نشریه مدیریت اطلاعات سلامت
سال دهم شماره 3 (پیاپی 31، امرداد و شهریور 1392)

The concept of organizational culture usually is considered as a moderating factor in using information technology (IT). The present study aimed to review the association between Harrison cultural typology and the acceptance of hospital information system (HIS) by its users in non-university hospitals of Iran University of Medical Sciences (Tehran، Iran).

This research was applicable and done using descriptive and correlational analysis methods. After the related literature was reviewed، the conceptual model was proposed and confirmed by the experts. A questionnaire with 93 questions was developed based on the variables، and its validity and reliability were tested and confirmed by experts and calculating Cronbach’s alpha. Then the data were delivered and completed between July and September 2010 among 400 users of HIS in the required hospitals that have been selected using stratified sampling method. To test the model and examine its fitness to the collected data، structural equation modeling (SEM) method was used by applying LISREL Software.

The dominant culture in the hospitals was role-oriented culture. The results of normed chi-square index (χ2/df = 1. 4) showed that the model has fitness with the collected data. The indices included goodness of fit indices (GFI) = 0. 99، comparative fit index (CFI) = 0. 99، adjusted goodness of fit index (AGFI) = 0. 96، and root mean square error approximation (RMSEA) = 0. 033. According to the research model، the association between task-oriented culture and user satisfaction statistically was significant and confirmed.

According to the fitness of the calculated indices of the research model، it can be concluded that using the model may help to improve organizational culture and HIS user acceptance in hospitals.

One of the most important goals of library and information sciences is the user-oriented organization of information. Thus، the International Federation of Library Associations (IFLA) presents the functional requirements for bibliographic records (FRBR) model. This study examined the bibliographic relationships between Persian medical books based on the FRBR model، during 2006 to 2011 and reviewed the compliance rate of this model with the Persian medical books.

This was a descriptive survey. The study population consisted of all the medical bibliographic records in the National Library of Iran’s online public access catalog (OPAC) during 2006 to 2010. The data were collected using National Library of Iran OPAC. Method of data collecting was direct observation of bibliographic records in National Library of Iran OPAC. After collecting data and creating tables and figures in Microsoft Excel Software، the data were analyzed to fulfill the research objectives and also to draw conclusions.

The results showed that out of total 105،926 books published in Persian، 3،781 books، i. e. equivalent to 3. 56% were in the field of medical sciences. In total number of medical Persian books، only 390 books، i. e. equivalent to 10. 31%، had the work-to-work bibliographic relationships. The most common types of bibliographic relationships in Persian medical books in the studied years consequently were «summarization»، «adaptation» and «supplement”.

Although the FRBR model is much emphasized، because of substantial differences of medical sciences with other sciences، especially the humanities (e. g. literature and arts)، its experimental nature is very low based on scientific methodology [experiment، observation، hypothesis and conclusion by (proof theory)]، the rate of»work-to-work bibliographic relationships«، as the basic concept of FRBR. At present، according to this survey، implementation of FRBR in cataloging and organizing books in the field of medical sciences would not be cost effective.

Between 50% to two-third (majority) of medical errors occur in operation room and emergency units in hospitals among which 50% are preventable. To increase the patient safety، consolidated prospective and retrospective method errors from 10 selected processes from operation room in Seyed Alshohada Hospital، Semirom، Iran have been identified، evaluated، prioritized and analyzed.

As a descriptive research، the analyses of mode and effects were carried out in this quantitative-qualitative study. Prospective method used in the study was healthcare failure mode and effects analysis (HFMEA) in a 6-month period retrospective method error reporting system. Frequencies obtained by both methods were compared together and error modes and possible causes were identified.

Using HFMEA، 187 potential modes in 10 selected processes of operation rooms was selected. Using error report system، 61 reports were survived and subsequent outcome were matched with prospective method and 36 unacceptable errors were identified after decision-making tree analysis and ultimately possible reasons and recommended procedure were proposed.

Based on obtained results، using consolidated، retrospective and prospective risk analysis has sufficient efficiency providing a comprehensive view from errors in common process of healthcare units.