Showing 18 results for Information System
Mahdieh Shojaei Baghini , Tahereh Naseri Boori Abadi, Mona Joodaki, Samieh Mollaee,
Volume 1, Issue 1 (4-2015)
Abstract
Introduction: Health care facilities have intended to mechanize their information systems. The rate of mechanization of information systems is not similar within these organizations. This study aimed to assess the mechanization rate of hospital information system among four teaching- general hospitals in Kerman in 2012.
Methods: This applied research was a descriptive cross-sectional study conducted in four teaching general hospitals. A Ministry of Health and Medical Education checklist on “Health Information System evaluation” was used for data gathering. Data was analyzed using SPSS 13 and Excel through descriptive statistics.
Results: The Findings of this study revealed that the highest and the lowest mechanization progress rate of hospital information system were concerned with medical record information system and decision support with 91.66 per cent and 15.62 per cent, respectively.
Conclusion: It is recommended that executives establish a committee to plan, organize, supervise and hold training courses and conduct periodic assessment of hospital information system in order to identify and amend weaknesses and also allocate adequate budget to hospital information system.
Mehrdad Farzandi Pour, Zahra Meidani, Hamid Reza Gilasi, Razieh Dehghan Banadaki,
Volume 1, Issue 1 (4-2015)
Abstract
Introduction: Hospital information system is comprehensive software aiming to integrate patient information in order to send and exchange information between departments and other medical centers, based on, Since according to the users' needs, some changes such as modifications, improvements or conformity to changes in the organization are applied and also some requirements and performance characteristics are added in these systems so they should be constantly assessed and ranked. The aim of this research is to rank hospital information systems.
Methods: This descriptive study was conducted in 2013. Research population included hospital information systems of the country. The sample size comprised 16 companies. Data were collected from check lists which included information related to research purposes, and its validity was confirmed by experts. The collected data were analyzed using descriptive statistics and SPSS software.
Results: In the overall rating of hospital information systems, “Rayavran” with 72.7% ranked the highest and “BuAli designers” with 47.1% ranked the lowest. In rating functional requirements, only three softwares were efficient. Most of these systems were efficient regarding technical requirements and the ability to use the capabilities of the vendor of the systems, and most hospital information systems were inefficient in improving the quality of patient care.
Conclusion: In general, hospital information systems in Iran had a moderate performance regarding the studied requirements which requires system managers and designers` consideration and attention.
Fateme Sadat Hashemisheshdeh, Nasrin Davaridolatabadi,
Volume 3, Issue 2 (10-2017)
Abstract
Aim: With changes in health care system an integrated information system is required to meet the needs of people for service delivery and support the provision of health services.Evaluation of these systems leads to improvement ,development and increases the efficiency and effectiveness of the hospital.This study aimed to evaluate the hospital information system of Shahid Mohammadi Hospital in Bandar Abbas from users' point of view in 1395.
Methods: This study is a descriptive-cross sectional study. The statistical population consisted of 546 hospital staff who obtained a sample size of 225 using the Morgan table.. The data gathering tool was a researcher-made questionnaire whose validity was confirmed by experts And the reliability of this questionnaire was obtained by Cronbach's alpha.Data were analyzed using SPSS version 19 and Descriptive Statistics and one-way variance and Pearson tests.
Results: In this study Hospital information system (HIS) mostly used by by nurses. 85.1% of individuals in this study expressed that HIS implementation caused to increase work facility and 53.8% declared that HIS implementation caused to reduce the personnel workload. 59.5% expressed that HIS implementation caused to reduce Paperwork.
Conclusion: The results of this study showed that the HIS governing the organization was in a proper condition But more considerations from directors to the comments of users will enhance these system.
Atefeh Sedighnia, Sharareh Rostam Niakan Kalhori,
Volume 3, Issue 2 (10-2017)
Abstract
Aim: Tuberculosis has high mortality in the world and recently recurring. Nowadays TB incidence is increasing. Observation, follow-up and comparing disease's Incidence would be necessary for prevention, management and control them. The purpose of this study is TB incidence surveillance in different times and places of Iran by GIS.
Methods: This study is a retrospective analysis on TB incidence of 10651 cases that registered on Iran stop TB system in March 2014 to March 2016. In order that Possibility to compare, data have been arranged by diagnosis period in iran TB organization for comparison of study. To choose parameters, effective environmental parameters extracted from previous studies. Correlation between TB incidence rate and effective environmental parameters were tested with Pearson correlation test; then available environmental data's information layers develop and integrate by ARcMap 10.3.
Results: considering the seasonal nature of this study, 8 integrated maps of temperature, wind and climate that separated according to states were showed in regions with high temperature, wind and warm and dry climate we have more TB incidence. In summer the incidence is less than other seasons.
Conclusion: The disease condition observation in states based on different colors at different intervals, allowed health politicians to compare and understand the statistics.
Parvin Lak Bala,
Volume 4, Issue 2 (10-2018)
Abstract
Aim: This paper investigates Geographic Information System (GIS) awareness and perception among students and lectures of health school of Hormozgan University of Medical Sciences (HUMS).
Methods: This descriptive study was conducted in 2013-2014. Research population were 162 consisted of 150 students and 12 lectures of health school of HUMS. Data were collected from questionnaire instrument which included information related to research purposes, to standardize and validate the questionnaire, qualitative assessment was done using an expert Reliability assessment was done by a Cronbach's alpha. The collected data were analyzed using descriptive statistics and SPSS 16 software
Results: Fisher's exact test showed that there were significant differences between the two groups of professors and students in awareness and knowledge in employing GIS in the health sector (P=0.029). the mean score of the both groups of lectures and students and the total score of the questions were lower than the mean score. Between the awareness of students and lectures and the application of GIS in how to provide health services and facilities available were a significant difference (P = 049).
Conclusion: The results show that knowledge of both groups was low, probably to the lack of educational training programs in universities, health groups and short courses on Geographic Information System. According to the numerous applications in the planning of the health system educational and practical education is essential in medical universities.
Shahla Damanabi, Elham Monaghesh, Robab Faraji,
Volume 5, Issue 1 (9-2019)
Abstract
Aim: Applicability is the extent to which a particular product can be used by specific users to achieve specific goals in a specific field with effectiveness, efficiency, and satisfaction. Due to the fact that the lab information system plays an important role in improving laboratory processes and some vital information of the patient is recorded in this system, the existence of an error in this system endangers the patient. The purpose of this study was to measure the applicability of the laboratory information system in hospitals affiliated to Tabriz University of Medical Sciences using two methods of System Usability Scale and Questionnaire for User Interface Satisfaction.
Methods: This descriptive cross-sectional study was conducted in Tabriz University of Medical Sciences in 1396. A QUIS and SUS standard questionnaire was used to collect information. After translation, its validity was confirmed by a number of professors. The research population consisted of users working in six educational centers of Tabriz University of Medical Sciences who had experience working with the laboratory information system. Because of the limited number of users, the census method has been used and the sample size is 69. The data obtained in the SPSS is imported and presented in the form of tables and charts.
Results: In total, 40.07% of the users were satisfied with the system, with the highest degree of satisfaction with the system's convenient learning with 54%, followed by the system's usefulness with 50.07% satisfaction.
Conclusion: According to the findings of the present study, it became clear that the information system of the laboratory was simple to use from the viewpoint of users, and the operation of these systems was not complicated and easy to learn, but the system lacked the flexibility that should be taken into consideration when designing this system.
Jahanpour Alipour, Yousef Mehdipour, Pezhman Sheibani-Nasab,
Volume 5, Issue 1 (9-2019)
Abstract
Aim: High quality data are prerequisite of high-quality health care. Present study aimed to evaluate hospital information system data quality in educational hospitals of Zahedan University of Medical Sciences.
Methods: The applied cross-sectional study was conducted in 2018. Research population comprises HIS’ users of five public hospitals affiliated to Zahedan University of Medical Sciences. The convenient sampling technique was used for the selection of 300 samples. Data were collected using a researcher-conducted questionnaire and analyzed with SPSS software using descriptive and analytic statistics.
Results: The mean score of accessibility included (7/35±1/61), relevancy (7/01±1/18), security (7/07±1/39), understandability (7/16±1/23), concise representation (7/12±1/32), ease of operation (7/12±1/20), and interpretability (7/21±1/09) out of a total 10 achieved from users’ perspective. The mean score of objectivity comprised (6/86±1/32), reputation (6/65±1/33), appropriate amount (6/93±1/43), believability (6/88±1/36), timeliness (6/80±1/49), completeness (6/74±1/29), consistent representation (6/87±1/29), and accuracy (6/69±1/15) out of a total of 10. A significant and positive correlation exists between all of evaluated factors (p-value < 0/05).
Conclusion: The evaluated hospital information systems data quality was considered an optimal level in terms of accessibility, relevancy, security, understandability, concise representation, ease of operation, and interpretability factors and were relatively optimal in terms of objectivity, reputation, appropriate amount, believability, timeliness, completeness, consistent representation, and accuracy factors. Thus, consideration and improvement of data, quality of HIS seem necessary.
Zahra Mastaneh, Ali Mouseli,
Volume 5, Issue 1 (9-2019)
Abstract
Aim: Pre-hospital Emergency Medical Services (EMS) is a vital part of the health system, which given the emergency nature of its services, is an information-sensitive area. But most information systems have challenges in providing this information. This study examines the challenges of a pre-hospital emergency information system (EMSIS) with a systematic approach.
Methods: In this descriptive applied study, the challenges of the EMSIS of Hormozgan EMS Management Center were investigated and extracted using a checklist (14 questions) from a systematic approach, namely, considering the type of information system in terms of mechanization, type of data, data processing method, hardware and software, involved people as well as various types of reports and information. Data were analyzed manually.
Results: The main challenge of current system was the lack of an electronic information system and the manual managing of information. Also, the problem with collecting and recording all types of audio, video and text data and the lack of up-to-date hardware and software for electronic exchange of emergency information were another challenges.
Conclusion: In terms of systematic approach, the studied information system did not utilize from the capabilities of an electronic system, which, due to the positive outcomes of this type of systems and to increase the pre-hospital emergency capabilities, should be planned to implement electronic systems in studied EMS.
Mahin Mohammadi, Abbas Sheikhtaheri, Farzaneh Kermani,
Volume 5, Issue 2 (12-2019)
Abstract
Aim: Electronic health enables patients share their own medical information and this sharing poses security risks. The purpose of this research is to review, and compare algorithms and methods for solving patient information security, from different aspects, including user revocation, and access control capabilities. The strengths and weaknesses of these algorithms are identified.
Information sources or data: This review conducted using online databases including PubMed, Web of Science, and Science Direct.
Selection methods for study: Keywords including health information systems, computer security, access to information, cloud computing and social networking was used to search. Articles published in 2009 to 2019 were selected. 29 articles related to solving the problem of user revocation and 7 articles related to solving the problem of access control were selected. Related articles were reviewed, then the access control and user revocation solutions were compared.
Combine content and results: To protect the confidentiality of patient information, a cryptographic method is suggested before data sharing. This solution has the problem of revocation of the users. To solve this problem, various methods have been proposed. In this paper, these solutions are compared in different respects. The features of these methods have been compared in terms of instant revocation, key update, cloud free, encrypted text updates, and short revocation. Finally, methods for access control by the patients were also compared.
Conclusion: Security issues associated with health data make patients hesitant to post sensitive health information and share it with health providers. In this paper, algorithms and health information security methods were compared. Most of the solutions to revocation of users need re-encryption methods, also, access control solutions do not have the required flexibility. In the future, better methods should be presented.
Elham Maserat, Zeinab Mohammadzadeh, Elham Mpnaghesh,
Volume 5, Issue 2 (12-2019)
Abstract
Aim: Implementation of in-service training programs is a set of needs-based and planned training activities designed to improve and enhance the knowledge, skills, attitudes, and behaviors of members of the organization to perform specific organizational tasks. The purpose of this study was to determine the effect of health technologies training program on knowledge of health information management personnel.
Methods: This quasi-experimental study was performed in Tabriz University of Medical Sciences. Data were collected through a questionnaire using pre-test and post-test. The study population consisted of health information management personnel of Alinasab Hospital in Tabriz with a sample size of 28 available. Data were analyzed by SPSS-19 and paired t-test.
Results: The mean score of knowledge of health information management personnel at the pre-test was 1.05 and the post-test was 4.75 which is comparably increased. The results showed a significant difference in the mean and standard deviation of personnel scores before and after training sessions. (P <0.05).
Conclusion: According to the findings of the present study, it was found that the scores before and after the training were significantly different. Accordingly, training programs can have a positive impact on the knowledge of health information management personnel.
Halimeh Jamal, Somaye Fazaeli, Zahra Ebnhosini, Hamed Tabesh, Mahnaz Samadbeik, Sanaz Sadat Mahmoudian, Marzieh Meraji,
Volume 6, Issue 2 (8-2020)
Abstract
Aim: Nowadays, the concentration of information systems evaluation is changing from technical issues toward humanoid and organizational subjects. To evaluate the interrelationships between these three dimensions in health systems, the HOT-Fit Assessment Framework (HOT-Fit) was proposed in 2006. Therefore, this study was conducted to identify accurate criteria for evaluating systems based on this model.
Information sources or data: In the field of health information evaluation using HOT-Fit criteria, articles in PubMed, Scopus, and Persian e-databases including Iran Public Information Database (Magiran), Iran University Jihad Scientific Information Database, and Irandoc were searched from 2006 to 2019.
Selection methods for study: The extracted articles were reviewed by content analysis method. From 1062 articles, 18 articles were selected after eliminating duplicated articles and unrelated articles according to their title, abstract and full text.
Combine content and Results: After reviewing evaluation criteria of health information systems using HOT-Fit framework, 130 benchmarks were obtained from databases in four different dimensions including technical (n=51), organizational (n=36), human (n=33) and net profit dimensions (n=10).
Conclusion: In this comprehensive review, we tried to provide a practical and comprehensive view of the evaluation of hospital information systems using the HOT-Fit model. This model can be used for all health hospital information system. Generally, the results of this review can be useful for information technology policymakers in determining health information systems evaluation criteria.
Mohammad Hosein Hayavi Haghighi, Jahanpour Alipour,
Volume 6, Issue 3 (12-2020)
Abstract
Aim: The information technology model is used to determine user acceptance and satisfaction with the hospital information system. The purpose of this study was to determine the acceptance rate of hospital information system (HIS) by users based on the model of using information technology in teaching hospitals of Zahedan University of Medical Sciences.
Methods: This analytical cross-sectional study was conducted in May 2020. The statistical population of this study was users of the information system of educational hospitals of Zahedan University of Medical Sciences and according to the Cochran formula, 277 users were determined as the sample size.' Data were collected using a researcher-made questionnaire whose validity was confirmed by content validity and its reliability was measured by Test-Retest (r=0/86). Data were analyzed by SPSS software version 22, descriptive (frequency and percentage) and analytical (Pearson's correlation coefficient) statistics.
Results: The average of HIS acceptance variables, including user satisfaction in terms of system support for tasks, user interface, compatibility with tasks, support for cross-sectoral collaboration, learning ability, accessibility and system support services, were 3.78, 3.65, 3.34, 3.60, 3.21, 3.30 and 3.50 respectively. This indicates a favorable situation for the first dimension and relatively favorable for other dimensions.
Conclusion: The users' acceptance rate is represented relatively desirable. But proper communication between users and system owners, using system support, and adopting appropriate management tactics can help increase user acceptance and satisfaction
Behnaz Imani, Somayeh Nasiri, Farahnaz Sadoughi,
Volume 6, Issue 3 (12-2020)
Abstract
Aim: To identify the main causes of malnutrition in childhood, it is necessary to collect quality and coherent data at the national level, which requires the creation of a minimum data set. Therefore, the present study aimed to design a minimum set of malnutrition data for children under five years of age.
Methods: This quantitative applied study was conducted in two stages in 2019. In the first step, the descriptive-comparative method was used to compare the data elements needed for malnutrition in children under five at the national and international levels. In the second stage, the initial MDS was designed and then validated by experts in two rounds using the Delphi method. The study population was composed of 30 experts in nutritionists and pediatrics who were selected by non-random purposive sampling (criterion Sampling) finally, the cases reached a collective agreement of more than 75% were included in the MDS. The items with a score below 50% were excluded from the proposed MDS. The collected data were analyzed by using descriptive statistics and Excel software.
Results: Approved MDS for malnutrition in children under five had 56 data elements and seven subsets, including child development, demographic and management, clinical and diagnostic examinations, nutritional status, medical history, and tests.
Conclusion: The development of MDS plays an important role in improving the quality of information management and early detection of childhood malnutrition. In order to gather uniform data, achieve an integrated information system, and facilitate the sharing of malnutrition data, it is recommended to use this MDS.
Kobra Afshari, Saeed Saeedbakhsh, Maryam Ahanbakhsh, Zahra Heidari,
Volume 8, Issue 4 (3-2023)
Abstract
Objective: One of the major challenges in the implementation of the Picture Archiving And Communication System (PACS) is the attitudes of physicians towards the system. This study aims to design and assess the psychometric properties of a questionnaire for identifying the factors affecting the acceptance and use of PACS in Iran based on the Unified Theory of Acceptance and use of Technology (UTAUT).
Methods: This methodological study with cross-sectional design was conducted with the participation of 400 physicians working in hospitals affiliated to Isfahan University of Medical Sciences in 2019. Physicians were selected by stratified random sampling method with the probability proportional to size procedure. The questionnaire’s face validity, content validity, construct validity with exploratory factor analysis (EFA), test-retest reliability with intraclass correlation coefficient (ICC), and internal consistency with Cronbach’s alpha coefficient, were determined. The data were analyzed in SPSS.
Results: The face validity was 1.51-3.4 and the content validity index and content validity ratio ranged 0.6-1 in all factors. Twelve factors including performance expectancy, effort expectancy, social influence, facilitating conditions, computer self-efficiency, behavioral intention, technology optimism, problem solving, rationalized decision-making, horizontal integration, vertical integration, and presentation of health services to clients were extracted by conducting EFA, which explained 67.86% of the common variance. Cronbach’s alpha was obtained 0.92 and the ICC was 0.86 .
Conclusion: The designed questionnaire has good validity and reliability. It is recommended as a valid tool to evaluate the factors affecting the acceptance and use of PACS in Iran.
Mrs Mina Shayestefar, Esmaeil Moshiri,
Volume 9, Issue 3 (10-2023)
Abstract
Nurses spend most of their work time on documentation. Nursing reports includes the results of care and patient response. The proper reporting can indicate the appropriateness of the services provided. Incomplete nursing report can endanger the safety of the patient and the position of the nurse. Today, with the development of nursing care, the amount of nursing reports has increased.
Mohammad Hosein Haghighi Hayavi, Jahanpour Alipour, Mohammad Dehghani,
Volume 9, Issue 4 (2-2024)
Abstract
Objective Recently, healthcare organizations use advanced information technologies such as cloud computing (CC) to reduce costs and increase productivity. Since the level of technology acceptance plays an essential role in technology success or failure, this study aims to assess the factors affecting the acceptance of CC by the staff of teaching hospitals in Hormozgan, Iran.
Methods This is a descriptive-analytical study with a cross-sectional design that was conducted in 2021. Participants were 285 staff of three teaching hospitals affiliated to Hormozgan University of Medical Sciences, who were selected using stratified random sampling method. The data collection tool was the unified theory of acceptance and use of technology (UTAUT) questionnaire with acceptable validity and reliability (Cronbach’s α=0.88). The collected data were analyzed in SPSS software, version 24 using descriptive statistics, independent t-test, ANOVA, and Pearson correlation test. Also, the effect of the factors was calculated in LISREL software.
Results The history of using CC had a significant impact on the behavioral intention and usage behavior (P<0.001). In addition, the relationship of social influence, facilitating conditions, effort expectancy, and performance expectancy with usage behavior and behavioral intention to use CC was significant, and their impact was higher on the behavioral intention of staff
Conclusion Individual awareness and knowledge, relevant organizational conditions, and the necessary infrastructure are the key factors in the acceptance of cloud computing by the staff of teaching hospitals in Hormozgan, Iran.
Sima Alavi, Abdollah Mahdavi, Solmaz Khodam Nane Karan, Kamal Ebrahimi,
Volume 10, Issue 1 (3-2024)
Abstract
Objective Stands for electronic health record system in Persian (SEPAS) is one of the important health information technology projects in Iran. This study aims to investigate the strengths and weaknesses of this system based on the perceptions of its users from hospitals affiliated to Ardabil University of Medical Sciences (AUMS).
Methods This qualitative study was conducted in hospitals affiliated to AUMS in 2019. Data collection was done through semi-structured face-to-face interviews of 14 participants.
Results The factors were categorized in seven groups: strategic management & supervision, education & culturalization, standards & laws, development & establishment, research, technical infrastructure, and project development in medical universities. The field of education & culturalization was the most important category.
Conclusion The implemented programs for SEPAS are far from the defined plans. Monitoring by the Ministry of Health and Medical Education and medical universities, as well as culturalization and training for managers and employees are among the priorities.
Razieh Mirzaeian, Mostafa Shanbehzadeh, Mohammadreza Afrash, Hadi Kazemi Arpanahi,
Volume 10, Issue 4 (1-2025)
Abstract
Introduction: In contrast to current medicine, Iranian traditional medicine (ITM) or Persian Medicine (PM) employs a distinct therapeutic paradigm, characterized by unique clinical data and a wide array of treatment methodologies. The development of the Iranian traditional medicine information system (ITMIS) holds substantial potential to facilitate the systematic collection, organization, processing, and reporting of ITM-related data. The primary objective of this study is to design a conceptual model for ITMIS.
Methods: This cross-sectional, developmental-applied study was performed in three sequential phases. The initial phase involved a systematic literature review to investigate the characteristics of traditional medicine information systems (TMISs) currently implemented in other nations. The second phase comprised purposeful interviews with 29 specialists and pharmacists of ITM to ascertain the existing state of ITMIS in Iran. The third phase focused on the design of the conceptual model utilizing ArgoUML 0.34 software, followed by expert validation.
Results: The literature review yielded 22 pertinent publications within the period of 2000-2024. Subsequently, semi-structured interviews facilitated the classification of the current ITMIS landscape across eight key dimensions: purpose, data structure, data sources, data collection methods, data processing procedures, data reporting mechanisms, data distribution channels, and data accessibility protocols. In the final phase, the conceptual model of the ITMIS was designed and subjected to expert validation.
Discussion: Despite the heterogeneity and scope of data elements inherent in the ITM healthcare system, the development of a conceptual model for a ITMIS holds significant potential for establishing a blueprint for an efficient, integrated national electronic health record prototype.
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