web, it was a motivating factor for researchers to examine ...
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Introduction: Citation analysis is one of the quantitative methods in information science which have been widely used in Scientometric studies for impact assessment of research. With an increasingly amount of scientific sources deposited on the Web, it was a motivating factor for researchers to examine citation impact of these digital sources in the scholarly communication cycle and hence new research area known as "Webometrics" has been developed. One of the key applications of Webometrics is "Web citations" analysis and their comparison with "traditional citations" which can reveal whether Web is useful or trivial source for research evaluation. The current study intends to compare commonalities between ISI citations and Web-extracted citations to medical science research articles in order to obtain scientific evidence on application of Web environment as well as Webometrics methods and tools in medical science research evaluation.Methods: A sample of 350 English research journal articles indexed by ISI in 2004 in general/internal medicine was selected. We searched articles' title in the ISI Web of Science as well as Google Scholar (GS) to obtain number of cited items for each article. Moreover, at the journal level we conducted same strategy for 56 Persian language medical journal titles. Statistical correlation tests and descriptive statistics were applied to examine, interpret and compare ISI citation and Web citation patterns.Results: We found significant correlation between ISI and Web citations from GS targeting the sample of 350 medical science articles. Analyzing the descriptive statistics showed that number, mean and median of citations to the articles from GS is remarkably more than ISI citations. For the 56 Persian language medical science journals number, mean and median of GS citations (301, 5.4, 4, respectively) were remarkably higher than ISI citations (99, 1.8, 0, respectively).Conclusion: The significant correlation between ISI and GS citations suggests that Web environment can be useful source of information for research evaluation. Comparison between descriptive statistics for general/internal medicine journal articles and Persian medical science journals also indicate that from Web environment we can extract the greater numbers and types of citations targeting medical science articles than ISI database which their citation impact have previously been invisible in the medical science research communication.Keywords: Citation; Medicine; Indicators; Internet; Effectiveness.
Original Article(s)
Rasool Nouri; Zahra Hakimi; Aazam Majidfard; Payam Kabiri; Farzaneh Aminpour
Volume 7, Issue 4 , December 2010
Abstract
Introduction: Ergonomics is the science of improvement of the work environment, job and equipment and adapting them to the human capabilities and limitations. Observing ergonomic principles of computer application is essential for the computer users. Lack of attention to these principles would decrease ...
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Introduction: Ergonomics is the science of improvement of the work environment, job and equipment and adapting them to the human capabilities and limitations. Observing ergonomic principles of computer application is essential for the computer users. Lack of attention to these principles would decrease efficiency and cause irreparable somatic complications. The present study assesses the knowledge of Isfahan University of Medical Sciences Librarians about ergonomics principles of computer application.Methods: This is a cross-sectional analytic study. The study population was all the librarians who worked in Isfahan University of Medical Sciences at the time of the study. The data was gathered using a knowledge measurement researcher- made questionnaire, consisting of 28 questions which its content validity were checked and revised. The data were analyzed by T-test and ANOVA using SPSS software version 15.Results: Mean score of correct answers to the questions was reported as 5.65 ± 4.45 of 18. There was no significant relationship between the total questionnaire score and the variables sex, educational level, type of education, employment status, educational Course for the proper use of the computer and the number of hours of computer use per day however there was significant relationship between total score and the study for the proper use of computer.Conclusion: The findings indicated that the knowledge of the Isfahan University of Medical Sciences librarians about ergonomic principles of computer application was low. This can be due to disregard of authorities, librarians or both of them that it can be harmful to their health and the University should also pay the heavy cost of reduced staff productivity. Therefore, it is recommended that the responsible organizations promote the librarians' knowledge about ergonomic principles of computer application through training courses, conferences, consized brochures. It is also recommended that librarians expand their studies on this topic.Keywords: Human Engineering; Occupational Health; Awareness; Librarians; Universities.
Original Article(s)
Afsaneh Karimi; Yosef Mehdipour; Ali Mohammadpour; Samira Pirozanfar
Volume 7, Issue 4 , December 2010
Abstract
Introduction: After human resource training, Research is a basis of cultural, social and economical expansion and university is the main basis of research system. Now, there is a great gap between the scientific products of IRAN and many other countries in the world. Thus, we attempted to investigate ...
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Introduction: After human resource training, Research is a basis of cultural, social and economical expansion and university is the main basis of research system. Now, there is a great gap between the scientific products of IRAN and many other countries in the world. Thus, we attempted to investigate research barriers from the viewpoint of faculty members of medical and paramedical schools of Zahedan University of medical sciences.Methods: This descriptive-cross sectional study carried out by using a questionnaire. Validity of questionnaire was tested by content validity method and its reliability was evaluated by test-retest method. The questionnaire was given directly to all faculty members (N = 137) and finally, 83 persons answered. Data were analyzed by Excel software and descriptive statistics.Results: Research findings showed that, the majority of faculty members (36.8%) implied that from research barriers, personal factors are ineffective and from their viewpoint other factors of research barriers that have had high level influence was as following: 31.5% organizational factors, 27.7% economical factors, 25.8% supplies factors and 22.5% social factors.Conclusion: According to the importance of research role in developing a country and findings of this research, research authorities must pay attention to the following agents for eliminating constraining factors of research: revision of investigation and approval of research projects and articles’ process, establishment of research facilities and possibilities, reduction of teaching hours and support team researches.Keywords: Research; Universities; Health Personnel.
Short Communication(s)
Sayed Mohammadreza Bateni; Zeinab Sajadi; Sayed Mohsen Hoseini
Volume 7, Issue 4 , December 2010
Abstract
Introduction: Guidelines and rules are very important in patients' behaviors’ domain but this guidelines sets aren’t used practically and coherently in Iran`s rules as a title of patients' rights prism. The purpose of this study is to determine the amount of patients' awareness hospitalized in training ...
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Introduction: Guidelines and rules are very important in patients' behaviors’ domain but this guidelines sets aren’t used practically and coherently in Iran`s rules as a title of patients' rights prism. The purpose of this study is to determine the amount of patients' awareness hospitalized in training hospitals of Isfahan city from patients' rights prism.Methods: This study has been done as a see trial descriptive way in forth three months of 2006 in 8 hospitals of training in Isfahan city and withing it the amount of hospitalized patients a wareness of these hospitals was measured by purport of patients rights prism through interviewing by questioner and completing related checklists. So, required sample which was 385 patients corresponded to active bad numbers and average of patient’s residence during fourth 3 months of 2006, divided to ratio and each hospitals shore was marked.Results: Gained results from analysis of available information in completed checklists showed that more than percent of necessary awareness of patients dou,t have purport of patients right prison and important to inform people in this area.Conclusion: Considerable percentage of patients didn’t have necessary awareness of patients, right prism. This unawareness especially about related right to transfer during cureness to another treatment centers need to professional treatment service or about giving right or permission or not for using of medicational information in their files for different affairs, keeping secret of physicians, treating team and confidential medication information and necessary of patients, secret in hospital.Keywords: Awareness; Patients; Legislation.
Short Communication(s)
Sayed Jamaledin Tabibi; Mohammad Reza Maleki; Abasat Mirzaie; Parisa Farshid
Volume 7, Issue 4 , December 2010
Abstract
Introduction: Undesirable exploitation of natural resources, resource shortage and increased hospital costs has resulted in increase in the hospital expenditure over revenue or made costs scale heavier than the income scale. The present research has been done by the aim of studying the effect of combining ...
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Introduction: Undesirable exploitation of natural resources, resource shortage and increased hospital costs has resulted in increase in the hospital expenditure over revenue or made costs scale heavier than the income scale. The present research has been done by the aim of studying the effect of combining hospital wards on current expenses of Bou Ali Medical & Teaching Center by the means of increasing the efficacy of hospital wards.Methods: The study was carried out in Tehran at Bou Ali Teaching Hospital, Medical and Treatment Center in male surgical ward with male medical ward and female surgical ward with obstetrics ward. The instrument of data gathering included designated forms that were collected from available hospital documents and records. In the method of data analysis, Wilcoxon test and descriptive statistics indices with 95% confidence coefficient were used.Results: The average of ongoing expenditures in 2007 and 2008, before the combination of hospital wards was 31393.2 $ and after the combination it was 1957558.6 $. A meaningful relationship between the ongoing expenditures in the two past periods before and after the combination of hospital wards was shown.Conclusion: Due to the increase of expenses, reaching a maximum production with minimum expenses is compulsory. In the novel challenge, the strategy of combining the resource and efficient exploitation of present resources could help hospital management in preventing resource loss, increase of expenses and financial crises.Keywords: Hospital Departments; Health Care Costs; Hospitals.
Narrative Review
Volume 7, Issue 4 , December 2010
Abstract
Review of studies indicates that development endeavors in science, technology and innovation (STI) arenas are counted as main accelerators of economic growth and social welfare. For that, governments and international organizations increasingly see the evaluation of science, technology and innovation ...
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Review of studies indicates that development endeavors in science, technology and innovation (STI) arenas are counted as main accelerators of economic growth and social welfare. For that, governments and international organizations increasingly see the evaluation of science, technology and innovation as an important agenda for their policy and action.This article goes to employ document study method to recognize the role of scientometrics indicators in international STI manuals. Furthermore, conduct a comparison study to identify similarities and differences of three international set of indicators is used by Institute for Scientific Information (ISI), Oslo and Frascati Manuals of STI assessment.Findings indicates that in all of aforementioned manuals bibliometric indicators have an important role to play. Discussions of such findings here in this article help Library and information science experts conduct more deep studies at this respect.Keywords: Educational Measurement; Technology; Indicators; Innovations; Development.
