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PURPOSE@#Child injuries are a global public health problem and injury surveillance systems (ISS) can be beneficial by providing timely data. However, ISS implementation has challenges. Opinions of stakeholders of ISS implementation barriers and facilitators are a good source to understand this phenomenon. The aim of this study is to investigate barriers and facilitators of implementing ISS in Iran.@*METHODS@#This is a qualitative study. Data were gathered through interviews with 14 experts in the field of child injury and prevention from Iranian Ministry of Health and Medical Education (MOHME), medical universities, pediatrics hospitals, general hospitals and health houses during January 2017 to September 2017. Data collection and analysis continued until data saturation. Data were analyzed using content analysis through identifying meaning units.@*RESULTS@#Barriers were classified in three main categories and nine subcategories including management barriers (including performance, coordination and cooperation, supervision and attitude), weakness in data capture and usage (including data collection, data recording and data dissemination) and resource limitation (including human and financial resources). Facilitators identified in three areas of policy making (including empowerment and attitude), management (including organization, function and cooperation and coordination) and data recording and usage (including data collection/distribution and data recording).@*CONCLUSION@#The most important barrier is lack of national policy in child injury prevention. The most important facilitator is improving MOHME function through passing supportive regulations. Effective data usage and dissemination of information to those requiring data for policy making can help reduce child injuries. Coalition of stakeholders helps overcome existing barriers.
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Introduction: Mobile technology has provided new opportunities for health care systems. Improvement of health services outcomes in different patient groups is one of the benefits of using this tool. Although the use of mobile in Iran is expanding, there is no evidence of the state and the use of this technology in health system. The aim of this study was to review published researches on the application of mHealth in the health system of Iran
Methods: In order to carry out a review study, Pubmed database was searched by the keyword [mobile Health] and its equivalents which have derived from the [Medical Subject Headings]. Iranian databases including Iran medex, Magiran and Scientific Information Database [SID] were also searched for Persian and English terms of mobile health. Retrieval citations from information databases were sent to the endnote software and evaluated based on the considered criteria
Results: The research sample consisted of 26 articles that met the criteria of the study. In most of studies, text messaging was the main intervention tool of mHealth. The results indicated significant effect of mobile health in improving the patients' care
Conclusion: In Iran, mobile health can be effectively used in the health system due to population structure and geographic extent. According to the results of this study, the use of mobile health, especially in educating patients for self-care and preventing the spread of diseases, can be very effective
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Introduction: The ability of managers to use accurate, reliable, and up-to-date information is an important factor for organizational success. The aim of this study was to investigate the role of information management in the successful implementation of clinical governance in the hospitals of Khuzestan province, Iran
Methods: This descriptive-analytical study was conducted in 40 hospitals of Khuzestan province in 2014, using a valid and reliable researcher-made questionnaire included 35 questions about 7 dimensions of clinical governance. All clinical governance managers of the hospitals were asked to complete the questionnaire. Data were analyzed using descriptive statistics and inferential statistics [such as correlation coefficient and logistic regression] by SPSS 19
Results: The mean success rate of clinical governance in the hospitals of Khuzestan was 65.6 percent. The mean score of information management of clinical governance was 62.4 percent. There was statistically significant relationship between information management and successful implementation of clinical governance [P=0.01]. Appropriate use of health technology and information systems by the staff, staff training in data documentation, and using hospital information in decision-making process, planning, control, and evaluation had great effect on the successful implementation of clinical governance
Conclusion: Due to the important role of accurate, reliable, and up-to-date information and information management system in the successful implementation of clinical governance, hospital managers should provide necessary facilities for collection, analysis, and use of hospital information. Hospital staff should be trained in data documentation
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Implementation of electronic prescribing system can overcome many problems of the paper prescribing system, and provide numerous opportunities of more effective and advantageous prescribing. Successful implementation of such a system requires complete and deep understanding of work content, human force, and workflow of paper prescribing. The current study was designed in order to model the current business process of outpatient prescribing in Iran and clarify different actions during this process. In order to describe the prescribing process and the system features in Iran, the methodology of business process modeling and analysis was used in the present study. The results of the process documentation were analyzed using a conceptual model of workflow elements and the technique of modeling [As-Is] business processes. Analysis of the current [as-is] prescribing process demonstrated that Iran stood at the first levels of sophistication in graduated levels of electronic prescribing, namely electronic prescription reference, and that there were problematic areas including bottlenecks, redundant and duplicated work, concentration of decision nodes, and communicative weaknesses among stakeholders of the process. Using information technology in some activities of medication prescription in Iran has not eliminated the dependence of the stakeholders on paper-based documents and prescriptions. Therefore, it is necessary to implement proper system programming in order to support change management and solve the problems in the existing prescribing process. To this end, a suitable basis should be provided for reorganization and improvement of the prescribing process for the future electronic systems
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OBJECTIVES: Predicting the length of stay (LOS) of patients in a hospital is important in providing them with better services and higher satisfaction, as well as helping the hospital management plan and managing hospital resources as meticulously as possible. We propose applying data mining techniques to extract useful knowledge and draw an accurate model to predict the LOS of heart patients. METHODS: Data were collected from patients with coronary artery disease (CAD). The patient records of 4,948 patients who had suffered CAD were included in the analysis. The techniques used are classification with three algorithms, namely, decision tree, support vector machines (SVM), and artificial neural network (ANN). LOS is the target variable, and 36 input variables are used for prediction. A confusion matrix was obtained to calculate sensitivity, specificity, and accuracy. RESULTS: The overall accuracy of SVM was 96.4% in the training set. Most single patients (64.3%) had an LOS 10 days. Moreover, the study showed that comorbidity states, such as lung disorders and hemorrhage with drug consumption have an impact on long LOS. The presence of comorbidities, an ejection fraction <2, being a current smoker, and having social security type insurance in coronary artery patients led to longer LOS than other subjects. CONCLUSIONS: All three algorithms are able to predict LOS with various degrees of accuracy. The findings demonstrated that the SVM was the best fit. There was a significant tendency for LOS to be longer in patients with lung or respiratory disorders and high blood pressure.
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Humans , Comorbidity , Coronary Artery Disease , Coronary Vessels , Data Mining , Decision Trees , Heart , Hemorrhage , Hypertension , Insurance , Length of Stay , Lung , Sensitivity and Specificity , Social Security , Support Vector MachineABSTRACT
Electronic Health Record [EHR] is a repository of patient health information shared among multiple authorized users. As a modern method of storing and processing health information, it is a solution for improving quality, safety and efficiency of patient care and health system. However, establishment of EHR requires a significant investment of time and money. While many of healthcare providers have very limited capital, application of open source software would be considered as a solution in developing national electronic health record especially in countries with low income. The evidence showed that financial limitation is one of the obstacles to implement electronic health records in developing countries. Therefore, establishment of an open source EHR system capable of modifications according to the national requirements seems to be inevitable in Iran. The present study identifies the impact of application of open source software in developing national electronic health record in Iran
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Mortality data are a cornerstone of epidemiological research and health plan. Unfortunately they dose not completed coincident to international standards; so due to important of issue and had not any research for precision and accuracy of death certification data in this region, this study was done in death certification data in inpatient Kashan Shahid Beheshti hospital. An applied cross-sectional research on death certification data in inpatient Kashan Shahid Beheshti hospital with 4 checklist [face and content validity] included precision and accuracy of general identification data and precision and accuracy of causes of death data was done, after that data were grouped in table and analyzed with descriptive statistics. 301 death certification [60%] and 389 [77.5%] had precision and accuracy in view of general identification and 291 [62.3%] adults and 18 [51.4%] prenatal had precision and 328 [70.3%] adult and 19 [54.3%] prenatal had accuracy. 88 [17.5%] of general identification and 83 [17.8%] adult and 15 [42.9%] prenatal did not have completed, 309 [66.2%] adult and 21 [60%] prenatal had a correct sequence. More education for physicians for produce higher quality data and more emphasis for enough knowledge of illness and study of the medical record carefully, perform autopsy for necessary cases establishment of Medical Legal Department in hospital were recommended
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Humans , Hospital Mortality , Cross-Sectional Studies , Hospitals , Forms and Records ControlABSTRACT
Presently, computers and the development of information technology have resolved many limitations in the health and medical arena, and have also opened many doors to improve communication, information and ability for better patient care, in health and medical care provider centers. Moreover, they have many applications such as virtual reality, medical data-bank, tele-health, expert systems and information-networks. The purpose of this study was to evaluate reporting software of ADS9 counteri's program. This research is a descriptive study which was performed in 2008. Population of this study include employees in office of statistics of Medical Universities in Iran, that work in conjunction with Hospimp software and is answerable regarding Hospimp software in the Ministry of Health and Medical Education. For data collection, researcher used a two-part questionnaire for evaluating general and specified criteria pertaining to the software. The analysis of data was used in descriptive manner with SPSS. The grade of variables studied in this research involved: evaluation of general properties, specified properties, statistical reporting, data-bases, goal of groups and aim of the program with Hospimp software, that is, in average 37.5, 22.58, 41.66, 57.14, 36.36 and 27.27, with a standard deviations of 0.09, 0.08, 0.15, 0.2, 0.15 and 0.14. Technical tissue fall in the slide was not observed. 93.93% of SCC was stained by p63. None of the small cell carcinoma was stained by p63. In the first 2 months, 53.34% of distained section's had similar staining intensity, compared with re-cut sections, 46.66% of cases were decreased in staining intensity and none were negative. Generally, in the evaluated dimensions, Hospimp software has more blind spots rather than strength spots. General properties of the software have a better intensity level, than its specified properties. In order to improve and develop useable software's in the health and medical arenas, we will recommend the development of international standards in designing, production, testing, measuring and software conservation
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Hospitals , Evaluation Studies as Topic , Software , Surveys and QuestionnairesABSTRACT
With increasing production of health information, information technologies have been used for better management and usage of such data. This enormous increase in gathering and storing of information and widespread accessibility also concerns individuals regarding privacy and security of information. This research is concerned with this issue due to decisions on establishing individual health electronic files in Iran. During this descriptive-comparative study, security requirements of electronic health files in Iran, England and Canada were reviewed and compared. Checklist was used for data collection. Data was collected from journal papers, and books accessed through libraries and other credible online sources between 1995-2006. Security requirements regarding health electronic file such as information security systems, safety of communication and operations management, access control were established in those countries except for Iran. There is no safety and security requirements in this regard in Iran. Security and safety of health electronic file is one of the basic requirements, which lacks in Iran. Due to recent interests in establishing health electronic file in Iran by Ministry of Health and Medical Education, it is necessary that such requirements been established by responsible bodies