Fall-related hospitalization of patients in Iran / 中华创伤杂志(英文版)

PURPOSE@#Trauma has been called the neglected disease of modern society. According to WHO, fall is the second major cause of trauma or deaths resulting from unintentional accidents. The aim of this study was to investigate the different types of fall according to International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10) in hospitalized patients visiting specialized accident and trauma hospitals of Mashhad, Iran.@*METHODS@#This was a cross sectional retrospective study performed between March 20, 2013 and March 20, 2014. The research population consisted of all medical records of patients for fall injuries in three specialized accident and trauma hospitals. ICD-10 was adopted to categorize all types of falls (w00-w19). The results obtained were analyzed by SPSS 16.@*RESULTS@#Altogether 7,448 cases were included. The codes w18 (fall on same level) and w09 (fall involving playground equipment) with the frequencies of 1,856 and 1,303, respectively in both genders had the maximum number of falls. The maximum percentage of mortality has been related to "fall on and from ladder"," fall from cliff "and "fall on same level involving ice and snow".@*CONCLUSION@#As falls can cause irrecoverable injuries including mortality of people, thus health authorities and policymakers should take preventive measures given the causes of falls and the root of this type of injuries, so that the costs resulting from this cause and its injuries can be reduced.

Views of users towards the quality of hospital information system in training hospitals

Users of hospital information system [HIS] use these systems during working day and know its problems better than others know. Studying their views is very important and can be especially effective in the development of the information system. The aim of this study was to investigate the users' view towards the quality of hospital information system in the training hospitals in Mashhad University of medical sciences. The current study was an applied research in Training Hospitals of Mashhad [East of Iran], which was conducted with descriptive cross-sectional method. A four-section questionnaire was designed for data collection consisting of: characteristics of information quality, reasons of low quality of information, accessibility of information and decision support. Validity and reliability were tested and SPSS was used for data analysis. 62.8% of users explained that one of reasons of low quality information was a problem related to obtaining information. 47.7% of them were unsatisfied with hospital information system ability for decision-making support. In general, 53.2% of users were slightly satisfied with the overall quality information of the system. There are some problems concerning information quality of HIS in Mashhad training hospitals. These problems include inappropriate information quality of the system and incompatibility with user needs which leads to decreased satisfaction of users towards the system

[Knowledge of physicians, nurses and medical record personnel about legal aspects of medical records in teaching hospitals affiliated to Kashan university of medical sciences]

Obeying patient rights is dependent upon the knowledge of healthcare providers about ethical and legal aspects of healthcare. This study aimed to determine the knowledge of physicians, nurses and medical record personnel about legal aspects of medical records in teaching hospitals affiliated to Kashan University of Medical Sciences. In this cross-sectional study, 325 healthcare personnel including physicians, nurses and medical record personnel were surveyed by a valid questionnaire designed based on Iranian laws and referenced materials. The questions were related to legal aspects of informed consent, confidentiality, and issuing certificates. We analyzed the data through the mean score [ +/- SD] of correct responses. The knowledge level of participants was moderate about legal aspect of informed consent [3.78 +/- 1.36 from 8 points], confidentiality [1.45 +/- 0.97 from 4 points] and issuing certificates [3.27 +/- 1.79 from 9 points]. Totally, the knowledge level was moderate [8.51 +/- 2.83 from 21 points]. Physicians had more knowledge and nurses less. Educating legal aspects related to medical records including confidentiality, informed consent, and issuing certificates for all of healthcare providers especially for nurses seems necessary