Payavard Salamat
Year:2018 | Volume:12 | Issue:2 |Papers Count:12

Background and Aim: Loafing as one of the negative points of group activity in difficult jobs like medical emergency has two disadvantages. Regarding the importance of organizational injustice in creating frustration and individual procrastination, the present study was conducted to investigate the effect of perceived organizational justice on creating or intensifying the phenomenon of social loafing in emergency medical service of Yazd.Materials and Methods: This is an analytical study and the research community included all nurses working in medical emergency service of Yazd in the second half of the year 2016. Data were collected through a census, and tools used in this study consisted of two questionnaires of perceived organizational justice and social loafing. To measure the reliability of the questionnaires, Cronbach's alpha was used and was at an authentic level with the values of 0.862 and 0.913. Also, the content validity of the questionnaires was evaluated. Finally, the data were analyzed by using Spearman correlation coefficient, student’s t-test and partial least squares method in SmartPLS software.Results: Based on the results of the study, distributive justice, interactional justice and information justice have a significant inverse correlation with loafing with values of -0.169, -0.241 and -0.490; and overall, the status of loafing was an undesirable inference in this study with a significant amount 0.043 and average of 2.171.Conclusion: The managers of organizations can play a major role in reducing social loafing by redefining the concept of justice and ways of its realization, especially in the field of interactional justice.

Background and Aim: The quality of healthcare services is determinant in patients ‘improvement process, upgrading their satisfaction, ranking healthcare centers, and preventing patients’ repeated referrals leading to more costs for healthcare centers and insurance companies. The purpose of this study was to evaluate the quality of services -from the perspective of patients - given by the laboratories having contract with Iran Health Insurance Organization (IHIO).Materials and Methods: In this cross-sectional study, the opinions of 302 patients having referred to the laboratories in contract with IHIO in Tehran were surveyed with a researcher-developed questionnaire. Descriptive and inferential statistical tests were used to analyze and report the results.Results: The sample included 43.5% males and 56.5% females. Most of the participants were married (71.3%). Based on the results, the patients' perception of the quality of laboratory services was 78%. Their expectation of services was 85%. The gap between perception and expectation of clients in all dimensions was statistically significant (p<0.001).Conclusion: The gap between clients’ perception and expectation in all dimensions suggests that there is some room for improving the quality of laboratory services.The results of this assessment can surely affect the way IHIO treats with laboratories in terms of extending contracts and strategic purchase of services from these centers.In addition, patients' opinions will be important in improving the quality of services.

Background and Aim: The emergence of Web interactive technologies has enabled interactive social networking services. The purpose of this research is to choose a model and present an architectural design for the social network of health at Shariati Hospital in Tehran.Materials and Methods: At first, valid enterprise architecture frameworks were reviewed. Then, dimensions of the architecture frameworks needed for the social network of health were reviewed and six dimensions including of input, output, goals, views, abstraction, and system life cycle were selected. Architecture frameworks were prioritized on the basis of these six dimensions and the Zachman framework was selected. The extracted elements for these dimensions were evaluated by using a researcher-made questionnaire and experts’ opinion in the t-test. The questionnaire was distributed among 40 health-care information technology experts. After analyzing and verifying the dimensions and sub-indicators of each dimension, probable risks for the implementation of the health social network were identified based on interviews with experts and were approved by a panel of five experts.Results: The Zachman framework was selected based on six dimensions as a suitable framework and potential implementation risks were identified.Conclusion: The results showed that the proposed architecture model could be the basis for the implementation of this network in the country. Attention to extracted risks can minimize the failure of the implementation of the health social network.

Background and Aim: The review of scientific products in reputable international databases is a guideline for policy-making and planning, in addition to determining the present status and shortcomings. The aim of this study is to investigate the scientific products of the research centers affiliated to Tehran University of Medical Sciences (TUMS) and Isfahan University of Medical Sciences (MUI) indexed in Scopus during 2009-2013.Materials and Methods: This is a descriptive, cross-sectional study with a functional approach. All articles of research centers of TUMS (5880 articles) and MUI (2154 articles) from 2009 to 2013 were retrieved from Scopus and analyzed.To compare the means, t-test was used. Moreover, the data were analyzed by SPSS and Excel softwares.Results: The scientific products of both universities’ research centers in Scopus index have grown in the years under review. Most of the papers were from Tehran Endocrinology and Metabolism and Isfahan Cardiovascular Research Centers, and most of the products belonged to the subject areas of the endocrinology and metabolism, pharmaceutical sciences and cardiovascular science. No significant difference was found between the scientific products of the centers of the two universities.Conclusion: The growth of scientific production of these research centers indicates the importance of scientific products in line with sustainable development in Iran.Presenting the findings of similar studies can be effective in motivating researchers and supporting research by institutions.

Background and Aim: The quality of Electronic Health Records (EHRs) depends on the quality of its content and proper documentation. Determining the Minimum Data Set (MDS) to enhance the quality of electronic health records’ content and helping to improve the quality of health care provision to uveitis patients are essential matters. The aim of this study is to determine the essential MDS for uveitis patients’ electronic health records.Materials and Methods: In this descriptive-analytical study, data collection tools for collecting the Minimum Data Set were library resources and internet-based database. The MDS was obtained through Likert scale questionnaire and was surveyed by 22 ophthalmologists and retina subspecialists.Results: Among the elements of the survey, all cases with over 90% approval were considered as main elements. Regarding the importance of presented data elements, no significant difference was found between the responses of ophthalmologists who participated in this study.Conclusion: The Minimum Data Set of uveitis patients’ electronic health records can be represented by five groups of demographic information: patients’ clinical records, laboratory information, type of uveitis, treatment guidelines, and the information of ophthalmic pictures. A suggested model for manual systems and electronic medical records is available.

Background and Aim: Providing safe healthcare services by medical groups, especially nurses, is a legal and human duty. Planning to prevent errors is of great importance, and the first step in this regard is to identify different types of errors and methods of error management. For this purpose, this study was conducted to examine the procedural and function errors of nurses working in Yasuj Shahid Beheshti Hospital.Material and Methods: This study is a descriptive, cross-sectional research. The sampling method was complete enumeration and the target population included all nurses working at Yasuj Shahid Beheshti Hospital. The data collection tool was a researcher-made questionnaire. The validity and reliability (0.81) of the questionnaire were confirmed. The data were analyzed using SPSS software version 19.Results: According to the findings of this study, 79.5% of nurses have procedural error. The most frequent error was the one made in the use of medical equipment in the ward (203 cases). Among the methods of error management, reporting and consulting with colleagues had the highest frequency (151 cases) and reporting to the patient had the lowest (8 cases).Conclusion: The results showed that procedural and function errors by nurses were high and that nursing managers should organize training courses to identify and deal with nursing errors.

Background and Aim: In the field of scientometrics, little attention has been paid to stem cells. Therefore, the purpose of this study is to draw a Scientific Map of stem cells area (co-word analysis) based on the papers indexed in Web of Science database in selected countries during the years 2011-2013.Materials and Methods: This study is based on descriptive method, and it was conducted by scientometrics and co-word analysis technique. In this study, 34, 142 articles were analyzed from Web of Science database. The search system of Web of Science is a tool for collecting data. Data analysis was done using Web of Science analysis system and Cite Space software.Results: Most productions in stem cells are in English and belong to America.Stem cell, cell differentiation, in vitro, gene expression, mesenchymal stem cells, embryonic stem cells and transplantation are the most frequently used words and hot topics in this field.Conclusion: The growing trend in this area has caused different subject fields to enter stem cells areas. Considering the high frequency of embryonic stem cells in the field, it can be said that different diseases such as spinal cord problems and heart diseases can be treated using these cells.

Background and Aim: Since safety, performance and outcome indicators can improve the quality of care, patient safety indicators are required to monitor and provide safety in care. The aim of this study was to compile a set of patient safety indicators for monitoring in patient safety dashboard.Materials and Methods: A set of patient safety indicators was collected by reviewing such indicators presented in Australia, England and OECD, ESQH, and AHRQ organizations. Then, the indicators were validated during Delphi process in two stages by the staff of patient safety and quality improvement unit of governmental hospitals and patient safety experts at Tehran University of Medical Sciences treatment deputy office. Data analysis was performed by SPSS version 13 and descriptive statistics.Results: The present study was conducted on 62 patient safety indicators and eight main categories were classified as follows: safe hospital indicators, childbirth indicators, surgery-related indicators, mortality indicators, infection-control indicators, drug and prescription error indicators, falling indicator, and other special indicators.Conclusion: Considering the identification of patient safety indicators in different dimensions, measuring the importance of these indicators and using them in the form of dashboard software in health centers will have a significant role in improving patient safety and the quality of health care.