mohammad jebraeily

Electronic health record is one of the fundamental technologies in the health system of any country. This technology provides data that is the basis for providing health services at the patient level, and at the organizational and extra-organizational levels, it is considered the basis for macro-decisions, policy-making, and management of health services. The present study aimed to investigate the extent to which the Iranian electronic health record (SEPAS) has achieved the expected goals of health care and to examine the current working environment of this system from the end user’s perspective.

The current study was a cross-sectional study that was conducted in 1400. The participants included 70 SEPAS users in 28 hospitals in West Azerbaijan province. The data was collected using a self-structured questionnaire. The collected data were analyzed with the help of descriptive and analytical statistics.

according to the users, the expected goals of the Ministry of Health have been achieved in the area of satisfaction (3.3 ± 1.4) more than in other areas. Also, this system has not been as successful as other cases in achieving the predetermined goals in the field of information management (2.6 ± 1.2). On the other hand, in terms of the current working environment of SEPAS, the economic area (3.6 ± 1.3) received highest score from SEPAS users.

Planning and policy-making for the improvement of Spas based on the current conditions of the working environment should be prioritized by the developers of this system and the Ministry of Health.

With quickly spread of the Covid-19 pandemic across the world and the necessity of social distancing, the use of virtual education in universities of medical sciences has grown more and more. Considering that the quality of virtual education provided in this era plays an important role in the learning process of the students, this research was conducted with the aim of evaluating the quality of virtual education during the Covid-19 pandemic from the students' viewpoint in Urmia University of Medical Sciences.

This study was a descriptive-cross-sectional one that was conducted in 2021. The research population included 370 students of Urmia University of Medical Sciences, who were selected by stratified-proportional sampling method. The data collection tool was a researcher-made questionnaire, that its validity and reliability were obtained. The data were analyzed using SPSS version 16 software.

More than 62% of the students participating in the study reported their computer skills at an average level; the amount of students using offline training (42%) was more than online training (29%). The average points obtained in the 6 dimensions of evaluating the quality of virtual education from the students' viewpoint were: learning management system (4.32), evaluation (4.14), support services (4.07), interaction between students and teachers (3.47), provided electronic content (3.32), and online training (3.63).

The results of this research show that the quality of electronic content provided, online education, and interaction between professors and students in virtual education provided at Urmia University of Medical Sciences were at medium and low levels. Therefore, it seems necessary that university professors pay attention to students' learning needs in preparing electronic content and produce this content in multimedia form. It is also necessary for professors to hold more online meetings by creating the necessary executive infrastructures and increase the level of their interaction with students by establishing face-to-face communication and using the discussion forum of the learning management system.

Assessment of hospital information system (HIS) service quality helps to meet the needs of users and a strategy to expand the interaction between HIS developers and the users. SERVQUAL is an extensively used technique to measure the service quality of information systems. The purpose of this study was to assess HIS service quality by the SERVQUAL model in the teaching hospitals affiliated to Urmia University of Medical Sciences (UMSU). This study is a descriptive analysis carried out in UMSU teaching hospitals in 2017. The sample was comprised of 270 users selected randomly via multi-stage cluster sampling. The modified SERVQUAL questionnaire, which included five dimensions, was used to collect data. The gap between the perceptions and the expectations of the users was calculated and the significance of scores was tested. The highest quality gaps in the five dimensions were related to responsiveness (-1.52) and reliability (-1.34) and also the lowest quality gap was related to tangibles (-0.95). There were significant differences between perceptions and expectations of the users in all SERVQUAL dimensions (P < 0.001). This implied that the quality of the delivered services was lower than what the users expected. Given the greatest gap in responsiveness and reliability, it is essential that HIS vendors focus on providing HIS support and updating services and allocate IT staff with the right knowledge and skills to provide the trust needed to use HIS services in the users.

Hospitals need a system for evaluating and monitoring performance for promotion the efficiency and effectiveness of their services and outcomes. Pabon Lasso model is a graphical chart that can be used to identify the current status and performance level of hospitals by combining hospital indicators, simultaneously. Therefore, this study aimed to evaluate the performance of Hormozgan University of Medical Sciences (HUMS) hospitals during a six-year period using this model. This descriptive study includes all teaching and non-teaching hospitals affiliated with the HUMS. After gathering the required information related to three indices: Bed Occupancy Rate, Bed Turnover Rate and Average Length of Stay for the years 2009 to 2014 from the statistical systems and yearbooks, the situation of hospitals in terms of indices by drawing Pabon Lasso graphical charts using SPSS version 16, were analyzed. The results showed that during a six-year period, on average, 26 percent of hospitals were placed in zone I, that is the inefficient area, 28 percent in zone II, 30 percent in zone III which is an efficient area of the model and 16% in zone IV of the Pabon Lasso model. The findings indicated that the utilization of hospitals beds is relatively desirable. Periodic monitoring of province centers and determining their status in the model, and also, performance assessment from another dimension is suggested in order to achieve more comprehensive and more accurate results.

One of the new educational strategies that play an important role in promoting active learning and problem-solving skills is a mind-mapping technique that stimulates creativity and thinking by using images, colors, communication, and structural representations of concepts. One of the best mind- mapping software that has more usability and user-friendly is Freeplane. The purpose of this research is to identify the effect of using mind-mapping software on student problem-solving skills.
This is a mix-method study (quantitative and qualitative) that conducted in two consecutive phases. In the quantitative phase, population of the study consisted of 24 health information technology students of Urmia University of medical sciences that were randomly divided into two groups (case-control) to the case group, training was provided to work with the Freeplane software. During the internship, both groups were asked to provide appropriate solutions for problems related to the health information management department of hospitals. Then, the mean scores of both groups were compared by independent t-test. In the qualitative phase, using a semi-structured interview method, student's perceptions of the effect of the mind-mapping on problem solving skills were evaluated and data analysis was performed through content analysis.
The mean scores in the case group were 18.33 ± 1.68 and in the control group were 15.26 ± 2.05. The results of independent t-test showed that there was a significant difference between the mean scores of both groups (p Given the critical need of medical students to learn problem-solving skills for proper decision-making and solving complex problem, the using the potential capabilities of mind-mapping software in medical education could be useful. Therefore, it is suggested that in order to develop the use of mind-mapping technique and its software, training should be provided to promote problem solving skills and creative thinking in students.

Caesarean section, also known as C-section, is a very common procedure in the world. Minimum data set (MDS) is defined as a set of data elements holding information regarding a series of target entities to provide a basis for planning, management, and performance evaluation. MDS has found a great use in health care information systems. Also, it can be considered as a basis for medical information management and has shown a great potential for contributing to the provision of high quality care and disease control measures.
The principal aim of this research was to determine MDS and required capabilities for Anesthesia information management system (AIMS) in C-section in Iran.
Data items collected from several selected AIMS were studied to establish an initial set of data. The population of this study composed of 115 anesthesiologists was asked to review the proposed data elements and score them in order of importance by using a five-point Likert scale. The items scored as important or highly important by at least 75% of the experts were included in the final list of minimum data set.
Overall 8 classes of data (consisted of 81 key data elements) were determined as final set. Also, the most important required capabilities were related to airway management and hypertension and hypotension management.
In the development of information system (IS) based on MDS and identification, because of the broad involvement of users, IS capabilities must focus on the users’ needs to form a successful system. Therefore, it is essential to assess MDS watchfully by considering the planned uses of data. Also, IS should have essential capabilities to meet the needs of its users.

The most important issues that always absorb accuracy and effort of hospital, is the mastery and control over the financial status for the hospital resources management. In all countries, the medical centers are considered as a vital community resource and must be managed in line with the interests of society. Hence, these studies aimed to investigate the causes of insurance deductions and were made to assist hospital administrators in reducing the deductions against them.
This descriptive research is retrospective study in year 2012. The study population consisted of 100 insurance experts deployed in insurance centers (including Health care’s, Social security, Armed forces, Help Committee) from which 25 experts were randomly selected from each Insurance Center. Researcher madden questionnaire was used to collect data. For validating of questionnaire justifiability, questionnaire was provided to insurance expert, professors and ambiguities were resolved. Test-retest procedure was used to ensure the Stability of the questionnaire. The collected data was analyzed and classified using Excel software.
These findings indicate that between all parts of surgery wards deductions are the highest (%45/55), and between surgery wards, orthopedics surgery had the highest amount of deductions (%40/75).
Healthcare provider should be more careful and minimize documentation errors in reporting and documentation. Also the hospital administrators for reducing deductions against patient records must provide educational course for correct documentation.

The hemodialysis patients face with multiple physical problems and psychosocial and social challenges. The proper interventions in the field of their education have a positive impact on the reduction of complications and improvement of the quality of their life. Despite the potential benefits of patient education, its success depends on various factors. The purpose of this study was determined present situation and factors affecting success of patient education in hemodialysis centers of Urmia University of Medical Sciences.
This is a cross-sectional descriptive study conducted in 2015. The study population included 420 patients in hemodialysis centers in Urmia University of Medical Sciences. Data were collected using a self-structured questionnaire which was estimated as both reliable and valid. The data were analyzed by SPSS 20 software descriptive statistics and analytical statistics.
The most common of patients education methods in hemodialysis centers under study included handout-pamphlet (37%), oral conversation (26%) and workshop (18%). The most factors affective in hemodialysis patients education were related to patient education based on learning needs (4.85), ease of learning educational content (4.77), Proper communication between providers and patients (4.61), Skills of educators (4.50) and patient participation in the planning and implementation of education (4.44) respectively).
The hemodialysis patients need education in order to adapt to their condition and perform self-care behavior. So, physicians and nurses should provide education based on learning needs of patient through effectively communicating with patients and applying various methods. It is necessary that continuing education for healthcare provider conducted and also the quality of patient education evaluated and motivation of health care providers increased.

Due to the complexity of the process of hemodialysis and the need for patient participation in his health care, patient education should be considered as an important component of health promotion and disease management programs. Accordingly, education of hemodialysis patients should be based on each patient's specific needs and problems so that it can result in a change in their behavior. This study aimed to assess learning needs and preferred methods and educators of patients in hemodialysis centers in Urmia University of Medical Sciences.

This descriptive cross-sectional study was conducted on hemodialysis patients from teaching hospitals affiliated to Urmia Medical Sciences of University which were 420 individuals in total in 2014.The data were collected using a self-structured questionnaire that reliability of which had been measured by specialists and validity by internal consistency method (r =0.78). The collected data were analyzed by SPSS software descriptive statistics and analytical statistics (t-test and chi-square).

Most hemodialysis patients preferred to use handout-pamphlet, workshop, and oral conversation by nurses, doctors, and psychologists.The learning needs were ranked as follows: psychological issues (4.88), information about risk factors (4.75), lifestyle changes (4.62), diet information (4.56) and physical activity and sport (4.43).

The results of the study showed that hemodialysis patients need to learn about psychological problems, identifying risk factors, lifestyle, and nutrition. Psychological and nutritional recommendations can be offered along with clinical ones. Therefore, it seems necessary to provide a plan to standardize the structure and content of educational programs based on the learning needs of patients

Nowadays, new technology, Particularly computer technology, Provides the health care system with opportunities for organizing the treatment of illness and disease in ways that might improve the health and quality of life of patients, and Provide cost-effective health care services. Entrance these technologies required to design and implement correctly and user participation have a major role in the design and implementation, so our purpose of this study is survey participation rate of users in HIS development. Method and materials: This is a descriptive-analytic study. The study population was the personnel of the urmia nontraining hospitals. The data were gathered by questionnair. that validity was confirmed by expert and rliability reviewed and approved by Cronbach′ alpha method. Collected data analyzed by appropriate statical test were used in software SPSS 20. The highest participation rate of users in the four – stages development of the HIS related to analysis phase (2.23) and the lowest participation related to implementation phase(1.53). also, by calculating the desirability of participation rate of users in the development of HIS were identified that There is a significant difference, between desirable of user participation in the development of HIS. according to the diffrerence, participation rate of users is lower than desirability reported (p-value: 0.000). The most important factor influencing of participation rate of users in the development of health information system related to understanding and awareness of the development benefits of HIS. Essential to the success of hospital information system is the user participated in the all of the stage of HIS development. According to the result of this study, it is necessary to observe this point that managers and health care authorities before purchasing or designing HIS, users have become aware of the benefits of system development and support and training necessary to engage more staff, expend and upgrade their systems. Keywords: hospital information system, user participation, design, analysis, implementation, evaluation.

Due to the large volume of the data generated in hospitals، it is essential to use hospital information system (HIS) in efficiently handling them. One of the major factors in the HIS is user participation that leads to correctly predicted factors and this fact also increase their commitment to the development of HIS. This study aimed to survey participation rate of users in different stages of HIS development and identified factors affecting it. This descriptive-cross sectional study was performed on 140 users (including physicians، nurses، medical laboratorists، radiologists، HIM and IT staffs) from Urmia University Hospitals in 2013. The data were collected using a self-structured questionnaire whose reliability had been confirmed by specialists as well as its validity by internal consistency method (r =0. 86). The collected data were analyzed by SPSS software using descriptive statistics and analytic al statistics (t-test and chi-square). Correlation analysis showed that a meaningful correlation existed between job and organizational change barriers (p =0. 003)، and also between the history and attitudinal-behavioral barriers (p =0. 006). The highest participation rate of users in the four-stage development of the HIS was related to implementation phase (2. 88) and the lowest participation rate was related to analysis (1. 23). The test results showed that none of the stages of development (analysis، design، implementation، and evaluation) had satisfactory user participation (P < 0. 05). The most important factors in increasing user participation included established teamwork from end-users and the support of top managers from HIS development. According to the survey results، it seems necessary that health care administrators have a detailed plan for user participation that identify the real needs prior to the development and purchase of HIS، and predict ways to increase users’ commitment and motivations to develop maintain and upgrade the system.

• The critical dependence of healthcare services systems on information along with the indigenous restriction of paper documents in satisfying this need has caused a trend toward computer information systems. The main goal of such systems is to achieve electronic health records (EHR). However, implementation of EHR in healthcare organizations is difficult and complicated. This research aimed to assess the barriers of EHR implementation.• This descriptive, cross-sectional study was conducted in 2010. It included 120 employees (such as physicians, nurses, laboratory and radiology and medical records departments staff) from teaching hospitals affiliated to Urmia University of Medical Sciences. Data was collected by a self-developed questionnaire whose reliability and validity had been measured by specialists and internal consistency method (r = 0.86), respectively. The collected data was analyzed using descriptive statistics and analytical statistics (t-test and chi-square test) in SPSS.• Based on our results, attitudinal-behavioral (93.4%) and organizational change barriers (88.4%) scored the highest among the barriers of HER implementation. In addition, minimum scores were related to financial barriers (72.8%). Correlation analysis showed a significant correlation between job and organizational change barriers (p = 0.003), and also between the history and attitudinal-behavioral barriers (p = 0.006).• Since the most important barriers of EHR implementation were attitudinal-behavioral barriers and organizational change barriers, educational interventions seem necessary to create an appropriate attitude among health care providers. Increasing knowledge of system users about the features, objectives, benefits and positive effects of the system while ensuring the confidentiality and security of HER would decrease change resistance and increase the acceptance and participation in EHR implementation.