112 2008-1200 Iran University of Medical Sciences 1266 Methods Used for Evaluation of Health Information Systems in Iran Khajouei R b Salehi nejad S c Ahmadian L d b Medical Informatics Research Center, Institute of Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran c , Research Center for Health Services Management, Institute of Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran d Research Center for Social Determinants of Health, Institute of Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran 1 10 2013 16 53 7 21 14 02 2013 19 11 2013 Introduction: With the vast implementation of health information systems, continuous evaluation of these systems, seems to have a key role in the quality improvement of health care provided to patients. The aim of the study was to assess the studies conducted to evaluate health information systems in Iran. Methods: This was a review in which all papers relevant to the research objective were retrieved from SID,Magiran and Iran medex databases, from April 2001 to September 2012. There were 36 out of 727 articles retrieved and then selected as relevant for review by the authors. Results: Questionnaires were used to evaluate the systems in 50 percent of the studies. Questionnaires were distributed among study population in 42 percent of the studies. In 50 percent of the studies the information was collected by means of interviews, observations and the review of patients’ documents and records. With the exception of one study, all studies used quantitative methods and were summative. Conclusion: Evaluation tools and methods are required for developing and optimizing information systems. Although various evaluation studies have been conducted in Iran, only a limited number of evaluation tools and methods are used. 
1280 A Proposed Plan for Mapping Library Collection through GIS: a Case Study of The Central Library of Tehran University Pournaghi R Babalhavaeji F Garagozlo AR Hariri N 1 10 2013 16 53 22 35 11 03 2013 19 11 2013 Introduction: Considering the library users’ difficulty in searching and finding the location of the available sources in the library and their lack of familiarity with the ranking systems, the current study was conducted primarily to propose a model of mapping library collection through geographical information system (GIS), and, secondarily, to implement it in mapping library collection at the shelf level. Methods: The methodology of the study included a combination of descriptive-analytic and designing system methods. To collect the required data, descriptive-analytic method was used. In order to implement and feed the data, ArcGIS was utilized and for data analysis and presenting the results through the maps of the library floors, the designing system method was applied. The spatial database was designed by means of the sources and the building map of the central library of Tehran University as the case under investigation in the present study. Results: The results revealed that while searching for the source in the created spatial database, the location of the searched sources can be observed on the map of the library floors at the level of the floor, the section, and the shelf. Finally, the findings contributed to proposing a model of mapping library collection through GIS and codifying it based on the practical realities of several research centers. Conclusion: Applying this model would hopefully allow the users to precisely locate the library sources and, thereby, to save their time. Moreover, the users can find access to different forms of the sources located in different parts of the library. 1305 Evaluation of Hospital Efficiency by Data Envelopment Analysis: Tehran University of Medical Sciences: 2009-2011) Azar A i Valipour khatir M j Moghbel baerz A k Hasas yeganeh Y l i tarbiat modares university j tarbiat modares university k tarbiat modares university l Allameh Tabataba’i University 1 10 2013 16 53 36 46 21 04 2013 19 11 2013   Introduction : Investing in health systems development, its impact on increasing labor productivity and production, the allocation of resources, and performance evaluation of hospitals, as the main operational unit, is very important. The purpose of this study was to evaluate the efficiency of Tehran University of Medical Sciences hospitals (TUMS) by Data Envelopment Analysis (DEA).   Methods : This was an applied descriptive survey. In this study, relative efficiency of 22 hospitals were analyzed between 2009 and 2011. For this purpose, input-oriented DEA technique with the assumption of variable return to the scale was used. The necessary information was extracted from scientific documents, and the data related to input and output indices were collected from Vice Chancellor for Administration and Finance of TUMS. The collected data were then analyzed by DEA Solver.   Results: The averages of efficiency in hospitals, during the years 2009-2011, were 0.865, 0.859, and 0.870, respectively. 63 percent of hospitals had constant return to scale, 27 percent had decreasing return to scale and 10 percent of them had increasing return to scale. Therefore, 90 percent of hospitals did not have the capacity to develop beyond the status quo. The amount of input for achieving efficiency and saving resources were also determined in inefficient hospitals.   Conclusions: This research introduces a functional pattern to senior managers of the health sector, enabling them to have more accurate planning for capacity development and resource saving.    1360 A Comparative study of Two Methods of Holding ‘Research Seminar’ Course in the Master Program of Medical Records Education Ajami S m Ketabi S n m Isfahan University of Medical Sciences n University of Isfahan 1 10 2013 16 53 47 57 22 05 2013 19 11 2013    Introduction: One of the important elements in education is monitoring and evaluation of the courses to ensure that their contents are based on the real present and future needs of students. This study aimed to compare Old and New Methods of holding "Research Seminar" in the master program of medical records education. The results can determine the type of corrective actions required.   Methods: The population of this applied/educational study included students studying in “Medical Records Education” in both the first and the third periods of the Faculty of Medical Management and Information Sciences in Isfahan during 2009-2010. The data were gathered by means of forms and tables (the validity of which was approved by seeking the related expert opinions) as well as through brain storming in several sessions during six months of intervention. Data analysis was done based on ranking of content and teaching methods (before and after the intervention) and using the Expert Choice software and Analytical Hierarchy Process technique.   Results: According to the findings the New Method ranked higher compared with the Old Method with respect to both knowledge production and application for the students.   Conclusion: Training should be changed according to learner needs. As in today's living conditions, community needs are constantly changing it is recommended that universities and other educational centers regularly improve the content of their teaching courses. 1351 Knowledge Extraction of Diabetics' Data by Decision Tree Method Ameri H o Alizadeh S p Barzegari A o KNTU university p KNTU University Golestan University of Medical Sciences 1 10 2013 16 53 58 72 09 06 2013 19 11 2013 Introduction: In the last 10 years The incidence of diabetes has doubled worldwide with annual increasing rate of about 6%. More than 2 million people in Iran are now affected by this disease. The present research deals with the relation between the observed complications of type 2 diabetic patients and some related features like Blood Glucose Level, Blood Pressure, Age, and Family History. The main purpose was to predict the patients’ complications based on the observed signs. Methods: The research data were gathered from 856 patient records related to the 2009’s cases in the Diabetes Center of Golestan province. A new model based on the standard methodology CRISP was developed. In the modeling section, two well-known data mining techniques called C5.0 decision tree and Neural Network were used. Celementine 12.0 software was implemented For data analysis. Results: The results of data mining showed that the variables of high blood pressure, age, and family history had the most impact on the observed complications. Based on the created decision tree, some rules have been extracted which can be used as a pattern to predict the probability of occurring these complications in the patients. The accuracy of the C5.0 model on the data was shown to be 89.74% and on the Artificial Neural Network was 51.28%. Conclusion: As the highest accuracy was shown to be achieved using C5.0 algorithm, according to the created rules, it can be predicted which complication(s) any diabetic patient with new specified features may probably suffer from. 1371 Strategic Thinking Measurement among Staff Managers of Tehran University of Medical Science Moammai H Amini MT Dargahi H Mashayekh MR Janbozorgi M TUMS TUMS PNU 1 10 2013 16 53 73 84 03 07 2013 19 11 2013 Introduction: Strategic thinking plays a very important role in continuing survival and development in today's dynamic and changing environments. Strategic thinking is a tool that helps managers creates development plans and new opportunities. This study aimed to evaluate the compliance of strategic thinking with the elements of Goldman model including conceptual thinking, systematic thinking, clever opportunism, and providence. Methods: The statistical population of this descriptive correlation study consisted of 97 senior managers from Tehran University of Medical Sciences. The dominant thinking of the University was assessed based on Goldman’s model of strategic thinking (2005). A standard questionnaire was used for data collection SPSS 18 was used for the analysis of the data. Moreover, Cronbach alpha coefficient, one sample t-test, Frequency Table, and Column chart were used. Results: The results confirmed that all components of the model had been implemented in the organization in the following sequence: systematic thinking, conceptual thinking, providence, and clever opportunism. Conclusion: According to the findings, managers adhere to a good level of strategic thinking. Systematic thinking and clever opportunism had the highest and lowest applications, respectively. 1375 Assessment of Anesthesia-Surgury Risk Management at Hospitals of Isfahan University of Medical Sciences, Using ECRI Institute Standards in 2011 Mousavi A Asefzadeh S Raeisi AR Qazvin University of Medical Sciences Research Center for Social Determinants of Health, Qazvin University of Medical Sciences Educational Planning, Health Management, and Economic Research Center (HMERC), Isfahan University of Medical Sciences 1 10 2013 16 53 85 98 04 07 2013 19 11 2013   Introduction: Up to the present, the most complaints are about medical malpractice in anesthesia - surgury wards. To identify defects and promot patient safety, an efficient and effective system of risk management is necessary. The aim of this study is to determine anesthesia- surgury risk management and root cause analysis of events in Isfahan University of Medical Sciences hospitals. Methods: A standard structured checklist that has been developed by ECRI institute was applied. The checklists were filled onsite through direct observation and interviews with anesthesia and surgical personnel in 46 operating rooms at 4 hospitals. Data were analyzed by SPSS, Excel and Minitab software. Root causes of events were plotted using Fish Bone diagram.   Results: Total means score of anesthesia- surgery risk management status was 2.13 on the scale of 3 which is at the intermediate level . There was a significant difference between the four hospitals. These hospitals only met 45% of the predetermined standards. The highest compliance with standards (69%) was for "Anesthesia and surgical equipment" while the lowest with 11% was for "Training in risk management".   Conclusion: The results of this study developed a list of factors leading to risks and errors in anesthesia - surgical wards. The results can be used in benchmarking hospitals and performing educational and managerial interventions. Also, these results can lead to the development of a clinical guideline that could be mandated by by policymakers to reach the final goal of health care systems, i.e. promotion of patient safety and provision of consumer satisfaction. 1379 Medical Image Retrieval in the Web from the Perspective of Experts in Medical Sciences: A qualitative study Kiani M Mansourian Y Kharazmi University Kharazmi University 1 10 2013 16 53 99 108 09 07 2013 19 11 2013 Introduction: The medical image as a source of non-textual information has an important role in the field of medicine. Since the quality of life is directly related to health, employing this type of information is effective in improving the practice of health professionals. This study was aimed to survey medical image retrieval in the Web from the perspective of experts in medical sciences. Methods: This qualitative research study was conducted by means of a semi-structured interview with 25 medical experts. The data were analyzed on the basis of the grounded theory approach. Results: According to experts’ opinion the following reasons were responsible for the retrieval of medical images on the Web: educational, research, and medical applications of images, instrumental and training role of images, benefits, importance and special characteristics of medical images, and motives such as personal, educational and research interests. Participants of this study used non-technical search engines and technical resources such as medical databases to retrieve these images on the Web. Their methods of recovery consist of browsing, accidental retrieval, purposeless and purposeful search, and diverse search. Experts have mentioned individual, organizational, systemic and technical issues as the most important problems in the area of medical image retrieval. Conclusion: The results showed that image retrieval is important for the experts. Despite numerous difficulties in retrieving images, the image is still the best type of information in the medical profession. To improve physicians’ access to and retrieval of medical images, it is recommended to hold training courses for search strategies and retrieval of images.