The Survey to Determine the Accuracy Rate of the Neoplasm Coding in Seyed Al-Shohada Hospital of Isfahan

Introduction: The use of cancer suffering patients' 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. Method: 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. Results: 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%). Conclusion: Regarding the obtained results, it is recommended that coding of morphology & related Z codes of neoplasms be set in coders' work order. It is also recommended that continuous educational coding courses be held in order to increase the accuracy rate of the neoplasm coding

The Effective Factors in Adopting Picture Archiving and Communication System in Shiraz Educational Hospitals Based on Technology Acceptance Model

Introduction: Today, using information technology in organizations is necessary. The Picture Archiving and Communication System (PACS)‌‌, as a computer tool, can provide conditions to create no movies medical imaging centers‌, if companied with other requirements . On the other hand, the evaluation of technology acceptance can be helpful in successful implementation of system. The aim of this study was to determine the effective factors in adopting Picture Archiving and Communication System (PACS) in Shiraz educational hospitals. Method: The present study is a cross-sectional descriptive analytical survey. The study population consisted of all radiology staff in Shiraz educational hospitals that used picture archiving and communication system. The data gathering tool was TAM questionnaire and data were analyzed using SPSS v.17 software, and descriptive statistical methods and statistical correlation tests such as regression, independent sample t-test and ANOVA. Results: The findings shown that perceived ease of use was significantly correlated with both perceived use and actual use (r=0.2, r=0.1) respectively. Perceived usefulness was also significantly correlated with perceived use and actual use (r=0.5, r=0.1) respectively. Conclusion: The results shown that perceived usefulness and perceived ease of use are effective factors in adopting PACS that must be considered in evaluation and planning

Tele ECG; Applications, Infrastructures and Necessity of Using it

Introduction: In recent decades because of the high mortality from cardiovascular disease, many technologies have been established in order to deal with it. One of these technologies is Tele ECG which is very practical in remote areas. Regarding the significant rural population in the country, the aim of this study was to identify and explan required applications and infrastructures of the Tele ECG and the necessity of using it. Method: This is a review was carried out by running a search in valid databases and evaluation of published articles between 2005 to 2015. Results: The results of this study show that use of Tele ECG’s application is very simple and doesn’t require a lot of resources and infrastructures. In rural areas is very useful and is very low cost. Conclusion: With respect to wide geographical distribution and considerable population in rural area of Iran, Tele ECG can be effective application to management of patients with cardiac disease in remote areas and reduction of death rate from cardiovascular disease

Evaluation of the Users’ Continuous Intention to Use PACS Based on the Expectation Confirmation Model in Teaching Hospitals of Shiraz University of Medical Sciences

Introduction: Users’ behavioral intention to use the Picture Archiving and Communication System (PACS) is important in the systems’ success and is an indicator of the users’ satisfaction with commitment and dependence on information systems. The present study aimed to evaluate the users’ continuous intention to use PACS based on the expectation confirmation model in educational hospitals of Shiraz University of Medical Sciences. Method: This cross-sectional study was conducted in Nemazee and Shahid Faghihi hospitals, Shiraz, Iran in 2014. The subjects were 50 general practitioners, residents and specialists selected through stratified random sampling. The study data were collected using a researcher-made questionnaire. The content validity of the questionnaire items was confirmed by five experts in health information management. To evaluate the accuracy of relationships among the measurement models, reliability criteria, including Cronbach’s alpha and composite reliability, convergent and divergent validity were used which showed acceptable reliability and validity. The data were entered into Smart PLS software, version 3.1.9 and analyzed through Structural Equation Modeling (SEM) by using Partial Least Squares (PLS) approach. Results: The results showed appropriate fitness of reliability indices (Cronbach’s alpha >0.7, composite reliability >0.7, loading >0.7), validity indices (AVE >0.5), structural model (redundancy =0.395, Q2CI=0.364, f2H5=0.524, R2CI=0.687), and the total model (GoF=0.518). Moreover, all the research hypotheses, except H1 (the relationship between expectation confirmation and perceived usefulness) with T-value of 1.96). Conclusion: Expectation confirmation, perceived usefulness, and satisfaction were effective in continuous intention to use PACS. Thus, these factors should be considered by designers, developers, and managers while designing and implementing information systems to guarantee their success and improve the quality of health services

The identification and classification of deployment challenges related to electronic health records: a review article

Context: The implementation and operation activities related to electronic health records (EHRs) have increased in different countries, and their importance is clear. However, the deployment of an EHR system depends on many factors that must be considered during implementation. The goal of this study was to identify and classify the challenges related to EHR deployment. Evidence Acquisition: The present study involved a literature review that was carried out through a search on the ISI, PubMed, DOAJ, Scopus, Science Direct, and Google Scholar databases, as well as the Google and Yahoo search engines, using the relevant MeSH keywords and focusing on the period of 2005 - 2015. The data were collected in an Excel file and analyzed based on the study objectives. Results: From the investigation of related articles, we found that the deployment of EHRs faces many challenges that can be classified into six main categories. These are economic, behavioral, human, technical, legal, and organizational challenges. Conclusions: With regard to the obtained results, it is recommended that the authorities put effort into resolving the economic, behavioral, human, technical, legal, and organizational challenges related to the implementation and deployment of EHRs