طراحی و استانداردسازی چک‌لیست ارزیابی بیمارستان هوشمند

نوع مقاله : مقاله های پژوهشی

نویسندگان

1 استادیار، گروه مدیریت خدمات بهداشتی و درمانی، داﻧﺸﻜﺪه‌ی بهداشت، دانشگاه علوم پزشکی البرز، کرج، ایران

2 دانشجوی کارشناسی ارشد، گروه مدیریت خدمات بهداشتی و درمانی، داﻧﺸﻜﺪه‌ی بهداشت، دانشگاه علوم پزشکی قزوین، قزوین، ایران

3 استاد، گروه آمار و اپیدمیولوژی، دانشکده‌ی بهداشت، دانشگاه علوم پزشکی البرز، کرج، ایران

4 دانشیار، گروه مدیریت خدمات بهداشتی و درمانی، داﻧﺸﻜﺪه‌ی بهداشت، دانشگاه علوم پزشکی البرز، کرج، ایران

چکیده

مقاله پژوهشی




مقدمه: بیمارستان هوشمند با ایجاد ارتباط میان خدمت‌دهنده، خدمت‌گیرنده و تجهیزات سعی در کاهش هزینه‌ها و افزایش سرعت و دقت در خدمت‌رسانی دارد. در حال حاضر ابزار ارزیابی میزان هوشمندی بیمارستان‌ها وجود ندارد، بنابراین این مطالعه با هدف ارائه‌ی چک‌لیست مربوطه به انجام رسید.
روش‌ها: این مطالعه‌ی مقطعی در سال 1401-1400 در دانشگاه علوم پزشکی البرز انجام پذیرفت. ابتدا حوزه‌های اصلی و سنجه‌های بیمارستان هوشمند گردآوری شده و روایی محتوای چک‌لیست ضمن مشارکت ۱۴ نفر از خبرگان با نمرات (Content Validity Index) CVI و (Content Validity Ratio) CVR بررسی و وضعیت روایی صوری و ملاکی نیز ارزیابی شد. همچنین پایایی چک‌لیست با ضریب آلفای کرونباخ بررسی گردید.
یافته‌ها: روایی محتوای هشت حوزه و 138 سنجه شامل: ساختمان بیمارستان (32)، واحدهای بیمارستان (37)، فرایندهای ایمنی (17)، فرایندهای بالینی (6)، سامانه‌های مدیریتی (6)، فرایندهای مراجعین (4)، مدیریت سبز (21) و فناوری اطلاعات (15) به تأیید رسید. همچنین روایی صوری با نظر اعضای خبرگان و روایی ملاکی با مشاهده نتایج مورد انتظار و وضعیت پایایی با ضریب آلفای کرونباخ (0/82) مورد تأیید قرار گرفت.
نتیجه‌گیری: در قیاس با دیگر ابزارهای موجود، حوزه‌ها و سنجه‌های معرفی شده در این مطالعه از جامعیت و دقت بالاتری برخوردار بوده و مختص ساختار بیمارستان می‌باشد و برای سنجش وضعیت هوشمندی بیمارستان‌ها قابل استفاده است.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Design and Standardization of Smart Hospital Evaluation Checklist

نویسندگان [English]

  • Seyed Hadi Hosseini 1
  • Yasaman Poormoosa Poostin Saraee 2
  • Abbas Moghimbeigi 3
  • Behrooz Pouragha 4
1 Assistant Professor, Department of Healthcare Services Management, School of Health, Alborz University of Medical Sciences, Karaj, Iran
2 MSc Student, Department of Healthcare Services Management, School of Health, Qazvin University of Medical Sciences, Qazvin, Iran
3 Professor, Department of Epidemiology and Biostatistics, School of Health, Alborz University of Medical Sciences, Karaj, Iran
4 Associate Professor, Department of Healthcare Services Management, School of Health, Alborz University of Medical Sciences, Karaj, Iran
چکیده [English]

Background: Smart hospitals try to reduce costs and increase the speed and accuracy by creating connection among service provider, care giver and equipment. Due to the lack of related tools for evaluating the level of smartness in hospitals, we presented this checklist.
Methods: This cross-sectional study was conducted at Alborz University of Medical Sciences from 2022 to 2023. Initially, the main domains and parameters of smart hospitals were collected and the content validity was determined by 14 experts- recording CVI and CVR scores. Then face validity and criterion validity were also examined. Also, the reliability was assessed with Cronbach's alpha coefficient.
Findings: Content validity of eight domains and 138 questions including: hospital building (32), hospital units (37), safety processes (17), clinical processes (6), management systems (6), patient processes (4), green management (21 indicators) and information technology (with 15) were approved. Also, face validity was approved by experts, criterion validity was obtained by expected results and reliability with Cronbach's alpha coefficient (0.82).
Conclusion: Compared to existing tools, the domains and questions presented in this study are more comprehensive and accurate and specific to the hospital's structure which is recommended for assessing the level of smartness in hospitals.

کلیدواژه‌ها [English]

  • Checklist
  • Hospitals
  • Reliability
  • Smart materials
  • Validation study
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