Showing 135 results for Hospital
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.
Shabnam Ghasemyani, Aboulghasem Pourreza, Mahmood Mahmoodi ,
Volume 11, Issue 1 (5-2017)
Abstract
Background and Aim: Conflict, is a natural and inevitable phenomenon in any organization. Nursing organizations, especially due to environmental stresses, nature of work, variety of interaction, responsibilities and staff are vulnerable to conflict. The purpose of this study was to determine the level of conflict, cause of conflict and conflict management strategies among nurses in selected hospitals of Tehran University of Medical Sciences (TUMS) in 2013.
Materials and Methods: This research is cross-sectional and descriptive - analytic study. The research sample included 240 nurses at four hospitals of Tehran University of Medical Sciences. In order to measure conflict level dubrins conflict level questionnaire and for measure conflict management Robins conflict management strategies were used, for survey to accept or reject the study hypothesis, Chi-square and Fisher's exact tests with SPSS software was performed.
Results: Results showed that the nurse's conflict level was located at average level. Factors relating nurse practitioner frequent cause of conflict, identified strategies of conflict management were solution orientation, non-intervention, control, In the present study conflict level had showed significant statistical relation with age of nurses (p=0.048).
Control strategy had showed significant statistical relation with age (p=0.006) and work experience (p=0.024). Solving oriented strategy had showed significant statistical relation with age (p=0.02).
Conclusion: Conflict is a two-dimensional phenomenon, conflict can be both positive and negative results, how to deal with conflict, it is crucial for consequences.
Tahereh Shafaghat, Mohammad Kazem Rahimi Zarchi, Zahra Kavosi, Ali Ayoubian,
Volume 11, Issue 1 (5-2017)
Abstract
Background and Aim: The number of patients who leave hospital against medical advice could reflect patient dissatisfaction and it is a notable important problem. The present study aimed to identify the causes of discharge against medical advice at a hospital of Shiraz University of medical sciences.
Materials and Methods: This was a qualitative study using grounded theory. Data were collected through telephone interviews with patients or their concomitants. All interviews were recorded by researcher and thematic method used to analyze the data. Based on it, causes of discharge against medical advice were determined and solutions were provided.
Results: Causes of discharge against medical advice were categorized into 3 general themes: "causes related to the status of the hospital", "causes related to hospital staff", and "causes related to patients" that each of them include some sub-themes. Between the sub-themes, the issues relating to the hospital staff and economic status of patient had the most and the least frequency respectively.
Conclusion: The research findings make it possible for the hospital managers to find solutions to prevent creation of DAMAs and side effects for early discharged patients, patients' readmission and imposing additional costs on them. These solutions can be mentioned as attention and understanding of authorities, preparing some amenities for patients, holding justification meetings for medical personnel and students and reengineering some hospital processes.
Mahan Mohammadi, Fatemeh Rahi, Marzieh Javadi, Golrokh Atighechian, Alireza Jabbari ,
Volume 11, Issue 2 (7-2017)
Abstract
Background and Aim: Almost one out of 10 patients who are admitted in hospitals experience “never events” while researches show that about half of these harms are preventable through the utilization of Failure Modes and Effects Analysis (FMEA). This study aims to identify and evaluate the risks of care processes in three wards of Alzahra University Hospital of Isfahan and suggest some interventions for reducing these risks.
Materials and Methods: This was a cross-sectional study, which identified high-risk processes using FMEA in respiratory, gastroenterology and rheumatologic wards of Alzahra Hospital during the years 2014-2015. The study population comprised clinical staff members who worked in these three wards and were familiar with clinical care processes. The focus group team was selected through purposive sampling method. Finally, the information was gathered in standard FMEA work sheets and analyzed with SPSS software.
Results: A total of 72 clinical care processes were identified, and the 73.5% of the focus group members rated "blood and its products transfusion process" as the most risky care process. The step "checking the incompatible of patient's information and blood lable and its products" was the most dangerous step (with PRN = 300). The findings showed that human and equipment failures were the main reasons of facing the “never events” in these wards.
Conclusion: Risk management tells us that the efficiency and quality of care can be promoted by preventing errors through human resource training and proper maintenance of medical equipment.
Safiyeh Yaghoubi, Reza Goudarzi, Mostafa Baniasadi , Maryam Eslamiyan, Noorolhoda Fakhrzad , Mohsen Barouni,
Volume 11, Issue 2 (7-2017)
Abstract
Background and Aim: Hospital as an economic entity, should utilize economic analysis for the optimal use of resources and production facilities. The aim of this study was to estimate the production function of Ahvaz University of Medical Sciences during the period 2006-2014.
Materials and Methods: This study was a descriptive cross-sectional analysis. The Data were collected during a period of 9 years in 7 hospitals in Ahvaz. The dependent variable in this study was the number of hospital admissions as the production level and the explanatory variables, including nurses, physicians, staffs, and the number of beds. To determine and specify the form of subordinated Cobb - Douglas production function was used. Data analysis and econometric model was estimated using STATA11.
Results: Research findings showed 0.28 elasticity for the physicians, elasticity for nurses, number of beds , outpatient reception and other staffs were 0.10, 0.95, 0.30 and -0.11 respectively. In other words, the most production in these hospitals was dependent on the number of beds. It was an economic activity that consumed a lot of capital. The sum of the coefficients of the production function was 0.88 and the return to the scale was downward.
Conclusion: The findings of this study showed that hospital beds have great importance in increasing production. Therefore, the rate of active bed occupancy in these hospitals is high and has the largest role in the production of hospitals or the number of inpatient discharge.
Hamed Basir Ghafouri, Mohammad Hosseini Kasnavieh, Marziye Alsadate Sharifi, Milad Amini, Amirreza Darzi Ramandi ,
Volume 11, Issue 3 (7-2017)
Abstract
Background and Aim: Hospitals should be able to satisfy their clients’ needs in less time and with best quality possible. Length of Stay (LOS) in hospitals is considered as a key performance indicator, especially in emergency departments. In this study, the analysis of LOS in emergency departments was performed so that some of the factors affecting patients’ length of stay could be found.
Materials and Methods: This descriptive-analytical and cross-sectional study was performed in the emergency departments of two teaching hospitals of Tehran University of Medical Sciences (TUMS). Seventy-two patient samples were included. The patients’ length of stay in emergency ward was measured from the entrance time until the time they left the emergency department. Data on both descriptive (mean and standard deviation) and analytical statistics (one-way ANOVA, independent sample t-test and linear regression) were analyzed with SPSS software.
Results: Patients’ average LOS in emergency departments was estimated at around 3 hours and 13 minutes (SD=1.52). Such variables as patients’ marital status, days of the week (holidays or regular days) and admission time (day or night) were determined as the factors affecting LOS.
Conclusion: The time spent to give services in hospital emergency rooms is at an appropriate level and items such as marital status, holidays of a week, and time of the day can be referred to as factors affecting patients’ length of stay. With regard to these findings, health managers can rely on the results for the effective planning and management of hospital emergency departments.
Davood Feiz, Amin Kohyari Haghighat , Koorosh Kohyari Haghighat ,
Volume 11, Issue 3 (7-2017)
Abstract
Background and Aim: In recent years, the growing importance of health care has led to a focus on improving the quality of services, and healthcare centers have paid attention to it as a strategic competitive advantage. The aim of this study was to investigate the role of improving the quality of services in the promotion of brand performance in healthcare industry.
Materials and Methods: In this study, 392 patients of Tehran hospitals were selected through cluster sampling. Structural Equation Modeling (SEM) and Confirmatory Factor Analysis (CFA) were used for data analysis. Also, to compare public and private hospitals, independent samples t-test was used.
Results: Research findings indicate that the desirable quality of services has a significant positive effect on brand equity; and brand equity has a meaningful effect on brand preference, repurchasing and brand performance. Moreover, brand preference has a significant effect on brand performance and the decision to repeat purchasing. In the end, the meaningful effect of repurchasing decision on brand performance in healthcare industry was confirmed.
Conclusion: According to the results, it can be stated that considering healthcare improvement plans, hospitals can enhance their brand among many healthcare centers. This entails both the promotion of community’s health and the increase of profitability.
Malikeh Beheshtifar,
Volume 11, Issue 3 (7-2017)
Abstract
Background and Aim: Job burnout is a painful experience for individuals and it is a costly phenomenon for organizations. Plateau is a key aspect for increasing this problem. The aim of this study was to investigate the relationship between nurses’ plateau and job burnout in Kerman private hospitals in 2014.
Materials and Methods: In this study, the descriptive, correlational and cross-sectional methods was used. The study population consisted of 142 nurses in Arjomand and Razieh-Firoz hospitals. According to Morgan table, 100 nurses were selected as the sample size. Two questionnaires was used: the plateau questionnaire with content validity 0.98 and reliability 0.94 and the job burnout one with content validity 0.98 and reliability 0.93. To analysis data, partial least squares (PLS) with Smart PLS 2 software was used.
Results: The results showed that there was a significant relationship between nurses’ plateau including components of hierarchical plateau and job content plateau with their job burnout in Arjomand and Razieh-Firoz hospitals.
Conclusion: Job burnout has destructive effects on individuals’ performance; so, it is important to prevent it in the organizations. One of its aggravating factors is plateau. It is suggested to decrease the plateau at workplace by creating the good work condition, efficiency sense, individual progress sense, and chance to promotion.
Ali Janati, Ali Imani, Hassan Almaspoor Khangah ,
Volume 11, Issue 3 (7-2017)
Abstract
Background and Aim: It is necessary that various aspects of health information and statistics are identified and measured since health problems are getting more complex day by day. This study is aimed to investigate the distribution of Hospitalization Services in Hospitals in East Azerbaijan province.
Materials and Methods: This research was a descriptive, cross-sectional study, which aimed to determine the share of hospitalization services in different sectors providing healthcare services in East Azerbaijan Province. The study population consisted of all health service providers, including the public sector, private, charity, military, Social Security and NGOs in the province of Eastern Azerbaijan. The data from all functional health sectors, including health centers and hospitals were studied during 2014. The data relevant to performance were collected according to a pre-determined format (researcher-built checklist). Content validity of checklist was approved by five Health Services Management professionals and experts.
Results: The study findings showed that the maximum and minimum number of surgeries has been done in the public sector (63.1%) and the non-governmental sectors (3%), respectively. The public sector (71.9%) and non-governmental sectors (Red Crescent and Azad University) (1.2%) provided the maximum and minimum hospitalization services, respectively.
Conclusion: According to the study findings, Policies should be aimed to create balance and harmony in the provision of services among all service providers.
Moustafa Rabeian, Iravan Masoudi Asl , Hamed Nazari, Samad Azari,
Volume 11, Issue 3 (7-2017)
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.
Khalil Ali Mohamadzadeh , Amene Darabi , Mehrnoosh Jafari ,
Volume 11, Issue 3 (9-2017)
Abstract
Background and Aim: Organizational agility is regarded an important factor for hospital effectiveness. Considering the necessity of hospital effectiveness, focus on organizational health can ensure the future success of an organization. This study mainly aims to determine the relationship between organizational agility and organizational health in hospitals affiliated to Shahid Beheshti University of Medical Sciences (SBMU).
Materials and Methods: This is an applied, descriptive-correlational research. The population of the study included all SBMU hospital employees. The 375 members of the sample were selected based on Morgan and Krejcie table. The sampling method was multistage. Data collection tool was the questionnaires of organizational agility and organizational health. The questionnaires were valid based on the expert’s judgment, and Cronbach's alpha reliability value of the questionnaires was 0.88. The data were analyzed by descriptive and inferential statistics (Pearson correlation, regression, and t-test), using SPSS software.
Results: The correlation between organizational agility and organizational health was positive and significant (r=0.66, P<0.05). A significant difference was observed between mean organizational agility and mean reference (-0.43, P<0.05) and also between mean organizational health and mean reference (-0.55, P<0.05).
Conclusion: Hospital managers need to work hard to promote organizational agility so that in addition to obtaining competitive advantage, they can improve organizational health by giving an appropriate and timely response to changes and taking advantage of the obtained opportunities.
Ali Mohammad Mosadeghrad, Parvaneh Esfahani , Marziyeh Nikafshar,
Volume 11, Issue 3 (9-2017)
Abstract
Background and Aim: Increasing healthcare organizations’ efficiency is a necessity due to the resource scarcity in health sector. The aim of this study was to evaluate hospitals’ efficiency in Iran.
Materials and Methods: This study was conducted using a systematic review and meta-analysis approach to find empirical research papers published on hospital efficiency in Iran between 1997 and 2016. Seven electronic databases and two search engines were searched using appropriate key words. Bibliography section of the retrieved papers and related journals were also searched for papers that were not yet indexed in the data bases. 1563 publications were identified. All retrieved papers were assessed using a checklist before analysis. Finally 91 empirical studies were reviewed.
Results: Data Envelopment Analysis, Pabon Lasso and Stochastic Frontier Analysis methods were mostly used for measuring hospital efficiency respectively. The average efficiency of Iran hospitals varied between 0.584 and 0.998. Hospitals affiliated to Social security organisation were more efficient. In contrast, non teaching public hospitals and charity and private hospitals were less efficient. Number of hospital beds and manpower were the most used input variables and number of outpatients and inpatients patient and surgical procedures were the most used output variables in Data Envelopment Analysis. Stochastic Frontier Analysis method has more advantage in measuring hospital efficiency compared to Data Envelopment Analysis.
Conclusion: Iran hospitals suffer from inefficiency. Thus, managers should identify the reasons for hospitals’ ineffeiciency and apply measures for increasing their efficiency and reducing wastage of limited resources.
Somayeh Fazaeli , Mehdi Yousefi , Zahra Sadat Ershadnia ,
Volume 11, Issue 4 (12-2017)
Abstract
Background and Aim: Considering the scope of tasks and the role of teaching hospitals in the promotion of population health, it is important to consider their responsiveness as one of the three goals of health system. The aim of this study was to evaluate the level and relative importance of responsiveness domains in teaching hospitals from the viewpoint of households living in selected areas of Mashhad.
Materials and Methods: In this cross-sectional study, a valid questionnaire designed by World Health Organization (WHO) was used. From among the households of two selected areas of Mashhad, 561 families that had the background of referring to teaching hospitals were selected via multi-stage sampling. Based on WHO pattern, descriptive and inferential statistics were used for data analysis.
Results: About 50 percent of the respondents expressed the level of responsiveness as good and very good. Information confidentiality domain and the quality of amenities got the highest and lowest ranks from the respondents’ viewpoint, respectively. The highest and lowest importance belonged to the domains of quality care facilities and family and social support, respectively.
Conclusion: Considering the relatively low responsiveness of different domains and also the existing gap between families’ priorities and performance of teaching hospitals, it seems necessary that policymakers pay more attention to patients’ priorities such as the quality of care facilities and the creation of appropriate educational content related to medical students. Also, periodic evaluation of responsiveness can be useful in promoting the responsiveness of teaching hospitals.
Abolfazl Dorost, Ahmad Fayaz-Bakhsh , Mostafa Hosseini , Hamzeh Mohammadi ,
Volume 11, Issue 4 (12-2017)
Abstract
Background and Aim: Occupational burnout is one of the aspects of psychological hazards. One of the most important factors that can predict it is emotional intelligence. The aim of this study was to investigate the effect of emotional intelligence on occupational burnout among the managers of Tehran University of Medical Sciences (TUMS) selected hospitals.
Materials and Methods: This was a cross-sectional descriptive and analytical study in 2014. The subjects were senior, middle and executive managers of TUMS affiliated hospitals. Census was used in this study. Ninety questionnaires were distributed in accordance with the population size. For data collection, Maslach Burnout Inventory (with reliability and retest coefficients of 0.71-0.9 and 0.6-0.8, respectively), Intelligence Questionnaire by Bradberry and Greaves (with reliability and validity of 0.83 and 0.67, respectively) and demographicprofile questionnaire were used. All statistical analyses were performed by SPSS software.
Results: There was no significant relationship between job burnout and demographic variables (e.g. work experience, management experience, education, gender, marital status and occupational position). Emotional intelligence of managers and its subscales were high. The highest and lowest scores of emotional intelligence component belonged to relationship management and social awareness, respectively. There was no meaningful relationship between job burnout and emotional intelligence at the error level of 5% and P-value=0.63.
Conclusion: Since managers’ social awareness was at a low level, by improving it, we can help their emotional intelligence increase; also by identifying the factors affecting hospital managers’ occupational burnout, we can help it decrease.
Mohammad Khodabakhshi , Hossein Dargahi, Hajar Moammai ,
Volume 11, Issue 4 (12-2017)
Abstract
Background and Aim: Because human health is a strategic priority for all communities, investing in this sector will be very important. The purpose of this research is to evaluate the efficacy of hospitals affiliated to Tehran University of Medical Sciences from 2013 to 2015 and their ranking, and provide a perspective for dynamic managers in this area.
Materials and Methods: This is an applied study, and in terms of nature, it is descriptive. The statistical population of this study was 13 hospitals of this university. In this research, the efficacy of hospitals during the years 2013 to 2015 through the data envelopment analysis and Output-based method was evaluated. By carefully examining global research, input and output indicators were identified. Input indexes were the number of beds and the number of doctors (general, residents and specialists); and output indexes were the total days of hospitalization, the number of outpatients, and the number of bed-days.
Results: According to the study model, university hospitals with high efficiency to low efficiency are as follows: Arash, Bahrami, Zanan, Roozbeh, Amiralam, Ziaeeyan, Baharlou, Razi, Valiasr, Sina, Farabi, Imam Khomeini and Shariati hospitals.
Conclusion: According to output-based method, by calculating the efficiency mean of hospitals during the years 2013 to 2015; Arash hospital, Bahrami hospital and Zanan hospital are determined to be the most efficient; and, Farabi hospital, Imam Khomeini hospital, and Shariati hospital are the ones with the lowest efficiency.
Zeinab Ghaderabadi , Alireza Amirkabiri , Mohammadreza Rabiee Mandejin ,
Volume 11, Issue 4 (12-2017)
Abstract
Background and Aim: Emotional intelligence Skills is highly crucial in career success and achivement critical responsibilities accompolishments. Psychologists believe that 20% and 80% of individuals’ success depends on IQ and emotional intelligence (EQ) respectively. This study is aimed to investigate the relationship between emotional intelligence and job performance among the staff of Shariati Hospital at Tehran University of Medical Sciences in 2016.
Materials and Methods: In a descriptive-analytical method, 1030 individuals from different units of shariati hospital`s staff were studied. 280 persons were randomly selected by using a Cochran formula. Two questionnaires regarding Schering Siberia emotional intelligence (1990) and Patterson job performance (1975) were used after being validated through experts and specialists` view and reliablity analysis (Cronbach's alpha values of questionare of emotional intelligence=0.734 and job performance=0.768). The data were analysed by use of descriptive statistics, Pearson correlation test and Friedman test.
Results: The total studied staff was included 73% women 62% married and 67% college education. The average emotional intelligence rating was 182 (with IE of 34) and average job performance was 109 (with IE of 22).The result showed a significant correlation between emotional intelligence and job performance (p=0.030). Using Friedman statistical test, ranking of emotional intelligence components were conducted; the self-awareness and social skills had the first and fourth rank respectively.
Conclusion: Training and the improvement of emotional intelligence skills and capabilities can be used to enhance the process of the hospital staff recrument andimprove their performance level.
Farzad Faraji Khiavi , Mohammad Qolipour, Zahra Dashtinejad , Iman Mirr,
Volume 11, Issue 5 (1-2018)
Abstract
Background and Aim: Assessing service quality is one of the basic requirements to develop outpatient service. There is no valid and reliable tool to measure quality of outpatient service, therefore this study was performed to determine dimensions and items for assessing service quality of outpatient in Iran.
Materials and Methods: To determine dimensions and items of the outpatient service quality, a cross-sectional study was conducted with participating of 550 outpatients referred to Ahvaz hospitals in year 2015. To determine content validity, the Delphi technique (3 rounds) with participating of 8 quality experts was used. Construct validity of the tool was assessed through exploratory and confirmatory factor analysis. Reliability was assessed using Cronbach's alpha coefficient. Data were analyzed by Excel, Spss, and Lisrel softwares.
Results: The content validity of tool with CVI=0.94 was confirmed. According to exploratory factor analysis, the hospital outpatient service quality tool included 36 items and 11 dimensions (choosing the service provider, communication and interaction, having authority, continuity of service, quality of facilities and basic amenities, respect, immediate and timely attention, safety, prevention, access and reliability). Construct validity of the tool was confirmed based on the goodness of fit quantities of model (RMSEA=0.007, CFI= 0.99, GFI=0.95).
Conclusion: The results of study showed that the outpatient SERVQUAL tool with 36 items and 11 dimensions was a valid and reliable tool to measure quality of outpatient service in Iranian hospitals.
Jayran Zebardast, Nikzad Eisazadeh, Khorshid Vaskoei Eshkevari , Abolalfath Ghafari , Fatemeh Mirbazegh,
Volume 11, Issue 5 (1-2018)
Abstract
Background and Aim: Nurses’ knowledge, attitude and performance towards the principles of Islamic ethics are remarkable in nursing care in Tehran University of Medical Sciences (TUMS).
Materials and Methods: In this cross-sectional study, the knowledge, attitude and performance of 551 nurses were evaluated based on their age, sex, education, and type of employment in TUMS hospitals (by a valid questionnaire). All data were analyzed by SPSS. In this study, a questionnaire was designed through a Focus group discussion and then its validity was evaluated. Moreover, the reliability of the questionnaire was estimated by test-retest method.
Results: Our study showed that female sex, work experience of 15-20 years, type of employment, and higher education were associated with a higher level of knowledge, attitude and performance towards principles of Islamic ethics. Also, according to our analysis, there was a significant relationship between age and level of knowledge, attitude and performance of the principles of Islamic ethics (p<0.05) especially at the age of 40's.
Conclusion: Based on the results of this study, there is a significant relationship between educational indices and work experience, and the age of nurses with the level of knowledge, attitude and practice regarding the principles of Islamic ethics. It is suggested that educational courses about Islamic ethics be presented based on nurses’ educational levels and age.
Neda Fazel Asl , Farhad Ghaffari, Amir Ashkan Nasiripour ,
Volume 11, Issue 5 (1-2018)
Abstract
Background and Aim: Over the recent years, patient discharge process time has been an important issue focused by so many officials. Therefore, the present study is aimed to identify the main factors with regard to the discharge process and selecting the best data-mining algorithm.
Materials and Methods: The population in question is all the patients discharged from Modarres Hospital during the first three months in the year 2014. Sampling wasn’t carried out but the number of observations has reached over 1060. Data was gathered via the researcher’s checklist while the relation between dependent and independent variants was examined and identified through T-test, Pearson Correlation Test and one-way analysis of variance. Data Mining Algorithms, in this study, were as follows: Neural Network, Support Vector Machine, Decision Tree, Simple Linear Regression.
Results: The average discharging process in the present study was 246.96 ± 3.25, which shows that among main factors concerned with discharging process, bedridden ward is considered as the most crucial. Also, according to the algorithms employed in this study, Decision Tree, with Correlation Value=0.30 and Root-Mean Square Error=103.29, was the best algorithm.
Conclusion: Results show that Data-Mining Algorithms can be employed to identify crucial factors regarding the whole discharging process and the most important factor during discharge process variable is hospitalization.
Sadigheh Asadi, Hossein Dargahi, Esmaeil Fallah Mehrabadi , Nahid Heydari Dastjerdi ,
Volume 11, Issue 5 (1-2018)
Abstract
Background and Aim: Creativity and innovation are considered among the most important factors that help an organization survive. Therefore, it seems necessary to examine the status of this important issue in healthcare organizations such as hospitals. The present study was conducted to determine the relationship between organizational innovation and creativity among the staff of teaching hospitals of Tehran University of Medical Sciences (TUMS).
Materials and Methods: This descriptive-analytical and cross-sectional study was conducted on 285 staff members of TUMS selected teaching hospitals in 2015. To collect the required data, demographic data form, organizational creativity
questionnaire and Martin Patchen’s innovation questionnaire were used. Data were analyzed in SPSS software version 21, using descriptive statistics, t-test, ANOVA and Pearson correlation analysis at a less-than-0.05 significance level.
Results: The organizational creativity rate for the studied staff showed an average of 2.99±0.80, assessed at middle and lower middle levels and the organizational innovation rate showed an average of 19.37±3.71, assessed as middle and upper middle. A statistically significant relationship was observed between organizational creativity and organizational innovation (p=0.02, r=0.20).
Conclusion: The results suggest that an increase in creativity leads to an increase in innovation. Therefore, to survive and maintain a competitive advantage to provide more desirable treatment services at a high quality, hospital managers are required to use their best effort and expenditure so that they can enhance innovation within their organizations.
