سکینه سقاییان نژاد اصفهانی

Postgraduate students are under increasing pressure to complete their studies within set time frames. This research aims to identify the components related to graduating in-time in the postgraduate courses of the School of Management and Medical Information Sciences of Isfahan University of Medical Sciences from the student's point of view.

This qualitative study was conducted in the first half of 2023. Participants were master's degree students entering the year 2013 and later, as well as doctoral students entering the year 2014 and later of the School of Management and Medical Information Sciences of Isfahan University of Medical Sciences, who in the approved period had successfully completed their courses. The sampling method was convenient and included five students. Semi-structured interviews were used to collect research data, either face-to-face or by phone.

The result of the research was 12 issues or subthemes, seven themes, and three main themes. Identified concepts were classified into the following three main themes: "pre-existing factors," "educational domain," and "personal characteristics."

Graduating in-time postgraduate levels depends on various factors at the individual and university level. The research results can provide more understanding and knowledge of the mentioned factors and help educational planners plan more effectively, considering the different conditions of students and the heterogeneity of postgraduate courses.

Augmented reality (AR) is one of the new technologies that is used in education, especially medical education. This study aims to determine the requirements for developing an educational application based on AR for teaching clinical coding.

In this descriptive-comparative study conducted in 2022, we first investigated the user interface (UI) and functionality of the AR-based educational applications. The UI features were extracted from 12 similar applications in Persian and English available in Google Play and Cafe Bazaar. To determine the functionality features, the opinions of a panel of experts including professors of clinical coding from Isfahan University of Medical Sciences in Iran were used. 

The UI features included search (found in 3 applications), scanners (found in 11 applications), educational content classification (found in 9 applications), audio/text guides (found in 9 applications), and about us (found in 8 applications) sections. The functionality features included testing of knowledge and using images (2D, 3D).

Due to the theoretical and practical nature of the clinical coding course, a section to solve clinical coding scenarios is an important feature of AR-based educational applications for clinical coding. Also, the use of images (2D, 3D) in these applications can create a deeper impact on students’ learning.

Medical consumable supply chain is one of the main supply chains in the health care domain. Accordingly, the present study aims to investigate the factors affecting information sharing and information quality in pharmaceutical and medical consumable supply chain management (SCM) in Iran.

This is analytical survey study. Participants were 78 people involved in pharmaceutical and medical consumable supply SCM from the teaching hospitals affiliated to Isfahan University of Medical Sciences (IUMS), Iran, in 2017. The data were collected using a researcher-made questionnaire whose face and content validity were confirmed by some professors from the Department of Health Information Technology of IUMS and the reliability was confirmed using Cronbach’s α coefficient (α=0.93). Finally, data were analyzed using factor analysis in SmartPLS software, version 23. 

Environmental uncertainty and inter-organizational facilitators had no significant impact on information sharing and information quality, while the factor of interdepartmental relationships was found to be effective. Among the components of environmental uncertainty, the supplier uncertainty with a weight of 0.905 had the highest impact. Among the components of inter-organizational facilitators, the top management support with a weight of 0.997 had the highest impact. Among the interdepartmental relationships, the commitment of supply chain partners with a weight of 0.865 had the highest impact.

For an effective pharmaceutical and medical consumable SCM, there is need to establish proper relationships between different supply chain partners. Honesty, commitment, and common vision between the supply chain partners can improve the information sharing and information quality in pharmaceutical and medical consumable SCM.

Considering the crucial role of IT unit in maintaining, preserving, and enhancing information systems and providing timely information to various individuals, the services provided by this unit must be of high quality. In this regard, the present study aimed to evaluate the quality of services provided by the Information Technology unit in three selected hospitals in Isfahan city using the SERVPERF model.

This is a quantitative and applied study. The statistical population consisted of all the employees who received service from the information technology unit in the educational hospitals of Isfahan city. The sample size was 351 people based on the Morgan’s table. The service quality of the information technology unit in the studied hospitals was investigated using the standard questionnaire of the SERVPERF model (non-weighted) in five areas.

The average of service quality of the information technology unit was 3.23, which had a statistically significant difference with the average value of 3 (P<0.05). The highest average is related to reliability (3.28) and responsiveness (3.25), respectively. The lowest average is related to the physical and tangible dimensions (3.14).

The results show a negative gap in the service quality of information technology units in hospitals. To improve the quality of services in the dimensions of empathy, responsiveness, satisfaction, humility, goodwill, and information updates, regular training classes should be held for the employees of the information technology unit.

 In this study, the average of patientschr('39') expectations of fulfillment from Interactive Voice Response (IVR) and clinicschr('39') websites to make appointments for patients in Isfahan have been investigated.

 The study is a cross-sectional survey. The research population was all patients referred to the clinic of Amin and Al-Zahra hospitals of Isfahan University of Medical Sciences in 1398. The sample size was obtained based on Cochranchr('39')s formula 384. Simple random sampling method was used to select individuals. Data collection tools were two researcher-made questionnaires. The face and content validity of the questionnaires were reviewed and confirmed using the opinions of experts. The reliability of the questionnaire was assessed by calculating Cronbachchr('39')s alpha. This average was calculated as 85% for all questions. The collected data were analyzed at the level of descriptive statistics, including average, frequency and frequency percentage, using SPSS software version 18.

The results showed that the average of patientschr('39') expectations fulfillment through IVR appointments in the clinics of Al-Zahra and Amin hospitals in a total of examined six dimensions was 3.65 points (average). The average of patientschr('39') expectations fulfillment through the website in these hospitals was 3.79 points (maximum).

 Patientschr('39') expectations fulfillment from the IVR and the website appointment systems in the clinics of Al-Zahra and Amin hospitals were moderately met. This seems to be improving somewhat with the increase in information about new patient appointment systems.

Today, with the development of mobile health (mHealth), it is possible to change the health behavior of patients and there is a potential for positive health outcomes. The inherent features of mHealth equipment lead to numerous competitive health benefits; however, despite that, mHealth development faces many political, safety, security and technical challenges. Lack of proper business model, lack of comprehensive policies for mass investment and non-compliance with legal guidelines are other political challenges to mHealth development. Secure app development requires: safe app development guidelines, knowledge, expertise, and developer motivation; interaction with security experts, stakeholders’ participation, accessing necessary resources, removing limitations and performing security tests. Some apps are technically difficult to install, and some do not have a good interface. Lack of integration of data generated in patients' mobile devices with their electronic health records prevents professionals from easily accessing the data. Continuous measurement of the vital parameters of the mHealth participants leads to a sky rocket increase in data, analysis, communication and workload. Excessive focus on health assessments can negatively affect the mental health of low-motivated users. Accordingly, more motivated patients need to participate in mHealth programs to lead to positive mHealth outcomes.

governments should recognize mHealth and policymakers should address health inequalities through it. It seems that close collaboration of stakeholders can be effective in solving the challenges of developing mHealth. Proper cooperation requires the existence of appropriate guideline s and regulations, extensive investment and the promotion of a culture of mHealth medicalization.

Parallel with the development of information and communication technology, a new approach to learning has emerged, namely. Administering e-learning at Isfahan University of Medical Sciences as one of the objectives of the strategic plan of the educational assistantship requires extensive study for the presence of students in the e-learning contexts. This study endeavored to examine the readiness of students at Isfahan University of Medical Sciences in relation to e-learning.

This descriptive cross-sectional study was conducted in the academic year 2018; 412 students were selected from the 6079 students of Isfahan University of Medical Sciences using Cochran formula. Data was gathered through a researcher-made questionnaire as available sampling. The validity of the questionnaire was confirmed by the professors of the Department of Health Information Management and Technology. The reliability of the questionnaire was computed through Cronbach's alpha coefficient r= 0.93. To analyze the data, descriptive and inferential statistics (Pearson correlation) were used.

Results revealed that most of the e-learning factors had significant differences among the different levels (P≤0.05). Students' experiences of participation in e-learning were important factor; however, time management was the least important factor. Information and communication technology skills factors had the highest positive correlation with learning ability (r=0.623), learning habits with learning ability (r=0.654), and motivation with e-learning usefulness (r=0.660).

This study can be used as a guideline for Isfahan University of Medical Sciences to invest in time management and incentives for low-level e-learning before implementing the courses electronically and to address the barriers and administer e-learning.

Most previous studies have not referred to the implications of using electronic health record systems. So the purpose of the present study is to investigate the realization of the consequences of using the Integrated Health System (SIB) from userschr('39') point of view in Isfahan, Iran.

This was a descriptive cross-sectional study with the statistical population including all users of SIB located in Isfahan primary healthcare centers. The sample consisted of 320 users according to Morgan table. A questionnaire was arranged in five dimensions including problem solving, decision rationalization, horizontal integration, vertical integration, and customer service. After examining the validity and reliability of the questionnaire, the data were analyzed by single sample t-test in SPSS software.

The findings showed that although the implementation and use of SIB contributed to improving the integrity and coordination of horizontal (t = 2.30, P < 0.050) and vertical (t = 1.96, P < 0.050) communications as well as customer service (t = 8.31, P < 0.001), it had no significant role in problem solving (t = 0.68, P > 0.050) and decision rationalization (t = 1.05, P > 0.050).

Problem solving and decision rationalization have been the main objectives of SIB; nevertheless, users evaluated them as main weaknesses of the system. So paying attention to the needs of different users is recommended to its stakeholders.

Hospital websites have a high potential for providing information and services to customers. The assessment and comparison of hospital websites determine the extent of their utilization and contributes to the formation of constructive competition between hospitals. Therefore, the present study was conducted with the aim of comparative assessment of the websites of public and private hospitals.
This applied research is an analytical-descriptive study and was conducted in 2017. The study population included 13 public hospital websites and 3 private hospital websites in Isfahan, Iran. The data were gathered through a checklist based on 11 main and 69 sub-criteria and analyzed by inferential statistics.
There was a significant difference between the average of scores obtained from public and private hospitals’ websites in terms of the 4 main criteria including contact information and access methods, admission service and reservation, features, design and updating of pages and public relations. However, there was no significant difference between the average of scores obtained in terms of 7 other criteria and the overall score.
The assessed websites did not fully utilize web capabilities and did not have a favorable status. Therefore, according to the results of this research, the authorities in this area must provide the information and services to the customers in a desirable way so that they can compete with other hospitals in order to attract more customers and improve customer satisfaction.

Child mortality Surveillance System is Iranian children mortality database nationwide and internationally. The aim of this study was to investigate one of the the most important features of data quality, i.e. Accuracy, through examining the consistency rate between the underlying mortality causes registered in the software and those extracted from medical records among children.
This descriptive, analytical study was performed by census and the medical files of all 104 children aged 1-59 months died between March 21, 2013 and September 22, 2015 in six hospitals affiliated with the Shahrekord University of Medical Sciences were studied. The data were gathered by a researcher-developed questionnaire under supervision of a pediatrician. To investigate the consistency rate of mortality causes, chi-square and Fisher's Exact test and Kappa coefficient in SPSS was used.
The consistency rate between the mortality causes registered in the software and the underlying mortality causes extracted from the medical Records, and death certificate was 0.60 and 0.57, respectively. These consistency rates are considered moderate. The consistency rate between the underlying mortality causes recorded in the death certificates and the medical files was derived 0.84, considered an optimal level of consistency.
According to the findings, it is essential to develop certain interventions such as training and requiring operators to be adequately tactful for recording underlying mortality causes with reference to death certificates and medical files, hiring operators who are knowledgeable about the international protocols of selection of mortality cause or planning for use of the underlying causes registered in the encoding unit of the software, and enhancing the software and accuracy of information elements registered in the software.

The optimal use of information technology in health sector requires due attention to human resources training. The purpose of this study was to determine the future of health information technology positions and professional qualifications of the employees to achieve them.
This qualitative-quantitative study was conducted in 2016. A nonsystematic review of the articles published over the last 10 years was performed in well-known databases and websites using relevant keywords. Positions were extracted and then discussed using the Delphi technique in a panel of experts of 25 members including board members and faculty members of medical universities across the country. Agreed-upon positions were confirmed and job descriptions and professional qualifications were identified and compiled. An applied cross-sectional study was conducted on all health information management employees (38 people) of hospitals affiliated with Kashan University of Medical Sciences to determine the existing gap. A researcher-made questionnaire was developed based on the professional qualifications obtained for the expert panel and distributed after being checked for validity. Reliability was approved with Cronbach's alpha (0.91). Data were analyzed using descriptive statistics in terms of frequency and percentage.
The future health information technology positions were found to be health information management, insurance and accounting, information technology, computer applications, and data management. Professional qualifications of statistics and epidemiology, disease classification, information storage and retrieval, health data management, legal considerations and information security, information technology, and software engineering concepts were determined. The most effective qualification was knowledge of storage and retrieval methods. Employees’ skills in statistics and epidemiology were at an average level.
New positions are constantly being introduced into the field of health information technology. Continuous curriculum revisions and additional courses for insurance and accounting, data storage and retrieval, statistics and epidemiology are essential.

Human resources are one of the factors most effective on the success or failure of an organization and service motivation is a factor which affects the quality and quantity of activity of an organization. The present study aimed to determine the motivating potential score (MPS) of medical record staff of training hospitals in Isfahan, Iran, over the years of 2011-2012.
This was an applied and descriptive survey. The statistical population of the study included all staff of the medical records departments of training hospitals in Isfahan. The participants consisted of 127 individuals selected by conducting a census. The data collection tool was Hackman and Oldham’s Job Characteristics Scale. The content validity of the scale was confirmed by experts and its reliability was approved through calculation of Cronbach’s alpha (α = 0.84). The collected data were analyzed using descriptively statistics (frequency percentage, mean, standard deviation, and etc.) and inferential statistics (MANOVA, Fisher's LSD) in SPSS software.
This study results showed that the MPS index with the score of 40.665 was at a medium level among medical record staff. There was a significant difference among hospitals in terms of mean MPS according to the unit of service in the medical records department.
Findings showed that occupations related to medical records have been designed in a way that can provide an average degree of working motivation for individuals. Therefore, the improvement of MPS requires a high degree of efforts by managers at all levels of hospitals, universities of medical sciences, and especially, human resources.

The use of cancer suffering patient's information is possible when this information was organized and categorized properly through encoding the diagnoses and therapeutic procedures. Therefore the aim of this study was to determine the accuracy rate of the neoplasm coding in Seyed Al-Shohada Hospital of Isfahan city in 2011. This study was a descriptive and cross-sectional study. The population of this study were medical records created during the second half of 2011,308 ones of which were selected as sample. A self-designed checklist was the research tool, which was used after validation. Data analysis was performed using SPSS v16. Software through descriptive statistics. Investigating the surveyed records, the researchers found that the accuracy rate of the records in this hospital was 68%. Also the highest accuracy rate of the coding has been associated with neoplasms of the connective tissue (94%). Regarding the obtained results, it is recommended that coding of morphology & related Z codes of neoplasms be set in coder's work order. It is also recommended that continuous educational coding courses be held in order to increase the accuracy rate of the neoplasm coding.

Correct statistical data plays a significant role in evaluating the performance of an organization. Managers are mainly expected to use the results of statistical analysis and statisticians are assumed to collect, analyze and interpret the data. This study is aimed at investigating the causes of statistical inconsistencies from the viewpoint of managers and statisticians in centers affiliated with Isfahan University of Medical Sciences. This is a cross-sectional study in which 113 managers and statisticians working in centers affiliated with Isfahan University of Medical Sciences participated. They were selected based on census on researcher-made questionnaire was used to collect data. The items in the questionnaire were designed to reveal the six causes of statistical inconsistencies. Descriptive and inferential statistics were used via SPSS 19. The highest means for the causes of statistical inconsistencies were as follows: rules and directions (m=3.95±0.63, P=0.003), coordination (m=3.90±0.71, P=0.042), management (m=3.89±0.63, P=0.285) and control and supervision (m=3.87±0.72, P=0.597).These were among the main causes of statistical inconsistencies. The means associated with rules and directions, coordination and factors involved in the process of producing and presenting statistics (P<0.001) had meaningful statistical difference among the investigated groups. Regarding the main causes of statistical inconsistencies in Isfahan University of Medical Sciences from the viewpoint of statisticians as producers and managers as consumers, these causes were associated with rules and directions, coordination, management, control and supervision. Therefore, detailed plans are required to minimize and eliminate these causes.

Of the advantages of accessing patients’ records is letting them have a better understanding of their condition and treatment. It can also raise the reliability of consistency and correctness of data in health care system. Therefore, this study was to compare between laws, policies, and procedures concerning patients’ access to electronic health records (EHR) in Australia, Canada, and New Zealand and those in Iran.
This study was a comparative, descriptive one, investigating the laws, policies, and procedures of patients’ access right to EHR in selected countries and Iran. The instrument for gathering data was a researcher developed checklist and the data were gathered and compared through relevant websites and reliable electronic resources and articles.
The findings of research showed that all four countries usually had some laws, policies, and procedures concerning access right, but in none of them the rate of access has been obviously and specifically determined.
Given the necessity of EHR implementation, the requirement of paying attention to codifying a law or at least specific policies and procedures and expressing the details on this issue grows completely apparent.

One of the most dimensions of information iystem success is system quality. It refers to measures of the information processing system itself. The aim of this study was to analysis of the quality of hospital information systems in hospital information systems in private hospitals of Isfahan based on The DeLone and McLean Model.
This research was an applied and analytical-descriptive study and was performed in private hospitals of Isfahan in 2010. Research population consisted of hospital information system's users, system designers and hospital information technology (IT) authorities which was selected by random sampling method from users group (n=82) and using census method from the system designers and IT authorities, (n=19). Instrument for data collection was two the researcher designed questionnaire based on the criteria system quality which was adjusted to Delone and MClean model.
According to the findings there was a significant difference system quality mean score in all kinds of hospital information systems and hospitals, it was not the same in all (p According to the results of the research it is identified that based on the applied model the criteria of hospital information system were implemented in a rather optimum condition. Thus in order to reach a well optimum condition, it is necessary to pay particular attention to the factors improving system quality, type of activity, type of specialty and Property Type.

Supporting a therapeutic approach and medication therapy management، pharmacy information system acts as one of the central pillars of hospital information system. This ensures that medication therapy is being supported and evaluated with an optimal level of safety and quality similar to other treatments and services. The present study was an applied، descriptive and analytical study which was conducted on the pharmacy information system in use in the selected hospitals. The research population included all the users of pharmacy information system. The research sample is the same as the research population. The data collection instrument was self designed checklist developed following the guidelines of the American Society of Health-System Pharmacists، Australia pharmaceutical Society and Therapeutic guidelines of the Drug Commission of the German Medical Association. The checklist validity was assessed by research supervisors and pharmacy information system pharmacists and users. The findings of the study on the pharmacy information system revealed that the degree of meeting the standards given in the guidelines issued by the Society of Pharmacists، the highest rank in observing the input standards belonged to Social Services hospitals with a mean score 32. 75. While teachingEducational hospitals gained the highest score both in processing standards with a mean score of 29. 15 and output standards with a mean score 43. 95 and the private hospitals had the lowest mean score of (23. 32،17. 78، 24. 25) in input، process and output standards respectively. Pharmacy Information System (PIS) is composed of three data banks، namely patient information، medication information (managerial، financial and scientific data) and medication prescriber information. It is expected that this system be effective in three fields of operational management، financial management and scientific support to the medication services in hospitals. In addition، it is also expected that administering and using these data banks entail reduction of errors and increase of the speed of managing the orders and dispensing the medications. Hence، when PIS is to be administered، informational requirements and hardware، software، manpower and educational resources needed for establishing the medications plans، standards، policies and laws must be taken into account. In sum، the findings of the present research showed that among the 8 information systems in question، the Social Services System and Pouya Samaneh gained the highest ranks in observing the input standards، while the highest mean score in meeting the standards related to processing and output standards belonged to Sayan Rayan e Ekbatan System and Modiriat e Amar System respectively. It is worth noting that due to inattention to such system''s capabilities، all of them suffer from some deficiencies that need to be obviated Since one of the most significant and effective elements of PIS، i. e. medication''s scientific data bank has been ignored and the PISs in question have not been equipped with some software suitable for providing the prescriber with scientific backup in his/her making decision process، the prescribers have just contented themselves to their own information making medication errors in health care domain inevitable. Before designing and administering PIS، due attention must be given to the users'' informational requirements as well as their expectations from the system. The availability of informational elements effective on managing and monitoring the medication related complications، reducing medication errors، checking the medication therapy information to ensure the suitability of medication regimen and medication warns to identify drug allergies، system potential relation with other systems supporting physicians in their making decisions and at last، recording the prescribers'' orders are some capabilities that can promote this system so that it can be regarded as a clinical system with a treatment approach.

The role of the computer in information management has gradually increased the motivation for investment in computer systems for medical records. Admission, coding, statistics, and filling unit's software have important roles in health information management. However, their adaption and implementation needs the support of users. The goal of the present research is to determine user's point of view on software used in the medical record department of Isfahan's educational hospitals. This is a descriptive study was carried out on all users (n = 92) in educational hospitals affiliated with Isfahan University of Medical Sciences. The data was collected by a researcher-made questionnaire which was validated by experts. The reliability of the questionnaire was confirmed by test retest. The results were analyzed by SPSS version 16. The satisfaction of users had a maximum of 76.5% related to coding unit and a minimum of 45.3% related to filing unit. The highest satisfaction in the admission unit was related to ease in use (100%), in the coding unit was related to deletion of indices (98%), in the statistics unit to confidentiality (100%), and in the filing unit to ease in use (89.5%). The average of user's satisfaction of the software programs in the medical record department was 61.8%. This indicates deficiencies in the design of the studied software. These insufficiencies cause alteration in the function of computer systems in data management. Therefore, need assessment of users and health information management professionals (HIMP) before designing and implementation of software is necessary.

Acute coronary syndrome (ACS) includes ST segment elevation myocardial infarction (STEMI), non- ST segment elevation myocardial infarction (NSTEMI), and unstable angina. It is among the leading causes of death. Registry systems are designed and implemented to collect and analyze the data related to a specific disease. Decreasing the burden ACS would need some strategies such as designing and implementing a registry system. This study tried to compare ACS registry systems in selected countries. This comparative descriptive research used an applied approach. The data was collected from the national registry of ACS in the USA, Switzerland, and Malaysia and myocardial infarction (MI) registry in Isfahan (as the first MI registry in Iran). Data was mainly collected from articles, journals, websites, and other written documents using a checklist which was designed based on the minimum requirements of a registry system. The validity of the checklist was confirmed by specialists. Since most resources were in English, translations were performed by an expert team to maximize the concordance with the source. Data was analyzed using comparative tables. In all three countries, there were national registries for ACS. They registered all stages including gathering and analyzing data and distribution of information. Although there is no national registry in Iran, an MI registry has been implemented in Isfahan which only covers data collection. The registry systems in the USA and Switzerland are supervised by specialty associations relevant to coronary disease. In Malaysia however, the database is under the control of Ministry of Health. The American ACS had the highest level of experience and the best features among the studied registry systems. Overall, according to the large burden of heart diseases in Iran, designing and implementing a national registry is essential. It could bring a better management for controlling and preventing diseases.

Health records serve several purposes and must be retained to meet those purposes. These varied purposes influence how long health records must be kept, or their retention period. The present study aimed to recognize laws and procedures related to retention of health records in selected countries and provide a proposed guideline for Iran. This was an applied, descriptive-comparative research on laws and procedures related to retention of medical records in the USA, United Kingdom, Australia and Iran in 2011. The data was collected via library sources, websites, and consultation with specialists in and out of the country. The validity of the data was confirmed by experts. Finally, the recommendations were provided for medical record retention in Iran. The study revealed complete and transparent record retention schedules in the selected counties. In fact, retention situations for adults, minors, emergency, outpatients and deaths records are clearly determined. However, in Iran, either no specific laws and procedures exist for medical records or they are unspecified. Lack of a complete, transparent and updated medical record retention schedule in Iran has led to confusion for hospitals. Some hospitals maintain medical records more than the determined retention period and some destroy them before expiring of the essential retention period. In order to optimize the situation of health records retention in Iran, it is necessary to review, correct and complete medical records retention schedule on the provided recommendations for different kinds of medical records.

With huge advances in information technology, in general, and health care services in particular during the past 20 years, various forms of electronic records have been introduced, designed or implemented. This study aimed to review the status of readiness assessment in the implementation process of electronic records with a detailed focus on required and associated areas and to provide a guideline for Electronic Health Records (EHR) directors and executers. Literature review: Although making health records automatically has many advantages, in some cases, the creation of an electronic health records system seems a complicated task. Electronic health readiness assessment, performed prior to implementation, is considered as an essential process. Readiness assessment is a method used for assessing various aspects of an organization and evaluating the preparedness of each component in the organization. The benefits gained from assessment leads to correct decision making. The outcome can be used to identify deficiencies in the existing electronic health records and to provide solutions. Thus identifying factors and requirements of this assessment seems to be essential.

Hospital Information Systems (HISs) have positive effects on patient's treatment process and organizational function. Therefore, it is necessary to evaluate the quality of services provided by such systems. The aim of this study was to assess and compare HISs in Isfahan hospitals based on the DeLone and McLean Model adjusted. This was an applied, analytical-descriptive study performed in public and private hospitals of Isfahan in 2010. Research population consisted of system users and designers and authorities of hospital information technology, directors and managers of official and clinical departments equipped by such systems. While users were selected by random sampling (n = 300), census method was used for the other two groups (n = 212). Data was collected using a questionnaire designed by the researcher based on three criteria (system quality, information quality and user satisfaction). It was adjusted to DeLone and McLean model. Content validity of the questionnaire was verified by faculty members as well as computer science specialists. The reliability of the questionnaire was estimated by Cronbach's alpha coefficient and data was analyzed by SPPS. According to our findings, mean scores of system quality, information quality and satisfaction were significantly different between various kinds of HISs, as well as between different hospitals (P < 0.05). Total mean scores of system quality, information quality and satisfaction for all HISs were 58.6, 60.8 and 61.2, respectively. According to the results of this research, the criteria of HISs have been implemented in a rather optimum condition. Thus in order to reach desirable conditions, it is necessary to pay particular attention to factors improving system quality, information quality, type of specialty in a hospital, and user's expectations and specialty when designing HISs.

Population-based mortality statistics are derived from the information recorded on death certificates. This information is used for many important purposes, such as development of public health programs and allocation of health care resources. Therefore, the accuracy of death certificate data is important. The aim of this study was to evaluate the quality of death certificates records and its recording accuracy in educational and non-educational hospitals in Kermanshah. In this descriptive and applied study, 321 death certificates of patients admitted and expired in educational and non-educational hospitals (1994 death)of Kermanshah during first six months in 2007selected randomly and evaluated. Data was collected by a checklist which validity was approved by professionals. Obtained data analyzed using SPSS software and descriptive statistics. 51.1% and 24% of death certification in educational and non-educational hospitals were qualified respectively. The demographic information of death certification were incomplete in 7.6% and 28.8% of cases in educational and non-educational hospitals, respectively.3.3% and 12.2% of death certificates in educational and non-educational hospitals were filled by attending physician, respectively. In 33.7% and 45.4% of cases in educational and non-educational hospitals the mechanism of death or nonspecific condition listed as the cause of death, respectively. Regarding the cause of death in 64.1% and 74.7% of cases in educational and non-educational hospitals sequence of events dose not make sense, respectively. Current status of death certificate record quality in the hospitals, specially non-educational ones is inappropriate and needed to contemplate.Considering the importance and value of data contained in the death certificate and its many uses, it is necessary to improve the awareness of physicians about different types of errors in completing death certificates

Organizational justice is a variable that predicts many organizational variables. One of these variables that have an important role in many organizations today is organizational citizenship behavior. So this study aimed to study the relationship between organizational justice and organizational citizenship behavior among medical record staff in selected hospitals of Isfahan in 2008. In this descriptive correlation study, medical record stuffs were included. Data collected using two questionnaires: organizational justice, and organizational citizenship behavior questionnaire. The questionnaires reliability was supported based on Cronbach Alfa. and questionnaire validity confirmed by specialist view of point. Data analyzed by SPSS software. Mean score of organizational justice among hospital stuff in Isfahan was 40.9+/-18.1.between hospitals in Isfahan. The highest and lowest score was related to distributive and interactive justice, respectively. There was no significant relationship between organizational justice and conscientiousness, altruism, sportsmanship. There was a significant relationship between organizational justice and civic virtue, courtesy and organizational citizenship behavior (P<0.001). Since the score of organizational citizenship behavior and organizational justice among stuff of selected hospitals were moderate and the score of interaction justices was weak. Therefore, hospital managers should provide the backgrounds of creating and improvement of perceived justice among staff.