Frontiers in Health Informatics
Volume:4 Issue: 1, 2015

The Electronic Triage System (ETS) has recently been developed to be used in hospital emergency rooms. To assure the quality and improve the system, it is necessary to study the user's perception continuously. This study presents the results of survey on satisfaction and perception of Emergency Department (ED) staff with the ETS. In this descriptive cross-sectional study the data collection tool was a researcher-designed questionnaire that includes two sections which were multi-choice and open ended questions. The study variables were gender, occupation, computer skill, Internet skill, and the daily use of computer (in minutes). The content validity of the questionnaire was assessed by the expert panel. For reliability of the questionnaire Cronbach's Alpha and for assessing statistical significance the Independent Samples T-test and Spearman's coefficient were used and analyzed using SPSS version 16. The content validity of the tool was approved with the scores of CVR= 0.93 and CVI= 0.96. Cronbach's alpha for all the questions was 0.979. The average scores of the aspects including User interface, Learning, System capability, Data entry and retrieval, Impact on patient care, and Overall perception in a range of 0 to 100 were 50, 51, 52, 42, 46, 36, and 42, respectively. Physicians in 5 aspects out of 7 expressed significantly more satisfaction. There was no association between use of computer and internet and the satisfaction. The main strengths of the ETS from the user's viewpoint were reducing patient waiting time, speeding up the works, improving confidentiality of patient data, and accuracy of triage. The questionnaire is a useful tool for its purpose. The comments that obtained in this study can be used as a basis for increasing user satisfaction with electronic triage system.

Attention to the information quality compliance with legal issues and medical ethics is one of the most important factors for people trust and motivation to use e-health services beneficially. This study reviews the e-health ethics and the principles of medical ethics. Results showed that the e-health ethics principles and the quality criteria of e-health website such as authenticity, confidentiality, data updates, accountability, accessibility, and efficiency are based on principles and values of medical ethics. But the challenges for the Web features such as increased access and development of communication can be seen on issues such as privacy, security and justice in the distribution of services. It is proposed to improve alignment with the principles of online health services with medical ethics by considering four aspects: improving knowledge of ethics guidelines, encouragement, evaluation and providing legislation and laws with the management supervision.

Traditionally, education in pathology is student learning to direct in far from Physical distances, the possibility of slides rotation and holding of the joint conference is not easily. Telepathology with create databases provide useful images and accessible at all parts of the world for trainiing pathology and can be Great help to enrich lectures and training sessions. This study investigated the feasibility of the pathology training through telepathology system in the training hospitals of Tehran University of Medical Sciences This study was an applied research, that the cross-sectional descriptive study was conducted in 2012. Training Hospitals of Tehran University of Medical Sciences, purposefully four hospitals selected and research conducted at these centers. Due to certain limitations of the study, the sampling was not used, and the study population was included 8 chief and administrator, 20 pathologists. The data gathering tool was the researcher made questionnaires, which was prepared separately for each group of the study population. Reliability was evaluated. The average validity coefficient of correlation for the two questionnaires was obtained 0/92. Data were analyzed by SPSS statistical software. As a result, the awareness average of pathologists about telepathology was 2/98 with 1/17 standard deviation. The awareness percent average of managers and directors about telepathology was 57/5 percent. Average score possible implementation of Pathology In hospitals In terms of educational goals for the pathologist Obtained 3/35 with 0/96 standard deviation. Given that Average rating, This amount Was too much. The results showed pathologists believed a gross and microscopic images of the slides are not enough and more information from the patient for better diagnosis and training, deemed necessary. According to the high importance and benefits of Telepathology, It is recommended to provide the necessary infrastructure for Telepathology education and also Existing facilities will be strengthened in the hospitals.