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Sakineh Vali Ghazvini, Elham Shah Bahrami, Yasser Nazari, Fardin Moradi, Rooholah Kalhor,
Volume 6, Issue 1 (12 2012)
Abstract

Background and Aim: Organizations have to establish modern management systems to progress and to obtain maturity. One of the techniques which started in Europe in the last two decades and is considered in management area of country during recent years is the model of organizational promotion (EFQM). The purpose of this study was Performance Evaluation of Rajaei Hospital Based on «EFQM» Organizational Excellence Model.

Materials and Methods: This cross-sectional study was conducted in year 2010 in Qazvin Rajai Hospital. Data collection tool, was EFQM organization Excellence Model questionnaire which was completed by all the managers. Validity and reliability of questionnaire was calculated. Results were analyzed using descriptive statistics.

Results: Results indicated that this hospital has acquired 99.183 scores out of 500 in enablers factor(88.36 percent of optimum score). Also has gained 183.71 scores out of 500 (36/75 percent of optimum score). Overall, this hospital has obtained 366.7 scores out of 1000 as the total score in the model for performance evaluation in year 2010.

Conclusion: Findings indicated that based on Excellence model criteria, this hospital is in a moderate level. Applying this model for Iranian hospitals which often meet serious problems in this area is informative and practical. Strong systematic view, paying attention to organizational process-based management and being result-oriented are advantageous of using this model.


Sima Esmaeili Shahmirzadi, Davoud Shojaeizadeh, Kamal Azam, Leili Salehi, Azar Tol, Monavvar Moradian Sorkhkolaei,
Volume 6, Issue 3 (7 2012)
Abstract

Background and Aim: Increase in life expectancy is associated with non-communicable diseases. This study is aimed to survey the effect of chronic diseases on the quality of life among the elderly people in elderly care centers in the East of Tehran in 2011.

Materials and Methods: This is an analytical study in which 424 people were randomly selected. They were members of elderly care centers and were 60 years of age or higher. The data collection instruments were a standard quality-of-life questionnaire(SF36) and a chronic diseases record checklist. The data were collected in an interview. For data analysis purposes, Independent T-Test, ANOVA, and Pearson correlation coefficient were used.

Results: The mean age of participants was 67.34±7.16. Some 92.2% of patients were suffering from at least one chronic disease, and there was a significant statistical difference between the mean points of all aspects of quality of life of those suffering from chronic diseases and those without a history of chronic diseases(P<0.001). Moreover, there was a significant relationship between the quality of life on the one hand and gender, marital status, economic status, and education on the other(P<0.05).

Conclusion: The findings show that an increase in the number of chronic diseases leads to a decrease in the quality of life, and that the application of appropriate educational and interventional approaches can help take effective steps to enhance the old people's health.


Azar Tol, Sima Esmaeili Shahmirzadi, Davoud Shojaeizadeh, Mohamad Reza Eshraghian, Bahram Mohebbi,
Volume 6, Issue 3 (7 2012)
Abstract

Background and Aim: Cardiovascular diseases are the main cause of death and disabilities in the world. The purpose of the present study is to determine the perceived barriers and benefits of adopting health-promoting behaviors among individuals at risk of cardiovascular diseases referring to TUMS Teaching Hospitals in 2011.

Materials and Methods: This is a cross-sectional study in which 325 patients at risk of cardiovascular diseases were randomly selected. The data were collected using a self-made questionnaire having three parts: 14 items for demographic and health-related variables, 12 items for perceived barriers, and another 12 items for benefits. For data analysis, SPSS 18 was used.

Results: The mean age of patients was 53.56±11.27 about 47.7% of patients(n=155) were female and 52.3% (n=170) were male. There was a meaningful relationship between the mean of perceived benefits on the one hand and occupation, physical activity, type and frequency of physical activity, smoking and awareness of cardiovascular diseases on the other(p0.001). Moreover, the mean of perceived barriers showed a meaningful relationship with occupation, smoking and awareness of cardiovascular diseases(p0.05).

Conclusion: The findings of the present study revealed that demographic and health-related variables could affect the perception of barriers and benefits of adopting certain behaviors for the prevention of cardiovascular diseases. Therefore, using interventional and educational approaches appropriate for target group features can help us take effective steps towards health promotion.


Amir Ashkan Nasiripour , Pouran Raeissi , Iravan Masoudi Asl , Aslan Nazari ,
Volume 7, Issue 1 (5-2013)
Abstract

 Background and Aim: Investigating the effect of intellectual capital on an organization’s ongoing processes is a way of determining its weaknesses as well as appropriate strategies which help managers to make decisions. The main purpose of this study was to confirm intellectual capitals through improving organizational culture among staff managers of IKRF—deputy for support and health.

 Materials and Methods: This is a cross-sectional descriptive study that was conducted in 1389. The respondents were selected among staff managers of IKRF—deputy for support and health(N=50). Data collection was a questionnaire which consisted of three parts developed by the researcher. Data analysis was performed with SPSS version 16 with the help of descriptive statistics and Pearson correlation test.

 Results: Most of the top and middle managers enjoyed an average organizational culture(top managers=58/3% middle managers=78/3%). The intellectual capital of most managers of this study was below average(mean=2.23). Finally, with respect to the entire managers—both top and middle—, there was a significant relation between organizational culture and intellectual capital( P<0/001).

 Conclusion: Taking into account the significant relation between OC and IC and also the point that organizations try to apply appropriate human resources it becomes further important to improve managing intellectual capitals. In this respect, organizational culture is the most basic substructure.


Mehdi Kahouei, Roghayeh Eskrootchi , Farbod Ebadi Fard Azar ,
Volume 7, Issue 3 (9-2013)
Abstract

 Background and Aim: To optimize emergency services depend s on appropriate management structures and efficient and effective information system design . This study aim ed to investigate emergency department staff's information needs of emergency information system and to design a conceptual model of these needs.

 Materials and Methods: This descriptive study was performed among nurses and emergency medicine professionals working in emergency units of 9 hospitals affiliated to Tehran and Shahid Beheshti U niversities of M edical S ciences . Data w ere collected by interviewing 25 staff members in the emergency department , model d esign by RUP method and UML language and questionnaire d istribution among 315 staff members in the emergency department. Data collected were analyzed by descriptive statistics and SPSS.

 Results: Most nurses and emergency medicine physicians believed that multiple data elements such as time of patient’s first visit and procedure , t he latest status of patient, medical procedure taken , and paraclinical procedure taken must exist in the emergency information system . Also 68.3% (108) of them agreed with the relationship between data elements required in the clinical practice process .

 Conclusion : It is concluded that the presence of identity , clinical , and paraclinical data in emergency information systems can produce an electronic medical record. According to these data, elements can improve the coordination between the hospital emergency and pre- hospital rescue teams , controlling of victim status , access to patient reports and quality of service to patients.


Fatemeh Rangrazjeddi , Alireza Moraveji , Fatemeh Abazari ,
Volume 7, Issue 6 (3-2014)
Abstract

 Background and Aim: Evidence Based Medicine (EBM) is the explicit use of current best evidence in making decisions about the care of individual patients. Hospital information system (HIS) can act as a bridge between medical data and medical knowledge through merging of patient's data, individual clinical knowledge and external evidences .The aim of this research was to determine the Capability to establish EBM by HIS.

 Materials and Methods: This descriptive cross-sectional study was carried out on HISs of 30 hospitals from March to October 2011. Data were collected using a researcher- constructed checklist including applicant’s background information as well as information based on research objectives. Validity of the checklist were assessed by the qualified specialists and then the data were analyzed using descriptive statistics and SPSS software.

 Results: HISs lacked the essential components for providing access to CDSS, Reference databases and internet-based health information in 19, 16 and 20 hospitals were 63.3%, 53.3% and 66.7%, respectively. Twenty-two hospitals (70%) had more than two-thirds of the essential components to access clinical and administrative data repositories 23 hospitals (76.7%) had at least one essential component to access contextual and case specific information.

 Conclusion: The Capability of HIS is better in order to place EBM in having access to the clinical and administrator data repositories while it needs more attention in other areas.

 


Leila Goudarzi, Aslan Nazari, Ghasem Rajabi Vasokolaee , Mohammad Salimi, Mehdi Raadabadi,
Volume 8, Issue 4 (11-2014)
Abstract

 Background and Aim: Due to certain problems including being away from their families, entering a large and full-of-tension environment, and having economic problems caused by lack of sufficient income, students are likely to lose their mental health. This study is aimed to investigate college students' conditions and lifestyle at Tehran University of Medical Sciences (TUMS).

 Materials and Methods: In this cross-sectional study, 120 students from School of Allied Medicine were selected through simple sampling. Data collection tools included demographic questions and a lifestyle questionnaire. After collecting the questionnaires and coding the questions, the obtained data were analyzed through such statistical tests as t-test and ANOVA using SPSS software version 18.

 Results: Students' scores on lifestyle test were in the intermediate range and far from a desired situation. A two-sample t-tests did not show a significant relationship between students' lifestyle and their gender and marital status (P>0.05). Moreover, ANOVA test didn't show a significant relationship between students' age and educational level on the one hand and their lifestyle factor on the other.

 Conclusion: The results of the study revealed that students' lifestyle scores were in the intermediate range and that the situation was far from good. Standard educational programs and interventions should be designed to change students' lifestyle. Nutritional and physical support systems and educational, cultural, and entertainment programs in the department of physical education can minimize the concerns and preoccupations of the studied population group.


Zahra Batooli , Maryam Nazari ,
Volume 8, Issue 4 (11-2014)
Abstract

 Background and Aim: The importance of social networking sites (SNSs) is evident as a tool for research team working and for enabling researchers to share the results and experiences. The present study aims to identify the features of SRNs for facilitating research practices from the perspective of medical sciences researchers and to study the reasons why they use these networks.

 Materials and Methods: This was a qualitative research that employed content analysis approach. The participants were 10 medical researchers who were active in ResearchGATE, and were selected through purposeful sampling. The selection criterion was their scores in ResearchGATE (RG). RG scores are allotted based on publications, questions, answers and followers.

 The data were gathered using semi-structured interviews, and then were thematized and presented in the form of a list the list of SRNs' most important features for the field of medical sciences.

 Results: The findings of data analysis revealed eight features for SRN's: presenting themselves and identifying other researchers, communicating and collaborating with other researchers, sharing information, finding information, managing resources and citations, keeping the researcher up to date, rating, and setting the network.

  Conclusion: Due to the importance and role of SRNs in communication and collaboration between researchers and their scientific production management, introduction of features identified in this study can enhance these SNSs' efficiency and effectiveness. Information science professionals can use the findings of this research to design educational workshops on "Familiarity with the features of SNSs for researchers" as a new information service in libraries.


Aziz Rezapour, Farbod Ebadifard Azar, Negar Yusef Zadeh, Fatemeh Hasanpour, Hossein Bagheri Faradonbeh, Saeideh Ansari Nosrati, Zahra Asemaneh , Mohammad Hossein Ghafoori,
Volume 9, Issue 2 (7-2015)
Abstract

Background and Aim: Receiving and using health care services is called health services uitilization. There are many socio-economic factors including income, culture, age and education affecting the utilization of the services. This survey aimed to study socio-economic determinants of health utilization in Tehran. Materials and Methods: This was a cross-sectional, population based health survey done in year 2013. The sample was 792 households living in Tehran. Data was collected by WHO (households) questionnaire, and analyzed using logistic model and stata12. Results: Among the study variables, households' income, presence of a person with chronic disease, education of the head of the household, and presence of person older than 60 and younger than 14 in households, had a significant statistical relationship with utilization. Insurance coverage had a vague and weak effect on the utilization of health services. Moreover about 23 percent of the households were not under insurance coverage. Conclusion: According to the announced policies by the supreme leader of the Islamic Republic of Iran to the Ministry of Health and Medical Education and by cconsidering the main focus of these policies on the universal insurance coverage, households financial security and reform of the payment system identifying households that utilize more health care services than any others because of any socio-economic reasons is a considerable step for providing financial security for vulnerable households and reforming health care system at the national level.
Zahra Abazari , Aref Riahi , Fariba Sohbatiha, Hasan Siamian , Mousa Yamin Firoz ,
Volume 9, Issue 3 (9-2015)
Abstract

Background and Aim: Scholarly journals are quite necessary for each society’s scientific life, especially the medical society, because they represent the academic community’s achievements to a large extent at regional, national and international levels. The present research, therefore, aims at a comparative study on the qualitative and quantitative growth of journals and articles in medical sciences and related fields in Eastern Mediterranean Regional Office (EMRO) member countries in Scopus. Materials and Methods: This is a descriptive survey with a scientometric approach. The population of the study includes scientific journals and articles in medical sciences indexed in Scopus database. In this study, EMRO academic products and 140 scientific journals have been investigated. Results: The results show that a large number of member countries’ scientific works have been produced and published in medical fields (The main topic of 144,628 out of 573,067 documents published by these countries has been medical fields). Meanwhile, the number of journals which were indexed during the studied period increased from 17 to 127. Conclusion: The production of scientific documents and academic journals in the field of medicine in EMRO member countries has increased during the studied period and has had a considerable leap in the final years. Academic articles have increased along with the increase in scientific journals in these countries.
Abdolreza Mohamadnia, Shirin Karimi, Reza Yadegar Azari , Seyed Alireza Naji, Adnan Khosravi, Naghmeh Bahrami, Massoud Saidijam,
Volume 9, Issue 5 (2-2016)
Abstract

Background and Aim: Lung cancer is the most common cancer among men around the world. The aim of this study was to determine the expression levels of CK19 mRNA marker in the affected patients’ peripheral blood.

Materials and Methods: Thirty patients with lung cancer (NSCLC type) were compared with 30 healthy controls. After taking peripheral blood samples and extracting total RNA, cDNA was synthesized and examined by Real-time RT-PCR technique. Then, the CEA antigen was measured by ELISA.

Results: The CK19mRNA was positive in 7 out of 30 lung cancer patients. Hence, its sensitivity was determined to be 23.3 %. The serum level of CEA antigen was positive in 11 out of 30 lung cancer patients. The mean serum level of CEA antigen markers was higher in patients than in controls; the difference was statistically significant (P< 0.001). The sensitivity of this test was determined to be 36.6 %.

Conclusion: This study showed that the sensitivity of CK19 mRNA in peripheral blood was low, but it had a high specificity for the diagnosis of primary lung cancer. Also, it was found that CEA antigen could be the specific marker for the early detection of lung cancer in patients’ peripheral blood.


Reza Safdari, Fatemeh Sadeghi , Maryam Mohammadiazar,
Volume 10, Issue 2 (5-2016)
Abstract

Background and Aim: Population aging in most of developed countries should be subjective to more attention, regarding health issues of aging group. Different organizations and institutions have launched several programs related to elderly center. This paper is aimed to compare performance of different programs of active organizations in the field of elderly care in Iran.
Materials and Methods: This overview of research, used library resources and online databases Proquest, Pub med, Science Direct, Ovid and Scientific Information databases using keywords that  Aged care services, relevant organizations, and Iran.
Results: There are various classifications of geriatric services. However, these services can be divided into three groups including infrastructure, social services, and health care and preventive services according to concept, level and type of services.
Conclusion: In Iran, agencies and institutions relevant to elderly, take measures to support elderly people given their current tasks and allocated budget. But, these measures do not seem adequate, because solving aging problem, as a problem with evident influences which its impacts will be intensified in future, requires responsibility and cooperation of more agencies and public institutions.


Mina Sadat Hashemiparast, Roya Sadeghi, Mohammadreza Ghaneapur , Kamal Azam , Azar Tol ,
Volume 10, Issue 3 (7-2016)
Abstract

Background and Aim: Effective educational programs, is one of the most basic methods in prevention of Nosocomial infection. This study aimed to compare the effects of E-learning versus lecture-based education in prevention of Nosocomial infections among hospital staffs.

Materials and Methods: A randomized pre and posttest control group design was conducted on 98 hospital staffs in 2013 after allocating into two groups of "lecture-based education" and "E-learning”. Data were collected by a researcher-made questionnaire which its validity and reliability was confirmed by a pilot study. Wilcoxon, Paired and Independent sample T-test was conducted using SPSS, version18.

Results: There was a significant difference for outcomes before and after education based on two approach of lecture-based (p=0.01) and E-learning (p=0.01).The mean and standard deviation of knowledge in lecture-based education and E-learning group were 12.73± 2.76, 11.50 ± 2.64 respectively. The level of knowledge in the lecture group was significantly higher than that of participants in the E-learning group (p=0.02).

Conclusion: Despite the effectiveness of E-learning in learning and raising awareness of the learners, using of this method among health-related organizations need to empower employees, remove the barriers and suitable infrastructure.


Farahnaz Azarakhsh, Vahid Changizi,
Volume 10, Issue 3 (7-2016)
Abstract

Background and Aim: Brain tumors have remained as a significant cause of morbidity and mortality and are often refractory to treatment. The grading of brain tumor has an important implication in clinical management. Currently, magnetic resonance spectroscopy (MRS) is an important dimension in evaluating metabolites and grading brain tumors. The aim of this study is to evaluate metabolites in brain tumors and grading brain gliomas using HMRS (proton magnetic resonance spectroscopy).

Materials and Methods: Studies were performed using single voxel MRS, at a field strength of 3Tesla and pulse sequence using point resolved single volume spectroscopy (PRESS) with repetition time (TR) 1000-6000ms and echo time (TE) 36-136ms, and distinguished metabolites including Choline (Cho), Creatin (Cr), and N-acetyl aspartate (NAA) were detected.

Results: Thirty-seven cases (17 males and 20 females) had data which passed quality control. The patients’ age ranged from 7 to 81 years with a mean of 41.46±2.78. MRS data were processed using SYNGO software in terms of mean spectra and metabolite concentrations which were compared using minitab and SPSS. Significant differences were found in concentrations of key metabolites, and Cho/NAA and Cho/Cr ratios using t-test with a significance level (α≤0.05). In the assessment of age rate and tumor grading, the malignancies of brain tumors did not correlate with patients’ age and sex.

Conclusion: MRS can detect subtle differences between low-grade brain tumors in children and should form part of the clinical assessment of these tumors.


Azadeh Chatrooz, Leila Goudarzi , Mohammad Roshani, Seyed Hadi Hosseini, Aslan Nazari, Ghasem Rajabi Vasokolaee,
Volume 10, Issue 4 (9-2016)
Abstract

Background and Aim: Safety is an important component in the quality of health care that lack of attention to it leads to harmful results. This study was conducted to estimate the safety management status in selected hospitals affiliated with Tehran University of Medical Sciences. 
Materials and Methods: This analytical-descriptive cross-sectional study was conducted in four selected hospitals affiliated to Tehran University of Medical Science in 2012. Data collection was performed through a valid and reliable questionnaire (Safety management) involved 112 questions in 3 parts: organization, safety and event committee’s management, investigation of organization and hospital’s structure and evaluation standards for surgery rooms by safety management views, in 5 options of Likert criteria. SPSS software frequency, mean and standard deviation and Kruskal–Wallis were used for statistical analysis of data’s.
Results: In the evaluation of the hospital organization factor and its structure from safety management approach, each hospital’s organizational structure form safety management view was in a suitable condition (72.50). The result also showed that in respect to evaluation of surgery rooms for safety management, the highest average of calculated score was for hospitals number 1 (90.00) and the lowest was related to hospital number 4 (69.09). 
Conclusion: According to the results, safety in hospital was in an acceptable level. But it seems that continuous monitoring and safety management training courses is essential.


Aziz Rezapour, Ali Sarabi Asiabar, Amir Ali Ebadi Fardazar, Saeid Bagheri , Negar Yusefzadeh, Alireza Mazdaki, Sadigheh Asadi, Mohammad Hossein Ghafoori ,
Volume 11, Issue 1 (5-2017)
Abstract

Background and Aim: With the assumption that health is as one of the luxury goods, therefore making efforts in reducing health spending and inflation in this section will be ineffective.
But if health is an essential service, then in the national level for better redistribution of the resources and financial protection of the households against the health expenditures will be needed. The main objective of this study was determination of income impact of health care expenditures in Tehran household in years 2011-2012.
Materials and Methods: This study was a population based survey. The instrument of data gathering was a "WHO questionnaire" which was integrated by interview with an acquainted person in each one of the 792 families who live in Tehran. The least ordinary squares, Granger causality test, Breusch-Pagan-Godfery and White heteroskedasticity test were used for data analysis. Eviews 8 software was used for running the tests. 
Results: The results showed that heath is a cause for increasing income but the converse is not true. Otherwise, Health with income elasticity equal to 0.25 is an essential service, and is not perceived as luxury goods. Moreover results represented that income is not a good variable for rationalizing the variation of health expenditures.
Conclusion: Health was an essential good, and although income changes affect the expenditures of health care, but the sensitivity is not high and recommended that health policy-makers should in adoption policies such as tariff increases do a comprehensive survey because prices increase are borne by the consumers.


Yousef Mohammadzadeh, Narges Taghizadeh, Elmnaz Nazariyan,
Volume 11, Issue 2 (7-2017)
Abstract

Background and Aim: When there is a big difference among income groups in a society, public health and healthcare costs may be affected through multiple channels. The present study aimed to investigate the effects of inequality and poverty (and other socio-economic characteristics of communities) on public health indicators and the structure of cost payments. 
Materials and Methods: The present applied descriptive study has been conducted in 34 countries of the world (in terms of having regular data about income inequality) during 1995-2012 using a panel data approach. Eviews 9 software was used to estimate the models. The estimates were done in separate models for health indices and the related costs.
Results: Income inequality and poverty on the one hand reduce public health, and on the other hand increase people’s share of healthcare payments. Besides, the level of education promotes the community’s public health and reduces direct out-of-pocket and private payments. However, population density in large cities leads to the increase of private health expenditure and direct out-of-pocket payments.
Conclusion: On the path of economic development, we should pay special attention to income inequality among the members of society. Following inequality and higher relative poverty, mental and emotional problems deepen in society, and the health of individuals is seriously damaged. Byweakening the efficient management of health sector, this issue increases the individuals’ direct out-of-pocket payments and, therefore, doubly deteriorates public health.

Moustafa Rabeian, Iravan Masoudi Asl , Hamed Nazari, Samad Azari,
Volume 11, Issue 3 (Supplement 1 2017)
Abstract

Background and Aim: Total quality management (TQM) is defined as a system for the assurance of delivering high-quality and cost-effective services. In this regard, due to their service role, hospitals are important in external economic changes. This study was performed to measure the executive backgrounds of total quality management (TQM) in Tehran University of Medical Sciences (TUMS) teaching hospitals in 2012.
Materials and Methods: This cross-sectional study was done in TUMS hospitals. The data were collected using a valid and reliable questionnaire, and were analyzed by descriptive and analytical statistics.
Results: The findings of this study showed that the dimensions of trustworthiness (3.25±0.88) and the beauty of environment (3.06±0.87) got the highest scores; however, the speed of giving services (2.40±1.04) got the lowest scores. In addition, the executive grounds of TQM implementation were “moderate to low” in the studied hospitals with an average score of 2.88± 0.74. 
Conclusion: According to the results, total quality management requirements are in a moderate-to-low condition in the studied hospitals. Although managers’ attitude towards TQM is rather positive, it is necessary to improve the quality of services, performances and processes through culture building, creating positive attitudes in managers and employees, providing trainings related to quality improvement, increasing the commitment of top managers, attracting staff participation, promoting innovation and creativity, and evaluating the quality of services.

Masoumeh Erfani Khanghahi, Farbod Ebadi Fard Azar,
Volume 11, Issue 5 (1-2018)
Abstract

Background and Aim: With the increasing number of elderly people, quality of their life is important . The purpose of this study was systematic review and meta-analysis of the quality of life in elderly Iranians using LEIPAD questionnaire.
Materials and Methods: Required information  was searched on internet using terms such as quality of life, LEIPAD, elderly, older people, aging, older Age from databases of PubMed Scopus, Elsevier, Google Scholar, and Persian equivalents of SID, Medlib, IranDoc, MagIran, IranMedex from 2000 to 2015, has been searched. The criteria for entering the study were: published articles in Persian and English languages, and mentioning at least the total score of quality of life Meta-analysis software: CMA: 2 was used.
Results: From three hundred and forty eight articles found, 8 articles finally entered the study. In general, the results showed that the overall average quality of life of older people was [52.2-64.7 95% CI] 10.1 ± 58.5. The average overall quality of life of the elderly in the community was 15.5 ± 57.6. The average overall quality of life for the elderly in nursing homes was 29.7 ± 60.1. Aspects of self-care and mental dimension had higher scores. sexual functioning , depression and anxiety scores were lower.
Conclusion: The results showed that quality of life in elderly Iranians is average, therefore planning and effective interventions are needed. More attention to aspects of sexual functioning and depression and anxiety in the planning and intervention is necessary

Reza Safdari, Somaye Mahdavi, Leila Shahmoradi, Khdijeh Adabi, Shahram Tahmasebian, Mahnaz Nazari,
Volume 12, Issue 5 (Dec & Jan 2019)
Abstract

Background and Aim: To provide effective care, health care providers need timely and appropriate information. Electronic records provide quick access and easy management of data. The aim of this study was to develop electronic health records for patients with hydatidiform mole and evaluation of completeness of medical records
Materials and Methods: This applied study was conducted in 2017. After verifying the minimum data set required for the system, data were extracted from patient records using a checklist and entered into SQL server. SQL server 2012 and Visual Studio 2013 to design electronic records and SPSS 20 for data analysis was used. Extent of data completion in patient records was also assesed.
Results: Data on the completion of paper records indicated that in 100% of cases, “address” item was filled in. The less completed data was related to carotene deficiency (%1.1). Our findings also showed that the eight most important items like age of first menstruation, first gestational age, interval between pregnancies, number of sexual partners, menstruation between pregnancies, contraceptive methods, social habits and radiotherapy, were not completed in all records.
Conclusion: Many of the important minimum data set for hydatidiform mole disease were either not completed or completed in limited numbers in paper records. By developing such health records, we can ensure better prevention and treatment, and regular follow-up for the patients and help them to save their time and costs.


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