نشریه مدیریت اطلاعات سلامت
سال یازدهم شماره 1 (پیاپی 35، فروردین و اردیبهشت 1393)

Local emergency ward is designated to provision of treatment services for patients which is closely related to salvaging people’s lives. The main purpose is to apply simulation and improved treatment process procedure for appropriate designation of environment، resources and funds in the emergency ward and improvement of functional indexes.

This is an applied-developmental study conducted during a one month period in 2012 on the patients referring to the emergency ward of Arak hospital and all the data were gathered through either observations or questionnaires consistent with the format of the Ministry of Healthcare. Both face content validity and stability of data were determined using the 93percent Cronbach''s alpha factor. Non-probability purposive sampling is carried out with no prototypes to the number of 70350 case. The data analysis was conducted via Easy Fit software whereas simulation modeling was performed through Arena software.

Four different scenarios were simulated in this study using the Arena software، the results of which are presented both quantitatively and comparatively with respect to the functional indexes. The first scenario is considered as the prototype with a cost index of nearly 44 million units of of money and 37 percent care in the resuscitation ward، according to which the other three scenarios were designed and conducted.

The results of this research show that the improved model would lead to more appropriate classification of work procedure and improvement of functional indexes in an emergency ward as compared with the previous model. Also، appropriate alteration in the number of resources and beds may improve the provision of services to the patients and resolve their dissatisfactions.

Every year، the considerable amounts of hospital income are deducted by the insurance organizations as deductions. The aim of this study was to survey the deductions applied by medical services and social security insurances organizations on bills of teaching hospitals affiliated to Ahvaz Jundishapur University of Medical Sciences.

This is cross-sectional study which was conducted in 2009-2010. All of the bills sent by five teaching hospitals affiliated to Ahvaz Jundishapur University of Medical Sciences، to medical services and social security insurance organizations in years 2008-2009 were studied. Instrument for data gathering was checklists designed according to the bills sent to insurance organization. The Checklist validity was confirmed by expert''s opinions. Data analyzed by using descriptive statistics in SPSS software.

The total deduction for outpatient and inpatient bills applied by Medical Services Insurance organization was 6. 62 %. The total deduction for outpatient and inpatient bills applied by Social Security Insurance was 4. 9%. In comparison، the deductions of inpatient hospital bills were more than outpatient hospital bills (6. 99% to 3. 36%).

Results showed that although small percentage of accounts involves deductions but the low amount of this deduction had significant financial imposes to hospitals. Thus، planning to reduce deductions is recommended by the Universities of Medical Sciences.

The production of Every country`s Medical journals is one of the sign of health development in it. The number of citations in international indexing is a sight of its important in distribution of health information. The rate of self-citations is more been seen. There، the aim of this study had been the comparison of Author self-Citation effect on Impact Factor in Iranian English medical journals in Web of Science (WoS) and Islamic World Science Citation Center (ISC).

By citation analysis، 12 journals in WoS and 26 in ISC were studied from 2006 to 2009. Impact Factors were extracted from JCR، and self-Citaions were obtained by looking of citations in every database and imported to spread sheets. Impact Factor without self-citation recalculated. Data analyzing tool was SPSS software 20 edition. Wilcoxon test was used for comparison of self-citation rates in common journals، and for uncommon journals Mann-whiteny test was used. For correlation test of Author self-citation with IF in WoS Pearson test was used. Because of skewed data in ISC، Spearman test was used. The comparison test of correlation between two databases was Covariance test.

There wasn’t any significant deference between Author self-citation rate in two databases (p>0. 05). In WoS، the correlation between Author self-citation and Impact Factor was near to meaning surface (p=0. 06، r=0. 69). The correlation was not meaning in ISC (p>0. 05، rsp =0. 06). There was significant deferent between the relations of Author self-citation and impact factor in two databases (p<0. 001).

The effect of Author self-citation in increasing of IF is more significant in WoS. Author self-citation must be decreased to show the really journal´s impact.

Co-Authorship is «the most expansion knowledge sharing network» and real intervention of researcher in science production and development. This research has studied co-authorship of Iranian researchers in the field of Toxicology in Science Citation Index (SCI) during 1991 – 2011.

The research was applied and scientometric instrument based on co-authorship indicators. Data gathering was done by referring to ISI (Institute for Scientific Information) databases. The search has been done for name of country and Toxicology field and 1160 documents were retrieved. Data analysis has been done by using Excel and Bib Excel programs.

The results showed that Iranians’ collaboration were in the three-authored papers. The highest percentage of collaboration were at 1997 and collaboration coefficient (CC) was 0. 75 and in the year the highest collaboration were in the documents with three and five authors. Totally، CC was calculated 0. 61 Too، Tehran University of Medical Sciences (341 documents)، Shahid Beheshti University of Medical Sciences (135 documents) and Ahwaz Jundishapur University of Medical Sciences (105documents) were the most prolific universities in the field، settled one – three ranking. In the international level Iranian researchers tended to collaborate with canadian (23documents)، UK (19 documents) and USA (19 documetns) researchers. As well as a most prolific writer Mohammad Abdullahi was 106 documents.

Considering the high tendency of Iranian researchers in the field of Toxicology in producing scientific documents with national and international researchers، it is necessary to pay more attention to the national and international collaborations.

today، paying attention to quality in servicing organizations has been universal. Many of servicing organizations including hospitals have started to take certificate of quality management system (ISO 9000). This study is aimed to present viewpoints and experiences of personnel in three hospitals holding certificate of quality management system

this study was done qualitatively by phenomenological method in 2012 on 30 personnel in different wards of Kerman hospitals including Hazrat-e Fatemeh، Beheshti and Kashani. Structured and semi-structured interviews and group discussion have been used to gather data. Interviews were recorded and hand-written then they were studied based on content analysis.

among 46 contents، four main contents of improvement، promotion، lack of commitment of top managers and lack of involvement of personnel were obtained. Despite positive viewpoints of personnel towards quality management system، they stated that performance of the system is inefficient in their hospitals due to lack of involvement of personnel specially doctors، lack of commitment of managers and lack of certificate in order to use it as a promotion.

establishment of quality management system in hospitals does not guarantee quality of their services. Successful establishment of the system depends on different factors such as training، commitment of top managers and involvement of all personnel particularly doctors.