ABSTRACT
Background: The diagnosis coding and medical procedure are methods of treatment that helps patients to organize and classify information correctly. Coding is a related factor with the quality to provide the data of illnesses and injuries. Aim: To examine rate of the coding accuracy of hospital patients of Imam Khomeini in Ahvaz (Iran) during spring 2010. Material and methods: In this cross-sectional study that was performed in 2010, society of investigation was 5062 records of patients admitted to the surgical ward of Imam Khomeini Hospital in Ahvaz from which 260 records were selected incidentally and orderly. Instrument of data collection was a checklist developed by the researchers based on library resources and the accuracy was confirmed in the narrative checklist used by expert faculty in this. After the data were collected, they analyzed using Excel software. Results: The most accurate coding was related to other procedures (92.61%) and least accurate coding was related to the major diagnosis (84.91%) and the lowest completeness of the encoding was related to other diagnosis regarding 66.88%. Conclusion: The results showed that the accuracy of diagnosis coding and procedure was optimal, but the level of completeness of diagnosis coding was too low regarding to hospital training.
ABSTRACT
Background: On average, 40% of the gross income of each country is devoted to the health care with medication expenditures accounting for 19% of the total expenses. Less than ¼ of the medication expenditures is allocated to the inpatients department. The measures taken regarding the management of expenditures when selecting and implementing the strategies for managing medication expenditures have made the pharmacists to take the quality issues as well as the safety of the patients into account. Methods: The present research intends to explore the expenditures of effectiveness of Pharmacy Information System (PIS) for the medication services as far as effectiveness of delivered services is concerned in some selected hospitals in the city of Isfahan, Iran. The present research of applied and descriptive-analytical nature was conducted in the hospitals in the City of Isfahan, Iran. Instruments used for collecting data included self designed checklist conforming to the guidelines of the American Society of Health-System Pharmacists (ASHP) the validity of which was assessed based on the viewpoints of the expert professors. The data gathered by interview and observation methods. Then, they were analyzed using non-parametric tests of Mann-Whitney and the Wilcoxon tests and SPSS software (11.5 version). Results: The highest rate of the expenditures of the effectiveness of the pharmacy information system belonged to the teaching hospitals with a mean score of 48.5%, while the lowest rate was found to be for private hospitals with a mean score of 28.1%. Based on the findings of the Wilcoxon test, no statistically significant difference was observed among the hospitals in terms of effectiveness-related expenditures. Conclusions: Given the results of the study, it can be noted that a successful plan for managing the medication-related expenditures must be information-based.