Somayeh Fazaeli; Mehdi Yousefi; Mohsen Shokoohizadeh
Volume 24, Issue 11 , 2022
Abstract
Background: Information dashboards are useful tools for up-to-date decision-making by visualizing data.
Objectives: This study aimed to report the development of a dashboard in the emergency department (ED) during COVID-19 in a big hospital in Iran.Methods: The authors developed a dashboard by user-centered ...
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Background: Information dashboards are useful tools for up-to-date decision-making by visualizing data.
Objectives: This study aimed to report the development of a dashboard in the emergency department (ED) during COVID-19 in a big hospital in Iran.Methods: The authors developed a dashboard by user-centered design (UCD) methodology in four phases, namely specification of the context of use, specification of the requirements, creation of design solutions, and evaluation. Indicators were determined by reviewing previous studies and interviewing focus groups with an expert panel. The Power BI Desktop software was used for the development of the dashboard. Users' comments about the dashboard were collected. The dashboard was then developed and revised according to the users' feedback and suggestions. Finally, user satisfaction was evaluated.Results: The authors identified 30 indicators for COVID-19 ED, classified as input, output, and process indicators. The final version of the dashboard was implemented in 2021, and then 28 ED and managerial staff participated in the evaluation of the dashboard. The average score of the system usability scale of the dashboard was 84.10 points, and the situation awareness index was 3.97, which indicates "good" usability and situation awareness.Conclusion: This dashboard presented key managerial and clinical indicators for decision-making in ED. Future studies can be designed to develop dashboards for accidents and burns EDs and create emergency information dashboards for several hospitals for better management in times of crisis.
Somayeh Fazaeli; Mehdi Yousefi; Mohadeseh Sabethoseini Dokht
Volume 23, Issue 12 , 2021
Abstract
Background: The ongoing coronavirus disease 2019 (COVID-19) pandemic increased the need for inpatient beds, indicating the need for hospitals to increase the efficiency of beds.
Objectives: This study aimed to increase hospital bed capacity using the implementation of Electronic Patient Discharge (EPD).
Methods: ...
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Background: The ongoing coronavirus disease 2019 (COVID-19) pandemic increased the need for inpatient beds, indicating the need for hospitals to increase the efficiency of beds.
Objectives: This study aimed to increase hospital bed capacity using the implementation of Electronic Patient Discharge (EPD).
Methods: This qualitative-quantitative study was conducted in a tertiary care hospital using the pre-and post-intervention designs, and the main outcome was patient discharge time. By applying the Six Sigma model, including definition, measurement, analysis, improvement, and control, the patient discharge process was assessed and improved by some interventions such as EPD. All hospitalized patients with COVID-19 from 21 March 2020 to 22 July 2021 were examined for the post-intervention. In addition, data were collected from the hospital information system.
Results: By the use of EPD, patient discharge time decreased to 47.70% (from 10.19 h to 5.33 h) (P?<?0.000). According to the Sigma level, the yield and defects per million opportunities of the discharge process also increased to 55%.
Conclusion: Six Sigma methodology can be an effective change management tool to improve discharge time to cover the demand created during pandemics. According to the results of the present study and the obtained saved time, one bed is added to the hospital capacity for every five discharges.
Somayeh Fazaeli; Mehdi Yousefi; Jamshid Jamali; Zahra Ebrahimi; maliheh hemati esmaeili
Volume 23, Issue 5 , 2021
Abstract
Background: Nursing care activities in the context of infectious epidemics, such as COVID-19, can lead to high levels of stress in nurses.
Objectives: This study aimed to investigate the relationship between the occupational stress and adequacy of hospital support measures among nurses with the experience ...
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Background: Nursing care activities in the context of infectious epidemics, such as COVID-19, can lead to high levels of stress in nurses.
Objectives: This study aimed to investigate the relationship between the occupational stress and adequacy of hospital support measures among nurses with the experience of caring for patients with infectious and non-infectious diseases during the COVID-19 outbreak.
Methods: This descriptive-analytical and cross-sectional study was conducted on nurses caring for patients with COVID-19 in Imam Reza Hospital Complex in Mashhad, Iran. The sample size was determined at 194 nurses who were selected through random sampling. The data were collected using a standard questionnaire and analyzed through a structural equation modeling approach using Smart PLS software (version 2.0). Moreover, descriptive and inferential statistics were employed for data analysis.
Results: The results of the correlation analysis showed a negative and significant relationship between occupational stress and adequacy of hospital support measures (P<0.001). Furthermore, the mean occupational stress scores of the nurses with the experience of working in infectious and non-infectious diseases wards were 63.96 and 65.34, respectively. Additionally, there was no difference between the mean values of occupational stress of nurses with the experience of working in non-infectious and infectious diseases wards. Moreover, the effects of the control variables of the work shift (morning, evening, or night) and work experience (years) were not significant in this study.
Conclusion: The COVID-19 epidemic caused many nurses to work in new and sometimes stressful environments and conditions. Proper work shifts, improvement of interpersonal communication, and provision of ongoing supportive measures can be effective in reducing occupational stress.
