background and objectives: standard clinical documentation is an integral part of quality patient care. this study aimed to explore compliance of two iranian teaching hospitals with the clinical documentation standards.   methods: a total of 400 records were surveyed. data were collected using a checklist of standard measures. the checklist comprised 15 items selected from relevant guidelines...

an explanatory study was conducted to investigate the nursing care provided to patients with toxemia of pregnancy hospitalized in the medical sciences university hospitals gynecology wards in tehran.   a tot al of 65 patients with toxemia hospitalized in gynecologic wards in 14 hospitals supervised by tehran,   shahid beheshti and iran universities were selected.   the data were gathered upon r...

introduction: obeying patient rights is dependent upon the knowledge of healthcare providers about ethical and legal aspects of healthcare. this study aimed to determine the knowledge of physicians, nurses and medical record personnel about legal aspects of medical records in teaching hospitals affiliated to kashan university of medical sciences. methods: in this cross-sectional study, 325 heal...

introduction: personal health record is an individual–oriented system that is planned for people to access their health information that using other means of support such as knowledge databases to help people to have more active role in their health considering that physicians and nurses have a basic role in its completing, educating and using of this tools, this study was conducted to evaluate...

Clinical record integration and visualization is one of the most important abilities of modern health information systems (HIS). Its use on clinical encounters plays a relevant role in the efficacy and efficiency of healthcare. However, the amount of data currently being produced, stored and used in hospital settings is stressing information technology infrastructure; integrated HIS of central ...