Showing 4 results for Jebraeily
Reza Safdari, Marjan Ghazi Saeedi, Mostafa Sheykhotayefe , Mohammad Jebraeily, Seyedeh Sedigheh Seyed Farajolah, Elham Maserat , Roya Laki Tabrizi,
Volume 11, Issue 1 (5-2017)
Abstract
Background and Aim: The most important issues that always absorb accuracy and effort of hospital, is the mastery and control over the financial status for the hospital resources management. In all countries, the medical centers are considered as a vital community resource and must be managed in line with the interests of society. Hence, these studies aimed to investigate the causes of insurance deductions and were made to assist hospital administrators in reducing the deductions against them.
Materials and Methods: This descriptive research is retrospective study in year 2012. The study population consisted of 100 insurance experts deployed in insurance centers (including Health care’s, Social security, Armed forces, Help Committee) from which 25 experts were randomly selected from each Insurance Center. Researcher madden questionnaire was used to collect data. For validating of questionnaire justifiability, questionnaire was provided to insurance expert, professors and ambiguities were resolved. Test-retest procedure was used to ensure the Stability of the questionnaire. The collected data was analyzed and classified using Excel software.
Results: These findings indicate that between all parts of surgery wards deductions are the highest (%45/55), and between surgery wards, orthopedics surgery had the highest amount of deductions (%40/75).
Conclusion: Healthcare provider should be more careful and minimize documentation errors in reporting and documentation. Also the hospital administrators for reducing deductions against patient records must provide educational course for correct documentation.
Mohamad Jebraeily, Ali Rashidi, Taher Mohitmafi, Rooghayeh Muossazadeh,
Volume 14, Issue 6 (Feb & Mar 2021)
Abstract
Background and Aim: Electronic prescription systems can improve patient safety and the quality of health care services. These systems must provide the capabilities required to reduce medical errors and enhance the performance of health care providers. The purpose of this study is to evaluate the capabilities of the e-prescription system from the perspective of physicians in the polyclinics of the Social Security Organization (SSO) of Urmia.
Materials and Methods: The present study is a descriptive cross-sectional study that was conducted in 2020. The study population consisted of 82 physicians working in 3 polyclinics of the SSO in Urmia, which was determined by census. The instrument used in this study is a self-designed questionnaire that the validity of it was determined based on the opinions of experts and its reliability was evaluated by Cronbach's alpha coefficient. Data analysis was performed using SPSS software.
Results: The results showed that in the section of documentation and access to information, the highest score was related to the possibility of drug prescribe (4.58), request for examination and radiology (4.44). In terms of decision support capabilities, the highest score for providing alerts related to drug interactions (4.18) and controlling the amount of medication prescribed for chronic patients (3.83) and also in the field of technical capabilities, the highest score related to easy to use (3.87) and fit of user interface (3.66).
Conclusion: The e-prescription system under survey has gained fewer score in some capabilities, such as access to pharmaceutical information based on reliable sources, advice to treatment options based on original diagnosis and the customized system. Therefore the system developer should be improved capabilities of it through communicating properly with users and understanding their real needs.
Mohamad Jebraeily, Shima Touraj, Farid Khorrami,
Volume 17, Issue 3 (8-2023)
Abstract
Background and Aim: In the health system, reimbursement methods are an important criterion for the allocation of resources and the performance of service providers. The use of diagnosis-related groups (DRG) system reduces the length of stay and additional costs of the patient, prevents unnecessary treatment, increases resource efficiency and transparency of health care services. The development of the DRG system focuses on the accurate documentation of medical records and the correct coding of diagnoses and procedures. The purpose of this research is to evaluate the documentation and coding requirements of medical records in the implementation of a payment system based on diagnosis-related groups in Iran.
Materials and Methods: This research was descriptive-cross-sectional and was conducted in 2022. The data collection tool was a researcher-made checklist, the validity of which was confirmed based on the opinion of experts (health information management health economics) and its reliability was obtained by calculating Cronbach’s alpha (0.83). The research population consisted of 418 medical records in five medical training centers affiliated to Urmia University of Medical Sciences, which were selected through stratified-proportional sampling. Data were analyzed using SPSS software.
Results: The results of the evaluation of the documentation and coding requirements of medical records for the implementation of the DRG system showed that the demographic/administrative variables including age, sex, type of admission, length of stay, health insurance, and doctor’s expertise were completely recorded. Evaluation of clinical variables also showed that the main diagnosis, main procedure, secondary diagnosis and other procedures were documented in medical records in 98%, 97%, 88% and 75% respectively. Regarding the coding of the main diagnosis and the main procedure, 100%, secondary diagnosis 68% and other procedures 80% have been done.
Conclusion: Considering that some essential clinical variables for the implementation of DRG, especially co-morbidities, complications and other procedures are not recorded separately and completely, therefore it is necessary to define separate information elements in medical records and HIS for accurate recording of these variables and proper interaction between coders and doctors is established to increase the possibility of correct coding. It is also suggested that the DRG system be implemented in our country in a phased and gradual approach so that necessary changes are made in the documentation process and hospital information systems.
Rasul Bidel Nikoo, Shila Hasanzadeh, Mohamad Jebraeily, Naser Masoudi, Bahlol Rahimi, Farshad Faghisolouk,
Volume 17, Issue 6 (2-2024)
Abstract
Background and Aim: Traffic accidents in Iran are one of the main causes of mortality and morbidity, identifying the factors related to these accidents can be useful in the prevention and proper management of traffic accidents. The purpose of this study was to determine the epidemiology of trauma caused by traffic accidents in Imam Khomeini hospital in Urmia during 2017-2022.
Materials and Methods: The current research is a cross-sectional descriptive study that was conducted on patients hospitalized due to traffic accidents in Imam Khomeini hospital in Urmia for five years. The required data included demographic characteristics and information of the injured (role of the injured, time of the accident, location of the accident, type of vehicle, damaged area, and condition of the injured during discharge), which was extracted from the trauma registration system of Urmia University of Medical Sciences. After collecting the data, it was entered into SPSS 16 software and described through frequency distribution table and central and dispersion indices
Results: In this study, out of 2086 injured cases, 74.40% (1552 people) were male. The average age of the injured was 34.49 ± 18.47 years. The type of accidental vehicle of most of the injured was motorcycle with 56.70% (998 cases). The most injured were drivers with 52.73% (1100 cases) and among them 57.45% (632 people) were motorcycle riders. 34.08% (711 cases) of injuries to body parts were in the head, neck and face.
Conclusion: The results of this research showed that most of the injured in traffic accidents are young motorcycle drivers and the most injuries were related to the head and neck area. Therefore, by knowing the risk factors and the impact of each of them on the outcome of traffic accidents, it is necessary to carry out appropriate interventions to prevent the risky behaviors of young drivers and create a culture of observing safety tips. Also, in the health system, the necessary preparations in terms of manpower and medical equipment should be made to manage the treatment of injuries caused by traffic accidents.
