Showing 16 results for Evaluation
M Javadi, M Yaghoobi, M Tavakolli, A Afkar,
Volume 8, Issue 2 (6-2009)
Abstract
Background: Learning and teaching is a bilatheral connection between student and teacher ,so evaluation of both of them is an important necessity in academic Institues.if we accept that teachers ability lead to effective learning in students or their unability can reduce education outputs, so we conclude that teacher,s function score must be related with student,s educational function score.
Material and Methods: This study is a descriptive correlation study .all of faculty members , were teaching special courses ,and 62students in second semester of 85-86 from librarian, medical records and health care management majors were contributed in study. teacher,s evaluation score and student,s mean scores were provided through educational chancellor of university. Anlyzing was done by spss software ,and use of descriptive statistic and correlation index.
Results: Evaluation mean score of teashers and mean score of student,s courses were different in 3 educational groups. correlation between of teacher,s evaluation scores and student,s mean scores was adverse and was,nt sicnificant.(r=-0/095 in health care management),(r=-0/1in med.records),(r=-0/6in libererian).
Conclusion: We accept that teachers ability can lead to effective learning in students or inability can reduce education outputs.in this study There was no significant relation between of two variables.so we conclude educational system must notice more and more to evaluatin tools for accurating, richment and updating those.
Js Tabrizi, A Jannati , Z Hamzehei, Mr Narimani,
Volume 8, Issue 3 (2-2010)
Abstract
Background: Education and evaluation should be designed to educate and evaluate students in the real field or similar to their future work place. This study aimed to improve summative evaluation in internship.
Material & Methods: A quantitative (61 students) and qualitative (15 students) study with health services management students conducted in Tabriz Faculty of Health and Nutrition. OSFE was developed as a summative evaluation method based on students' experiences about final evaluation of clerkship, which ascertained using two FGDs. In the OSFE method students attended in the several stations to do particular skills individually. In each station students' skill has been assessed by a trained examiner using standard checklists. At the end of exam, students' opinion about new method has been asked through qualitative and quantitative methods. Qualitative data analyzed by hand and SPSS software was used to analyze quantitative data.
Results: Findings from FGDs (after OSFE) showed that the majority of students were satisfied about OSFE and they believed that it is a good method to assess students' skills and competencies. Quantitative study also demonstrated that 74% of students believed that OSFE is a good method to evaluate their capabilities and 70% verified that they have been attended in an orientation session about OSFE. Moreover, 58% considered OSFE as an equitable method.
Conclusion: It can be suggested that OSFE could be used as a valuable summative evaluation method for non-medical students' clerkship and practical courses.
Reza Safdari, Hussein Dargahi, Leila Shahmoradi,
Volume 9, Issue 1 (9-2010)
Abstract
Introduction: Evaluations of a system of information, without analyzing its users understand is impossible. User satisfaction is as key factor of success information system. It is essential to consider information system context (user, task, equipment and environment), user type and user experience in quality ergonomic computerized information systems. Therefore in this study HIS quality ergonomic of Iran compared with other software.
Methods: A comparative study in 1389 was conducted. In order to compare the evaluation results of hospital information system with other software, applications were selected that already were evaluated using isometric questionnaire. These software are a) IS-H * med (software evaluated by Hamburg and colleagues in 2004), b) SAP-HR (software evaluated by Gruber 2000) and c) Microsoft word for Windows (software evaluated by Gediga and colleagues in 1999). Users view analyzed through descriptive statistical and one sample t-test. Data analyzed through SPSS and Excel.
Results: HIS than IS-H * med of is significantly more usable. HIS than SAP-HR in terms of the IsoMetric Scales such as "suitable for task," "suitable for learning", "Error tolerance" and "learning ability" is significantly more usable. HIS vs. Microsoft's word is significantly less usable.
Conclusion: The results of this study showed that hospital information system in Iran than the other software studied is average level in terms of ergonomic software quality. It is recommended regarding user expectations when designing and developing of information systems.
J Fekari, A Ghiasi, M Ezzati, M Pakdaman, A Khalafi,
Volume 9, Issue 3 (2-2011)
Abstract
Background: Assessing applied resources in a hospital as a health system will lead to identify organizational problems in this section and subsequently the necessary actions to resolve them. The aim of this study was to determine measurement of inappropriate admission and hospitalization (ISP: Inappropriateness Patient Stay) and associated reasons.
Materials & Methods: One widely used tools to assess appropriate use of hospital recourse is Appropriateness Evaluation Protocol which include objective criteria related to clinical services provided to the patient. Survey of admission and hospitalization in a cross-sectional and prospective study for 246 patients in the Alinasab hospital affiliated insurance organization carried out in Tabriz.
Results: The total of 7 percent of admissions and 6.2 percent of hospitalized were diagnosed inappropriate manner. There was no significant association between inappropriate admissions and other variables. There was significant relationships between Inappropriate bed days with insurance (P=0/041) and duration of hospital stay (P=0/041). However, there were no association between sex, disease diagnosis and hospital days per week with Inappropriate bed days.
Conclusion: The reasons of inappropriate admission and hospitalization in Iran are similar to other countries. Upgrading strategies to referral system performance, creating standard protocols to evaluate criteria for medical personnel and increasing outpatient diagnostic institutions could be reduce inappropriate admissions and stay of patients.
M Zahiri, I Keliddar,
Volume 11, Issue 3 (10-2012)
Abstract
Background: Performance evaluation could provide information to managers that they need to evaluate and monitor of the current status and activities in hospitals. The PABON LASSO model was applied to evaluate performing of hospitals affiliated with Ahwaz Jundishapour University of Medical Sciences to produce the information that used by policy makers in their attempt to make more productivity health care system.
Materials & Methods: This cross-sectional & descriptive study involved in 26 hospitals, with 3824 available beds. Data for this study extracted from computerized databases within statistical department of vice- chancellor for clinical affairs. This study used the PABON LASSO model combining with three major indicators of hospital performance named as average length of stay, bed occupancy rate, and bed turnover which analyzed in PABON LASSO model. The statistical software SPSS-13 used to derive three basic performance indicators.
Results: Based on 10 hospitals in Zone 3 of the model the satisfactory level of efficiency indicated. Results in 2 hospitals demonstrated the inefficiency and underutilization of resources by falling into Zone 1 and 7 hospitals in zone 2 and 7 hospitals placed in Zone 4. The overall average length of stay, bed occupancy and bed turnover rates were 3.57 days, 63.13% and 79.37 times respectively.
Conclusion: The performance of hospitals affiliated with Ahwaz Jundishapour University of Medical Sciences was in a relatively desirable level. Future research should be focused on why and how this situation could be improved in the hospitals with low efficiency.
Sedigheh Abedi, Reza Khajouei,
Volume 14, Issue 3 (9-2015)
Abstract
Background: Physiotherapy information system is one of health information systems which used to increase the efficiency and effectiveness of physiotherapy department. Studies have revealed due to usability problems, users' interaction with some information systems is complicated. This study aimed at evaluating users' interaction problems with physiotherapy information system.
Materials and Methods: This study was a cross-sectional and descriptive one which performed using heuristic evaluation method; the users' interaction problems of a physiotherapy system among 105 hospitals were identified, classified and rated based on their severities by three evaluators. Data were gathered using a data collection form designed in Excel software.
Results: In this study, 82 unique interactive problems identified which majority of them 28% (n=23) were related to unconformity of system design with real world conventions with major mean severity of the problems. The lowest numbers were related to the problems including lack of guidance, system documentation and error prevention with major and minor severity respectively.
Conclusion: A number of systems, which are used in many health care centers such as assessed system in this study suffer from several problems which endanger user interaction about the systems can lead to error and patients' harm. To identify and eliminate this type of problems, it is recommend that usability evaluation of these systems to be carried out regularly to enhance users' satisfaction, workflow improvement and patient safety.
Ayub Faizy, Ehsan Azimpoor, Dr Taghi Zavvar,
Volume 16, Issue 3 (11-2017)
Abstract
Background: This study aimed to determine the role of core self-evaluation and job autonomy on nurses' job performance in Sanandaj public hospitals.
Materials and Methods: This study was a descriptive and correlational one. The study population consisted of the nurses who work in Sanandaj city public hospitals, selected 213 people using stratified random sampling in 2016. In order to data gathering, Paterson job performance scale (1990), Judje et al. core self-evaluation scale (2003) and Gunster job autonomy (1989) were used. Pearson correlation coefficient, regression analysis and multivariate variance analysis (MANOVA) were performed to data analysis.
Results: Study results revealed that mean score and SD of core self-evaluation, job autonomy and job performance were 43.84 ± 5.52, 42.65 ± 10.26 and 52.81 ± 5.85 respectively. So that, mean of core self-evaluation and job performance were desirable and job autonomy was at the intermediate level. Also, there was a significant association between core self-evaluation and nurses' performance which this variable was able to predict 15% of job performance variance. While, there was no significant association between job autonomy and nurses' job performance. Also, the study results revealed that there was a significant difference between core self-evaluation and job performance among male and female nurses.
Conclusion: Based on study results, core self-evaluation has a significant association with job performance which can predict it among nurses.
Dr Alimohammad Mosadeghrad, Dr Ebrahim Jaafaripooyan , Mahdi Abbasi,
Volume 17, Issue 1 (5-2018)
Abstract
Background: The success of organizations depnds on their managers’ performance. This study aimed to measure hospital managers’ performance in the city of sari in 2017, Iran.
Materials and Methods: About 294 top, middle and first-line managers working in the hospitals in Sari (including four public, two private and one social security hospital) particaipated in this descriptive and cross-sectional study. A valid and reliable questionnaire was used to assess managers’ performance in eight functions including decision making, planning, organizing, coordinating, leadership, communication, budgeting and control. SPSS software, the 21st version, was used for data analysis.
Results: The mean score of hospital managers’ performance was 3.87 out of 5. Managers scored high in organizing (4.12), leadership (4.06), and decision making (3.97) and low in budgeting (3.27), planning (3.83), and coordinating (3.84). Managers’ performance was linked to their age, marital status, education level, and educational background. Those managers who worked in a position related to their educational background had better performance.
Conclusion: Hospital managers rated their performance as good. Measuring managers’ performance, determining their strengths and weaknesses and applying corrective actions are beneficial to the improvement of hospitals’ performance.
Dr Nader Tavakoli, Milad Amini, Dr Mahsa Mahmodinejad, Mohammad Veisi, Dr Hasan Amiri, Yousef Sadat, Ali Tahmasebi,
Volume 17, Issue 1 (5-2018)
Abstract
Background: Assessment of appropriate and inappropriate services offered at the hospital is a very important topic to improve resource allocation. Thus, this study performed to assess inappropriate admission and length of stay to modify extra costs and effective resource management.
Materials and Methods: This study was a descriptive-analytic one which conducted as a cross sectional study in the first half of 2017. The Appropriateness Evaluation Protocol(AEP) was used to collect data. A total of 420 patients hospitalized in Haft Tir and Firoozgar Hospitals were selected using stratified sampling method. collecting data was analyzed using descriptive and analytical statistics by SPSS18.
Result: 391 individuals were admitted appropriately and 29 were classified as inappropriate admission. The rate of inappropriate admission estimated about 7% in the hospitals. female Sex, type of admission, the length of admission and place of patient residence had effect on prediction of inappropriate admission rate (p ≤ 0.05).
Conclusion: Considering the high percentage of inappropriate admission and stay length of patients as well as high costs of health services in these hospitals, the problems can be greatly reduced using proper planning, admissions management between the hospital units.
Dr Masoumeh Erfani Khanghahi, Dr Farbod Ebadi Fard Azar,
Volume 17, Issue 2 (9-2018)
Abstract
Background: The Pabon Laso Model is one of the most important models of evaluating efficiency. Many studies are implemented with this model in Iranian hospitals. This study aimed to review related articles with systemic review and meta-analysis method.
Materials and Methods: The data was gathered using related keywords in databases such as IranMedex, MagIran, IranDoc, Medlib, SID, PubMed, Google Scholar, Elsevier, and Scopus. The articles were searched during 2001 to 2015. Inclusion criteria were determined as articles published in Persian and English, Pointing at least one of three criteria Pabon Lasso model in Iran and access to full-text articles. Exclusion criteria were articles other than hospital performance assessment, and articles which presented as conferences event, case reports, letters to the editor and educational articles. Meta-analysis method was used for calculating Pabon Lasso indices. CMA: 2(Comprehensive Meta-Analysis) was utilized.
Results: 27 articles out of 396 articles were reviewed. The results of 348 hospitals had shown 79.9(22.9%), 76.8(21.7%), 117.8(33.8%), and 74.6(21.4%) of hospitals were in areas one, two, three, and four, respectively. The average of length of stay, bed occupancy, and bed turnover were 3.4 (3-3.7, 95% CI), 63 (41-95,95% CI), and 78.4 (71.8-85.2, 95% CI) per year, respectively.
Conclusion: Study results revealed that only one-third of hospitals were in area three in Pabon Lasso model. The performance status of three fields were average in the length of stay (approximately standard), bed occupancy (upper than standard), and bed turnover (lower than standard).
Dr Sodabeh Vatankhah, Ghasem Rajabi Vasokolaei, Dr Sogand Tourani, Samira Raoofi, Susan Rahimi,
Volume 17, Issue 4 (2-2019)
Abstract
Background: Development of the tourism sector and health tourism specifically can improve the Non-Oil GDP. In this regard, in accordance with the policies of the Ministry of Health and Medical Education, international patient department establishment has been facilitatated health tourism development in the affiliated hospitals. This study aimed to evaluate the performance of international patient department and its effect on the attraction of medical tourists among hospitals affiliated to Medical Sciences Universities in Tehran City.
Matrials and Methods: This analytical cross-sectional study was designed and conducted in 2017. Study population consisted of all hospitals affilliated to Tehran University of Medical Sciences (TUMS), Iran University of Medical Sciences (IUMS) and Shahid Beheshti University of Medical Sciences (SBMU). In this study, hospital entrance criteria was certified by the Health Tourism Department of MOHME. Data was collected using the health tourism assessment checklist which approved by the MOHME. SPSS version 24 utilized to data analysis using descriptive and Inferential statistics.
Results: The study results revealed that the overall performance of international patient department was evaluated at a desirable level (87.5 score) in hospitals of Tehran city. Hospitals had the highest rank of hoteling indices (95/100), in compliance with the regulations and functional indicators gained 87.03 and 82.2 score, respectively. Also, data analysis highlighted that there was no significant difference between hospitals of TUMS, IUMS and SBMU. The establishment of international patient department had no effect on health tourists attraction.
Conclusion: Considering the purpose and mission of international patient department to facilitate the provision of quality and satisfactory services in health tourists, management and oversight mechanisms for the standards implementation such as patient admission, follow up in the origin country and development of hospital marketing policies in order to attract international patients and increase hospital incomes are recommended.
Zahra Tahmasebi, Dr Maryam Tajvar, Dr Mohammad Arab,
Volume 18, Issue 1 (5-2019)
Abstract
Background: Due to the presence of valuable and expensive equipments in hospitals’ warehouses, scientific management and continuous evaluation plays an important role to improve the performance of warehouses and whereby the performance of hospitals’ wards. This study aimed to evaluate the performance of the central stores of hospitals affiliated to Tehran University of Medical Sciences (TUMS).
Materials and Methods: In order to conduct this cross-sectional study, a checklist was designed and validated to examine the warehouses’ status considering structural, process and outcome dimensions of 39 depots in 14 hospitals. The status of hospitals’ warehouses were assessed using descriptive analysis and in order to assess association between performance evaluation score and charchetristics of warehouses and its staff Pearson Correlation Coefficient was utilized.
Results: Although, warehouses’ performance of studied hospitals in general was satisfactory, there were some items in unsuitable condition particularly in structural and process dimensions which should be addressed quickly. Also, performance of warehouses revealed a positive and significant correlation with number of beds, area and size of warehouse and number of staff (p <0.05).
Conclusion: Given that fair warehouses status, some items particularly in structural and process dimensions were in inappropriate condition which needed rapid consideration. Furthermore, hospitals with more beds have more and bigger warehouses achieved better evaluation score, but some of warehouses without these condition should be addressed in priority.
Abbas Jahangiri, Dr Hojjat Rahmani, Shiva Tolouei Rakhshan,
Volume 18, Issue 2 (8-2019)
Abstract
Background: Iranian health system transformation plan has been implemented since 2014 with the aim of financial protection of people, equity establishment in access to health services and quality improvement of hospital services. Hospital performance evaluation is essential in order to monitor the health system transformation plan. One of the tools for evaluating hospital performance is the dynamic multi-attribute decision-making method. The purpose of this study was to use the dynamic multi-attribute decision-making method to evaluate the performance of the hospital before and after the implementation of the health system transformation plan.
Materials and Methods: In this cross-sectional study, the performance of Shariati Hospital in Tehran was evaluated for 48 consecutive months (24 months before and 24 months after the Health System Transformation plan, 2012-2016). Each month was addressed as an option in the decision-making matrix and ,with considering six important health indicators, the hospital performance was dynamically assessed using the weighted aggregated sum product assessment and through EXCEL software 2010.
Results: Hospital performance scores had some fluctuations over time; however, in general, it had an increasing trend over forty-eight months. The highest and lowest values were for months 42 and 13 (0.4932 and 0.9408, respectively). In addition, in the first month of the solar year, the hospital performance score declined significantly for each year.
Conclusion: Changes in hospital performance scores during the study period show improvement in hospital performance. Nevertheless, this incremental process cannot be considered as a positive outcome of the health system transformation plan. Therefore, while improving the current process, continuing the hospital performance evaluation can lead to the hospital's performance promotion.
Dr Mohsen Shafiei Nikabadi, S. Fereshteh Hoseini,
Volume 18, Issue 4 (1-2020)
Abstract
Background: Hospitals are considered as the largest and most costly unit of the health system. The present study aims to determine the efficiency of hospitals in Mashhad.
Materials and Methods: This is a descriptive-survey study that was carried out in 2016-2017. The population of the study consisted of patients referring to hospitals in Mashhad. For data collection, records were used in hospitals and the SERVQUAL questionnaire. Data analysis was performed in soft Gams software.
Results: The results of the study indicate that in the SERVQUAL section, three dimensions of empathy response and Warranty were the most important dimensions. Also, 3 characteristics of 26 qualitative features of the service were classified as "attractive". 4 qualitative features are classified as "essential" and 16 features in "single-dimensional". The rankings obtained in the bilingual network method are approximately the same and only in the case of the last four ranks of the final ranking is done by the voting method with equal weights. And it was determined that the hospital number (3) is the lowest and hospital number (5) has the best performance.
Conclusion: By combining the fuzzy SERVQUAL method with network data envelopment analysis, we can eliminate weaknesses in the selection of indicators in different layers of network analysis and calculate the efficiency of such networks. Hospitals need to increase and plan appropriately by designing a hospital that has the highest efficiency and optimal utilization of its resources and cost-effectiveness.
Ali Akbarisari, Farhad Habibi, Bahman Khosravi, Pejman Hamouzadeh, Mani Yousefvand,
Volume 19, Issue 1 (4-2020)
Abstract
Background: Performance appraisal and quality evaluation of the services provided will achieve the organizational goals and improve the level of staff capability. In order to evaluate accurately and efficiently, we need to use standard indices, to compare the quality and quantity of work with standards, to know the current conditions and to solve its problems
Methods: This study is an applied study. This was done through a combined method of reviewing the texts and consensus of experts. Initially, the literature review and emergency evaluation indices were extracted, then the duplicate indices were removed and similar indices were merged, then weighted experts and questionnaires were compiled with the indices. Content validity, Cronbach's alpha coefficient and test-retest were used to assess the validity, internal consistency and reproducibility of the questionnaire, respectively. Data were analyzed using Excel and SPSS 20 software.
Finding: Final questionnaire with 105 questions in 8 areas including management and leadership (15); human resources (22); physical space and facilities (18); medicine and medical equipment (6); guidelines and policies (17); patient-centered (10); documentation of patient records (5); quality and time indices in the emergency department (12). The results showed that the final questionnaire was reliable (0.89) and repeatable (ICC = 0.98).
Conclusion: The Hospital Emergency Performance Assessment Questionnaire is a valid and reliable instrument and can be used to evaluate the performance of hospital emergency services.
Yusef Eivazi, Yadollah Hamidi, Ali Akbar Fazaeli,
Volume 20, Issue 1 (5-2021)
Abstract
Introduction: Inappropriate admission and inappropriate hospital days are two undesirable indicators in terms of controlling hospital costs. This study was conducted to determine the rate of inappropriate admission and hospital days and related factors in Shohada Hospital in Kermanshah.
Methods: This is descriptive-analytical study.The statistical population included patients admitted of Kermanshah shohada Hospital in 1397. 245 Inpatient records were selected using Cochran's formula and stratified random sampling. Appropriateness evaluation protocol was used to evaluate the inappropriate admission and inappropriate hospital days. The relationship between age, sex, type of admission, type of ward, type of treatment, coverage of cost hospitalization, place of residence, with rate of inappropriate admissions and inappropriate hospital days was assessed using spss16 software.
Results: 5.7% of admissions and 21.4% of hospital days were inappropriate. Inadequate admission was significantly related to gender, type of surgical or medical treatment, type of hospital ward in chi-square test in contingency tables with 95% confidence. Inappropriate hospital days were related to the type of hospitalization ward in kruskal-Wallis test , type of treatment and place of residence in Mann-Whitney test.
Conclusion: By determining the amount of inappropriate admissions and inappropriate hospital days and related factors for policy makers and managers of hospitals and insurance organizations, it is possible to avoid unnecessary costs without reducing the quality of hospital services.
