Accurate cause of death coding leads to organised and usable death information but there are some factors that influence documentation on death certificates and therefore affect the coding. We reviewed the role of documentation errors on the accuracy of death coding at Shahid Mohammadi Hospital (SMH), Bandar Abbas, Iran. We studied the death certificates of all deceased patients in SMH from October 2010 to March 2011. Researchers determined and coded the underlying cause of death on the death certificates according to the guidelines issued by the World Health Organization in Volume 2 of the International Statistical Classification of Diseases and Health Related Problems-10th revision (ICD-10). Necessary ICD coding rules (such as the General Principle, Rules 1–3, the modification rules and other instructions about death coding) were applied to select the underlying cause of death on each certificate. Demographic details and documentation errors were then extracted. Data were analysed with descriptive statistics and chi square tests. The accuracy rate of causes of death coding was 51.7%, demonstrating a statistically significant relationship (p=.001) with major errors but not such a relationship with minor errors. Factors that result in poor quality of Cause of Death coding in SMH are lack of coder training, documentation errors and the undesirable structure of death certificates.
Aim:The information technology model is used to determine user acceptance and satisfaction with the hospital information system. The purpose of this study was to determine the acceptance rate of hospital information system (HIS) by users based on the model of using information technology in teaching hospitals of Zahedan University of Medical Sciences.Methods: This analytical cross-sectional study was conducted in May 2020. The statistical population of this study was users of the information system of educational hospitals of Zahedan University of Medical Sciences and according to the Cochran formula, 277 users were determined as the sample size.' Data were collected using a researcher-made questionnaire whose validity was confirmed by content validity and its reliability was measured by Test-Retest (r=0/86). Data were analyzed by SPSS software version 22, descriptive (frequency and percentage) and analytical (Pearson's correlation coefficient) statistics.
Results:The average of HIS acceptance variables, including user satisfaction in terms of system support for tasks, user interface, compatibility with tasks, support for cross-sectoral collaboration, learning ability, accessibility and system support services, were 3. 78, 3.65, 3.34, 3.60, 3.21, 3.30 and 3.50 respectively. This indicates a favorable situation for the first dimension and relatively favorable for other dimensions.
Conclusion:The users' acceptance rate is represented relatively desirable. But proper communication between users and system owners, using system support, and adopting appropriate management tactics can help increase user acceptance and satisfaction.
Aim: Complementary medicine is the type of health care provided outside the usual rules. On the other hand, telemedicine provides medical services using electronic and communication processes. The present study investigates the possibility of using telemedicine in Hakim Emadeddin Shirazi Complementary Medicine Clinic. Methods: This descriptive cross-sectional study was conducted in February 2019. The study population included manager and physicians of the clinic and patients referring to the clinic. Manager and physicians were selected by census method and patients were selected by random sampling. Based on Cochran formula, a sample size of 400 patients was considered. Data were collected using a researcher-made questionnaire whose validity and reliability was measured and analyzed by SPSS software. Results: Twelve physicians (66.7 percent) were relatively familiar with telemedicine; however, only 14.9 percent of patients were relatively familiar with telemedicine. Despite more familiarity with physicians, patients were more likely to use the technology. Conclusion: In spite of an upward trend in the popularity of both telemedicine and complementary medicine and due to the difficulty of communicating between different departments of the clinic and between the clinic and patients, the lack of support for top clinical management and the lack of knowledge of physicians and patients with telemedicine It does not seem possible to use telemedicine in Hakim Emadeddin Shirazi Traditional Medicine Clinic.
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