ABSTRACT
This is a descriptive study with research population coming from "telesurgery information management systems" in 23 teaching hospitals of Shahid Beheshti and Tehran universities of medical sciences in 2011.The study used stratified and simple random sampling methods for subject selection, followed by observation and interview for data collection. According to the results, video camera with 100% application, was the most frequently used equipment in the hospitals for telesurgery data gathering. Visual data analysis for developing three dimensional models was common just in 10% of hospitals. Fiber Optic and satellite, with 40% application rate, were the most frequently used telecommunication equipments in the hospitals. The study indicated the significance of accurate and appropriate management of telesurgery information as the first step for appropriate implementation of telesurgery programs in Iran
ABSTRACT
Background: A pharmacy information system must retrieve process and update the information it obtains for safe and effective use of drugs. It is used to manage drug usage in the patient health care process and to communicate a large volume of information to pharmacy and pharmaceutical firms. Bearing in mind such issues, the current study adopted a descriptive method of research to investigate the pharmacy information systems in university hospitals and their relationship with pharmaceutical firms. The research data were collected through observation and interview based on a checklist and a questionnaire. Validity and reliability of the data gathering tools were specified through content validity and test re-test methods. The collected data were then analyzed, using a set of descriptive statistics. According to the results, pharmacy information systems in the hospitals under study were partially computerized. Databases for drugs, patients and prescriber databases, with different values of 50.1%, 21.9%, and 33.3% respectively, were not complete, as had been recorded in the pharmacy information system of the hospitals. The pharmacy information system is normally used to support therapeutic activities and the inventory, but such support had not been provided for 43.9 % of the hospitals. 32.2 % of the hospitals under study had not reported pharmaceutical information such as statistical data and drugs' prices. Also, 27.3% of the pharmaceutical firms did not have any relationship with pharmacy information systems. Pharmaceutical companies had developed some relationship, on marketing issues, with hospital pharmacies. The findings were in favor of further therapeutic activities by pharmacy information systems, which could be achieved by improving relationship between hospitals and pharmaceutical firms, particularly in Tehran. This could help to manage drug consumption and supervision, after marketing, in order to eliminate adverse drug reactions and develop high quality pharmaceutical services
ABSTRACT
The overall objective of a health system is to improve health through reducing disease, disability and death. Accomplishment of this goal depends on the worldwide integrated and coordinated care continuity. Information transmission is a prerequisite to ensure the continuity of care. Widespread acceptance of health information and communication technology [HICT] and developing systems such as Electronic Health Record [EHR], have changed the health care industry. Electronic Health Record is the main part of information management in an integrated health care system. Electronic health record provides access to all health information at organizational, regional, national and international levels and allows for the patient's health data [usually with geographical distribution in several health information systems] to become integrated. Since Electronic health record integrates all care events data, it can make data sharing possible between all care providers to consequently minimize the repeated diagnostic tests, and drug and treatment interactions. Furthermore, Also health care professionals can easily access to patient information at any time and this could lead to improving the quality of care and reduce costs. Accordingly, a productive system is required to provide the electronic health record. Given the significance of the electronic health record and its generating system in improvement of care quality and reducing the health care costs, authors decided to study the needs for developing the national EHR system [NHIN] The main focus of this paper was on selecting material related to the system developing an EHR and it prerequisites. Electronic health record system is a new source of valuable intelligence of real world for the whole health care industry. Electronic health record system includes people, rules, standards, storage and processing equipments, communication and support facilities. To shape this, existence of components and their coordination is necessary. Electronic health record system are established to enhance patient care and its outcome, increase efficiency, improving the availability of information and minimizing the medical errors. With the Europe union formation that in fact was an important step toward globalization, the electronic health record passed the national borders and turned into a global concept to make possible the worldwide integration and sharing of the health data. Therefore international standards are needed to share patient health information between national health systems and across borders. Infrastructure or national information network existence of proper hardware and software and finally participation of all stakeholders are necessary to develop the system. So it is necessary to prepare the infrastructures needed for development of the system in our country. Since EHR has a universal concept, it is needed to create a lifelong health information record for every individual accessible in every point in the world
ABSTRACT
Measurement of diabetes management effectiveness includes the process of care and its quality, health outcome and response to care before everything; it needs a conceptual framework about this universal disease. Minimum Data Set [MDS] of diabetes make this framework by using standard data element with unique definition and effectiveness indicators preparation of diabetes management. Therefore, this research was accomplished to study the MDS of diabetes as diabetes management effectiveness indicators in America, Australia, Scotland, and Finland and also, presentation of model for Iran. This research was an applied descriptive study. At first, we used a questionnaire and checklist to study MDS of diabetes in Tehran; then in selected countries, MDS of diabetes was assessed by published and electronic literatures and at the end, the proposed model was designed in accordance to country's needs taking discerning people attitude upon it by Delphi technique. A data analysis in study stage of MDS of diabetes in the selective countries was done by comparative tables and determination of similarities and differences of the MDS. In the stage of gaining credit for model, it accomplished with descriptive statistics to the extent of absolute and relative frequency. MDS of diabetes for Iran presented in 12 forms and diabetes management effectiveness indicators on base of studying in America, Australia, Scotland, and Finland countries and needs of our country and after doing Delphi technique with 98 percent agreement confirmed. MDS provides continuous care of patients, communication among providers and analysis of patient and patient society care effectiveness. So, it causes decrease of threatening diabetic complications. Collection of MDS of diabetes increases the quality of care assessment and effectiveness indicators for management of care process, quality of services, and health outcome