Journal of Education and Health Promotion

Design, implementation, and evaluation of a CPOE system in a cancer care setting: A case study on the gastric cancer patients

. Mohammad Reza Afrash; . Shirin Kianersi; . Mohammadkarim Bahadori

Volume 13, Issue 2 , February 2023, , Pages 1-11

Abstract

BACKGROUND: Chemotherapy is a complex, multi‑disciplinary, and error‑prone process. Informationtechnology is being increasingly used in different health care settings with complex ... Read More BACKGROUND: Chemotherapy is a complex, multi‑disciplinary, and error‑prone process. Informationtechnology is being increasingly used in different health care settings with complex work proceduressuch as cancer care to enhance the quality and safety of care. In this study, we aimed to developa computerized physician order entry (CPOE) for chemotherapy prescribing in patients with gastriccancer and to evaluate the impact of CPOE on medication errors and order problems.MATERIALS AND METHODS: A multi‑disciplinary team consisting of a chemotherapy council groupand system design and implementation team was formed for chemotherapy process evaluation,requirement analysis, developing computer‑based protocols, and implementation of CPOE. A beforeand after study was conducted to evaluate the impact of CPOE on the chemotherapy process andmedication errors and problem orders. To evaluate the level of end‑user satisfaction, an ISO Norm9241/110 usability questionnaire was chosen for the evaluation.RESULTS: Before the implementation of the CPOE system, 37 medication errors (46.25%) and53 problem orders (66.25%) were recorded for 80 paper‑based chemotherapy prescriptions. Afterimplementation of the CPOE system, 7 (8.7%) medication errors and 6 (7.5%) problem orders wererecorded for 80 CPOE prescriptions. The implementation of CPOE reduced the medication error by37.55% and the problematic order by 58.75%. The results for usability evaluation indicate that theCPOE was within the first class of the ISONORM level rating; this shows that a CPOE is with veryhigh satisfaction and a very high functionality rate.CONCLUSION: Developing a CPOE system significantly improved safety and quality of thechemotherapy process in cancer care settings by reducing the medication error, deleting unnecessarysteps, improving communication and coordination between providers, and use of updatedevidence‑based medicine in direct chemotherapy orders. However, the CPOE system does notprevent all medication errors and may cause new errors. These errors can be human‑related factorsor associated with the design and implementation of the systems.

Developing the breast cancer risk prediction system using hybrid machine learning algorithms

. Mohammad R. Afrash; . Azadeh Bayani; . Mostafa Shanbehzadeh; . Mohammadkarim Bahadori; . Hadi Kazemi‑Arpanahi

Volume 12, Issue 7 , August 2022, , Pages 1-12

Abstract

BACKGROUND: Breast cancer (BC) is the most common cause of cancer‑related deaths in womenglobally. Currently, many machine learning (ML)‑based predictive models have been established ... Read More BACKGROUND: Breast cancer (BC) is the most common cause of cancer‑related deaths in womenglobally. Currently, many machine learning (ML)‑based predictive models have been established toassist clinicians in decision making for the prediction of BC. However, preventing risk factor formationeven with having healthy lifestyle behaviors or preventing disease at early stages can significantlylead to optimal population‑wide BC health. Thus, we aimed to develop a prediction model by using agenetic algorithm (GA) incorporating several ML algorithms for the prediction and early warning of BC.MATERIAL AND METHODS: The data of 3168 healthy individuals and 1742 patient case recordsin the BC Registry Database in Ayatollah Taleghani hospital, Abadan, Iran were analyzed. First, amodified hybrid GA was used to perform feature selection and optimization of selected features.Then, with the use of selected features, several ML algorithms were trained to predict BC. Afterward,the performance of each model was measured in terms of accuracy, precision, sensitivity, specificity,and receiver operating characteristic (ROC) curve metrics. Finally, a clinical decision support systembased on the best model was developed.RESULTS: After performing feature selection, age, consumption of dairy products, BC family history,breast biopsy, chest X‑ray, hormone therapy, alcohol consumption, being overweight, having children,and education statuses were selected as the most important features for prediction of BC. Theexperimental results showed that the decision tree yielded a superior performance than other MLmodels, with values of 99.3%, 99.5%, 98.26% for accuracy, specificity, and sensitivity, respectively.CONCLUSION: The developed predictive system can accurately identify persons who are at elevatedrisk for BC and can be used as an essential clinical screening tool for the early prevention of BC andserve as an important tool for developing preventive health strategies.

Impact of comorbidities on mortality in hospitalized patients with COVID‑19: An experience from Iran

. Firooz Toofan; . Seyed Mojtaba Hosseini; . Khalil Alimohammadzadeh; . Mehrnoosh Jafari; . Mohammadkarim Bahadori

Volume 11, Issue 11 , December 2021, , Pages 1-6

Abstract

BACKGROUND: COVID‑19 pandemic has spread all over the world. However, information regardingclinical characteristics and prognostic factors is scarce. The aim of this study was to ... Read More

Designing a model for patient relationship management in the general hospitals using the combination of analytic hierarchy process and interpretive structural modeling

. Mohammad Meskarpour-Amiri; . Mohammadkarim Bahadori; . Fatemeh Rahmati; . Ramin Ravangard; . Maryam Yaghoubi

Volume 11, Issue 8 , September 2021, , Pages 1-10

Abstract

BACKGROUND: Patient relationship management (PRM), in addition to saving costs, increasespatient loyalty and creates a satisfactory environment for the patient and the service provider. ... Read More

Health needs assessment of the residents of the informal settlements in South‑Eastern Iran: A case study of Bam city

. Naeimeh Poortaheri; . Khalil Alimohammadzadeh; . Seyed Mojtaba Hosseini; . Ali Maher; . Mohammadkarim Bahadori

Volume 11, Issue 5 , June 2021, , Pages 1-8

Abstract

BACKGROUND: Informal settlements are considered as one of the social problems in societies. Asthe residents do not have adequate access to basic services, including health services, ... Read More

A foresight study of factors affecting the health system research and technology

. Ahmadreza Izadi; . Mohammadkarim Bahadori; . Ehsan Teymourzadeh; . Maryam Yaghoubi; . Ramin Ravangard

Volume 9, Issue 11 , November 2019, , Pages 1-10

Abstract

CONTEXT: The success of the health system research and technology management in the 21st centurycan play an important role in advancing the country toward becoming a scientific power.AIMS: ... Read More

Needs assessment and research priorities in the oral and dental health with health promotion approach in Iran

. Esmail Rafie; . Mazyar Karamali; . Mohammadkarim Bahadori; . Mohsen Yazdanian; . Ramin Ravangard

Volume 9, Issue 5 , May 2019, , Pages 1-7

Abstract

BACKGROUND: Today, the scope of dental activities is a broad range from the needs assessmentfor epidemiological studies to the implementation of comprehensive programs for the prevention ... Read More

Challenges of Iranian national health scientific map

. Ahmadreza Izadi; . Mohammadkarim Bahadori; . Shahram Tofighi; . Ali Ebraze; . Maryam Yaghoubi; . Ehsan Teymourzadeh

Volume 9, Issue 2 , February 2019, , Pages 1-14

Abstract

CONTEXT: Iranian National Health Scientific Map is a national plan the implementation of whichremarkably influences the progress of the country, though it is facing challenges in its ... Read More

Innovation capability in medical sciences universities: A qualitative study of Iran

. Fatemeh Ghardashi; . Maryam Yaghoubi; . Mohammadkarim Bahadori; . Ehsan Teymourzadeh

Volume 9, Issue 1 , January 2019, , Pages 1-12

Abstract

BACKGROUND: Innovation is a competitive advantage, with its preservation and continuity dependenton the organizational innovation capability. This study was conducted with the aim of ... Read More

Factors affecting the overcrowding in outpatient healthcare

. Mohammadkarim Bahadori; . Ehsan Teymourzadeh; . Ramin Ravangard; . Mehdi Raadabadi

Volume 7, Issue 1 , March and April 2017, , Pages 1-10

Abstract

Background: The expansion of outpatient services and the desire to provide more outpatientcare than inpatient care create some problems such as the overcrowding in the outpatientclinics. ... Read More

The barriers to the application of the research findings from the nurses’ perspective: A case study in a teaching hospital

. Mohammadkarim Bahadori; . Mehdi Raadabadi; . Ramin Ravangard; . Behzad Mahaki

Volume 6, Issue 1 , 2016, , Pages 1-7

Abstract

Background: The application of the nursing research findings is one of the most importantindicators of development in the nursing profession, which leads to providing efficient andeffective ... Read More Background: The application of the nursing research findings is one of the most importantindicators of development in the nursing profession, which leads to providing efficient andeffective patient care and improving the quality of nursing care. According the result of somestudies, transferring the evidence‑based findings to the nurses’ practice and education inthe world has been slow and sometimes unsuccessful. This study aimed to investigate themost important barriers to the application of research findings from the nurses’ perspective.Materials and Methods: This cross‑sectional study conducted on a sample of 210 nursesin a teaching hospital in Tehran in 2013. The data were collected using a researcher‑madequestionnaire consisted of two parts, including items about nurses’ demographic characteristicsand 30 items to identify the most important barriers to the application of research findings fromthe studied nurses’ perspective. Results: “The lack of sufficient time for reading the studies,”“the lack of sufficient time to implement the new ideas,” “the lack of adequate facilities toimplement the ideas,” “nurses’ little interest in conducting studies,” and “the lack of authorityto change the methods and patterns of care” with, respectively, 85%, 84.6%, 83.8%, 83.4%,and 80.5% agreement with the existence of barriers were the most barriers to application ofresearch findings from the studied nurses’ perspective. Conclusion: The lack of time was themost important barrier to the use of research findings from the perspective of studied nurses.Therefore, some effective strategies should be used by hospital managers and health policymakers to overcome this barrier. Some of these strategies can be employing new personneland hiring skilled and efficient human resources in order to decrease the workload of nurses,organizing the nurses’ work shifts, providing right balance between patients and nurses in thewards, etc.

Study of relationship between the organizational structure and market orientation from the viewpoint of nurse managers

. Mohammadkarim Bahadori; . Maryam Yaghoubi; . Marzieh Javadi; . Zahreh Agha Rahimi

Volume 5, Issue 2 , March 2015, , Pages 1-4

Abstract

Background: Considering globalization of health care and quality improvement trend torespond to competition and customer orientation, attention to organizational structureand its relationship ... Read More Background: Considering globalization of health care and quality improvement trend torespond to competition and customer orientation, attention to organizational structureand its relationship with market orientation is essential. Therefore, this study reviews therelationship between organizational structure and market orientation in selected hospitalsof Isfahan (Iran). Materials and Methods: This study was a descriptive survey. The studypopulation comprised nurse managers from selected hospitals (n = 80). Data collection toolswere two questionnaires (market orientation questionnaire and organizational structure) thatthe validity and reliability were confirmed (r = 0.83 for market orientation questionnaire andr = 0.87 for organizational structure). SPSS (Ver. 16) software was used for the analyses.Results: The mean score of organizational structure was 65.4 (11.2) and total mean ofmarket orientation was 51.14 (17.6). All aspects of the organizational structure (OrganizationCentralization, Formalization in Organization, and Organization Complication) and marketorientation (responding to competition, accountability, customer satisfaction, intelligentorganization)—except by responding to clients with Formalization in Organization—as well asall aspects of the Systemic attitude (the system of internal coordination and communicationsystems_ and market orientation (responding to competition, accountability, customersatisfaction, intelligent organization), there was a meaningful relationship (P < 0.05).Conclusion: Market orientation and its dimensions have a significant relationship withorganizational structure and can lead managers’ view to the analysis and recognizing elementsof success and achievement to goals. With increasing competition in markets, globalizationof health services, and presence in international markets and more attention to patients’satisfaction, hospitals need to understand and use of market orientation in order to promotequality and services in the health care system.

The effects of an interventional program based on self‑care model on health‑related quality of life outcomes in hemodialysis patients

. Mohammadkarim Bahadori; . Fatemeh Ghavidel; . Shahla Mohammadzadeh; . Ramin Ravangard

Volume 4, Issue 5 , November 2014, , Pages 1-9

Abstract

Background: Hemodialysis patients have lower quality of life and one of the ways to improvetheir quality of life is providing self‑care education to them using some models including ... Read More

Assessing the service quality of Iran military hospitals: Joint Commission International standards and Analytic Hierarchy Process (AHP) technique

. Mohammadkarim Bahadori; . Ramin Ravangard; . Maryam Yaghoubi; . Khalil Alimohammadzadeh

Volume 4, Issue 4 , August 2014, , Pages 1-8

Abstract

Background: Military hospitals are responsible for preserving, restoring and improving the health ofnot only armed forces, but also other people. According to the military organizations ... Read More

Volume 13 (2023)

Volume 12 (2022)

Volume 11 (2021)

Volume 10 (2020)

Volume 9 (2019)

Volume 8 (2018)

Volume 7 (2017)

Volume 6 (2016)

Volume 5 (2015)

Volume 4 (2014)

Volume 3 (2013)

Volume 2 (2012)

Volume 1 (1900)

Author = . Mohammadkarim Bahadori

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