DESIGNING THE MINIMUM DATA SET OF PSYCHIATRIC EMERGENCY RECORD

Introduction: Psychiatric emergencies are acute mental health disturbances, behavior and social relationship that require immediate intervention. The major role of psychiatric emergency services is to provide mental health care services for patients with acute mental health problems. Design emergency psychiatry core dataset has improved the coordination and integration of services and improved the outcomes for the patient with severe and persistent mental illness with complex needs. So the aim of this study was to design data elements (DEs) in emergency psychiatry for Iran.   Methods: This is an applied study. Emergency psychiatry (DEs) collected via literature review and then psychologist and psychiatrist (16 experts) assign the score from 0 to 5 to them according to the value of each data element. (DEs)  selected as core Emergency psychiatry (DEs) that were achieved 4 or 5 scores from 75% specialist.   Results: According to the literature review, 110 (DEs) included studying. 13 experts (8 psychologists, 8 Clinical Psychologist) evaluated psychiatric emergency (DEs) set. The average work experience of psychiatrists and psychologists was 16 years and their work experience ranged from 2 to 25 years (table 1). according to the experts opinion, 54 (DEs) with at least 75% of the agreement were identified as the psychiatric emergency (DEs). Emergency psychiatric (DEs) and average agreement of each of them were: demographic characteristics (6 DEs with an agreement average of 82.5%), history of mental illness (9 DEs with an agreement average of 79%), family history of psychology (3 DEs with an average agreement of 77.08%), medical history (1 DEs with an average agreement of 81.25 %) Assessment of mental status ( 20 DEs with an average agreement of 82%), assessment of the self harm risk or harm risk for others ( 13 DEs with an average agreement of 93.6%) and diagnosis and treatment (3 DEs with an average agreement of 81.25%). Conclusion: Given the importance of psychiatric disorder and lack of the national system for gathering psychiatric information, perform the same study abut psychiatric data element is very important. The results of this study can be used for design psychiatric emergency forms and gather accurate and complete patient information

ASSESS THE READINESS OF THE OUTPATIENT TREATMENT CENTERS OF SOCIAL SECURITY TO RUN SMART HEALTH CARD

Introduction: Smart card, microprocessor chip, facilitate providing e-health services in health center. Design and implementation of smart cards in the Social Security Organization as one of the health centers reduce costs, prevent abuses of medical insurance, increase productivity and accelerate response time. In this study, readiness of the outpatient treatment centers of social security to implement health smart card assessed. Methods: this practical and descriptive study was conducted in nine outpatient treatment center of Khorasan Razavi Social Security center in 2016-2017.  Total proposed number of outpatient treatment center was reduced to 9 center because other centers did not take part in this review .A questionnaire with three areas of technical readiness, organizational culture and leadership and management was used. The data were analyzed using spss 19 software Results: Finding showed Average scores of technical and leadership and cultural organization readiness were ordinary in all centers. Leadership and cultural organization readiness in 4 center were more than others. Average scores of technical were more than of leadership and cultural organization readiness .Technical readiness had significant difference between the studied centers. Conclusion: Finding showed appropriate technical readiness in Social Security, therefore we suggest to implement smart cards, educating staff to enhance technology skills and to promote its use culture. Readiness of management and leadership scope is impressive in designing and implementing smart cards; So implementing smart cards should be organization`s strategy and the road map should be determined, and its benefits should be clearly explain for social security center managers

Usability Evaluation of an Admission, Discharge, and Transfer Information System: A Heuristic Evaluation

BACKGROUND: Admission, discharge and, transfer (ADT) process is one of the most important hospital workflows. ADT system is a part of a hospital information system (HIS). AIM: The objective of this study was to evaluate the usability of the ADT system. METHODS: The study performed at Mashhad University of Medical Sciences (MUMS) hospitals. Data collection instrument was a validated checklist of Pierotti heuristic evaluation. To determine the severity of usability problems, a hybrid of Nielson and Tampere unit for computer-human interaction (TAUCHI) severity scaling algorithm was used. Usability problems were divided into five categories (major, severe, minor, cosmetic, and technical). Six experts evaluated the ADT system independently. According to TAUCHI severity scale, if a feature has not yet been implemented in the ADT system, evaluators considered it a technical usability problem. Therefore, usability problems due to non-design feature in the ADT system were identified. Finally, the mean severity of each usability problems was calculated. RESULTS: A total of 186 usability problems were identified. The frequency of major, sever, minor and cosmetic usability problems were 2, 65, 69 and 50, respectively. A total of 55 usability problems by the evaluators were recognised as technical problems. The highest mismatch with usability principles was related to the “recognition rather than recallâ€. The range of the mean severity of usability problems was between 0-2.31. CONCLUSIONS: Our result showed that although implementation of IHIS on a large scale, it still suffered from unresolved usability problems. Identification of usability problems and evaluation of their level of severity, which was simultaneously performed in this study, can be used as a guide to evaluate the usability of other HISs

Errors in the Documentation of the Death Certificate: A Case Study

Introduction: 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 very important. The aim of this study was to evaluate the quality of documentation of death certificates in hospitals in Sabzevar, Iran. Method: In this retrospective and applied study, all death certificates of patients admitted and expired in hospitals (30 death) of Sabzevar, Iran during the second six months in 2010 were evaluated. Data was collected by a checklist Which validity was approved by experts. Obtained data analyzed using SPSS software and descriptive statistics. Results: The result shows that out of all death certificates reviewed, Only 11,6 percent of certificates were found written without error. Most frequent errors pertained to writing patients' social security number (78.5%) and national ID card (26.2%). Around 60% of death certificates were not issued by treating doctor of deceased and 38% of them were issued by a general practitioner (GP). Listing 'mechanism of death' at the place of 'underlying cause of death' was found in 20, 5 %of certificates. There was no causal relationship between the recorded causes in 27% of certificates. 68% of certificates disclosed 'use of abbreviations' in cause of death. Conclusion: In this study indicates improper sequence of causes and use of abbreviations in the recorded causes of death, due to the lack of understanding about the importance of the death certificate and unfamiliarity of physicians with rules and guidelines of determining mortality causes. Some annual courses in death certification and discussion of the death certificate for each deceased patient in physician, can increase accuracy of the documents

The Effect of Concept Map on Education: A Systematic Review

Introduction: Along with science and technology advancement, philosophy, content and educational methods are transforming. Modern approaches such as constructivism have replaced traditional approaches and the assumption of knowledge transfer from teachers to learners. One of these approaches is concept map. The purpose of this paper was to examine the application of concept maps in education and learning. Methods: In this review study, all of Persian studies published on the subject of concept map from 2001-15 were searched and reviewed through three electronic Persian databases (Magiran, SID and Iranmedex). Selected publications were analyzed by means of content analysis. Results: Sixty-one papers were excluded from a total of 98 publications based on inclusion criteria. Findings showed that 94.6 percent of the papers had assessed with the application of concept map in education, while the remainder dealt with its application in learning evaluation. The subject of 54 percent of the papers was in the field of health with 43.2 percent in the nursing education field. Conclusion: Concept map is introduced in education as a learning-teaching strategy which promotes deep and meaningful learning. In the field of health in general and nursing in particular, concept map has led to deep and meaningful learning, improved clinical decisions, enhanced critical thinking and problem solving skills, increased student interactions, enhanced self-efficacy and cognitive strategies. It also has improved creativity, patient training, leadership style, care management and has facilitated the analysis of disease information in complicated clinical environments