[ impact of errors in completing death certificate on coding, underlying the cause of death in Shahid Mohammadi hospital of Bandarabbas]

Death information plays a critical role in the adjustment of health plans, and the cause of death coding leads to organizing this information. The Purpose of this study was to review the impact of errors in the completion of death certificate on underlying the cause of death coding in Shahid Mohammadi hospital in Bandarabbas. This descriptive-cross sectional study was performed in the second half of 2011 by studying the death certificates of all extinct. First, certificates were written on aside forms and residents determined the sequences of death certificates. Next, researcher recoded certificates and compared his codes with original coders. At last, researcher referred to certificates themselves to extract information about documentation errors. Data were analyzed by SPSS using descriptive statistics, chi [2] test and 95percent confidence interval. The accuracy rate of underlying the cause of death coding was 51.7 percent. There was a significance between coding accuracy and major errors [P=0.001] but there was no significance between coding accuracy and minors. There was a significance between language of death certificate and occurrence of both major and minor errors[0.227and 0.006]. There was also significance [0.227and 0.006] between number of lines and occurrence of both kinds of errors[0.000]. The Impact of majors errors on accuracy of underlying cause of death coding has been proved. To solve this problem, physicians must be trained and the structure of death certificate must be edited

[ impact of medical information systems on health care quality and factors affecting the use of these systems from physician's viewpoints in Hormozgan university of medical sciences]

Quality improvement is the main purpose of health care organizations in general and of hospitals in particular. Physicians are the main users of information systems. It is, therefore, necessary to study the impact of using medical information systems on health care quality and the factors affecting the physicians' use of these systems. This is a descriptive-analytic study in which simple randomized sampling was used to select 74 physicians in teaching hospitals. The reliability of a researcher-made questionnaire - validated by experts - was confirmed by test-retest. The data were analyzed by SPSS using descriptive and inferential statistics. Laboratory information system, online vital sign system, and drug interaction inspection system [with mean values of 4.61, 4.28, and 4.08, respectively] showed the highest effects on health care quality. Moreover, the factors of data security concern, constant system upgrade, and lack of trust in the quality of the services of information technology workforce [with mean values of 4.05, 4.04, and 3.97, respectively] were found to have the highest impact on the physicians' use of medical information systems. Physicians stated that information systems had an effective role in the quality improvement of health care. Data security concerns, lack of computer skills, lack of training for the optimal use of information systems, and slow transmission speed were the most effective factors in preventing physicians from using information systems. Thus, optimization of information systems especially in the aforementioned areas seems necessary for health care quality improvement