Use Of Electronic Medical Record Research Articles

Readiness of Medical Recording and Health Information Education Institutions in the Digital Transformation Era of UTAUT Based

Based on the results of the 2022 PERSI survey, Electronic Medical Records (EMR) ownership is not yet optimal. Permenkes Number 24 of 2022 concerning Medical Records, one of which mandates that EMR be mandatory in all hospitals in Indonesia. The Ministry of Health has a target in December 2023 to have completed the integration of One Health in all hospitals in Indonesia. Hospitals throughout Indonesia must race in the development of EMR according to the target of the Indonesian Ministry of Health. The aim to assist government programs by increasing knowledge of medical records and health information officers (PMIK) regarding the challenges and strategies of health education institutions in preparing graduates in the era of digital transformation of UTAUT-based health information. The method used is through an online national seminar with several speakers and attended by ≥ 570 participants. The results are achievement of increasing the enthusiasm of participants in increasing their knowledge with indicators of success obtaining post-test scores that are dominated by correct answers, interactive question, and answer discussions. The conclusion seminar activity can help government programs in increasing digital acceleration in Health Facilities, this can be continued in further research programs on evaluating the use of EMR.

Students’ perception of incorporating an electronic medical record in simulation

BackgroundUtilizing an electronic medical record (EMR) is a necessary competency that nursing students must possess. However, schools of nursing underutilize EMR in nursing curricula due to financial barriers of purchasing a system. PurposeThis quality improvement project aimed to collaborate with a medical center to create a fully functioning playground version of EMR at no cost to the students and evaluate student perception on the use of EMR during simulation education. MethodFaculty were trained on how to use the EMR system for simulation. Undergraduate nursing students (n=105) were surveyed at the end of the semester regarding their perception of the EMR experience and barriers faced. ResultsStudents were in favor of using an EMR in simulation to improve patient safety, enhance realism of the experience, and it was relatable to clinical practice. ConclusionThe findings of this quality improvement project support the use of EMR in simulation.

Development of an electronic medical records project for Al-Razi hospital in Palestine.

Electronic medical records (EMR) are considered an important aspect to improve medical services provided to patients. The purpose of this study was to assess the development of an Electronic Medical Records Project for Al-Razi hospital in Palestine. The study was mixed method, qualitative and quantitative. The use of a questionnaire for the staff in the Al-Razi hospital and seven administrators' participants were meat as focus group. Approximately 136 participants in the study. The study findings reported that employees perceived the use of EMRs to have several benefits. The most common benefits include promoting patient safety culture and drug error reduction. In addition, the study findings reported that employees perceived the use of EMRs to have several challenges. The most common challenges include lack of knowledge and skill, insufficient time to use EMR, and limited of computers. Health informatics brings various benefits to the healthcare system. Some participants believed that the EMR system would improve patient care and it will improve patient satisfaction.

Primary Care Physicians’ Preferences Regarding Communication from Orthopaedic Providers

Category: Other Introduction/Purpose: Musculoskeletal consultations constitute a growing portion of primary care physician (PCP) referrals. Optimization of communication between PCPs and orthopaedists can potentially reduce the time PCPs spend in the electronic medical record (EMR). This, in turn, may help reduce burnout. However, little is known about the preferences of PCPs regarding communication from orthopaedic specialists. The current study therefore investigated the preferences of PCPs across a large health network regarding communication from orthopaedists. Methods: One hundred and seventy-five PCPs across 15 practices within our health network were surveyed. These providers universally used the Epic Systems EMR. PCPs were asked to report their years in practice, panel size, typical number of electronic clinical messages received each day, time spent in the EMR after normal clinical hours, and burnout level. Likert scales and top-box scores were used to assess the PCPs’ perceived importance of communication from orthopedists in specific clinical scenarios. PCPs were further asked to report their preferred method of communication in each scenario and overall interest in communication from orthopaedists. Regression analyses were performed to determine if any PCP characteristics are associated with communication preferences and overall PCP interest in communication from orthopaedists. Results: A total of 107 (61%) PCPs completed the survey. PCPs most commonly rated communication from orthopaedists as highly important when the orthopaedist needed information from the PCP. In this scenario, PCPs preferred to receive an Epic Staff Message. Other scenarios rated as important included: the decision for surgery, hospitalization, and a major clinical change. In these scenarios, a CC’d Chart rather than Staff Message was preferred. Increased EMR use after-hours was associated with diminished odds of having high interest in communication from orthopaedists (odds ratio=0.65, 95% confidence interval: 0.48-0.88, P=0.005). Ninety-three PCPs (86.9%) reported spending at least 1 hour a day in Epic after normal clinical hours. Twenty-seven (25.2%) spent more than 3 hours. Forty-six PCPs (42.9%) reported experiencing at least one symptom of burnout. Conclusion: In the current study, there were distinct preferences among PCPs regarding clinical communication from orthopaedic surgeons. In addition, there was evidence of substantial burnout and after-hours work effort by PCPs. Our results may be helpful in optimizing communication between PCPs and orthopaedists, while also reducing time spent in the EMR by PCPs.

Benefits and challenges of adopting Electronic Medical Records in Nigerian Federal Capital Territory Hospitals-lessons learned

Electronic Medical Records (EMR) is a digital version of paper-based medical records designed to enhance patient outcomes. EMR in the healthcare system is fundamental to the continuity of patient care and the improvement of quality services. However, the lack of adequate and sustainable funding for health system utilization remains a significant challenge to the successful adoption of EMR. This study aims to identify the benefits and challenges associated with the adoption of Electronic Medical Records in the Federal Capital Territory (FCT) Hospitals in Abuja, Nigeria. A qualitative research method was employed to examine the benefits and challenges of adopting EMR in FCT hospitals. Questionnaires were administered to 310 participants, and collected data were analyzed using a thematic approach. The implementation of Electronic Medical Records (EMR) in FCT hospitals led to better healthcare services such as prompt tracking of patients’ records, and reduced costs associated with repetitive medical tests arising from the loss of patient files. Despite these benefits, a lack of sustainable funding and inadequate infrastructure technology were identified as major obstacles to the successful adoption of EMR in FCT hospitals. To ensure the continued use of EMR in FCT hospitals, it is essential to maintain efficient governance and regulation alongside upgrading the hospitals’ Information Communication Technology (ICT) infrastructures.

Exploring maturity of electronic medical record use among allied health professionals.

Electronic medical records (EMRs) have the potential to improve and streamline the quality and safety of patient care. Harnessing the full benefits of EMR implementation depends on the utilisation of advanced features, defined as "mature usage." At present, little is known about the maturity of EMR usage by allied health professionals (AHPs). To examine current maturity of EMR use by AHPs and explore perceived barriers to mature EMR utilisation and optimisation. AHPs were recruited from three health services. Participants completed a 27-question electronic questionnaire based on the EMR Adoption Framework, which measures clinician EMR utilisation (0 = paper chart, 5 = theoretical maximum) across 10 EMR feature categories. Interviews were conducted with both clinicians and managers to explore the nature of current EMR utilisation and perceived facilitators and barriers to mature usage. Questionnaire responses were obtained from 192 AHPs. The majority of questions (74%) showed a mean score of <3, indicating a lack of mature EMR use. Pockets of mature usage were identified in the categories of health information, referrals and administration processes. Interviews with 18 clinicians and managers revealed barriers to optimisation across three themes: (1) limited understanding of EMR opportunities; (2) complexity of the EMR change process and (3) end-user and environmental factors. Mature usage across EMR feature categories of the EMR Adoption Framework was low. However, questionnaire and qualitative interview data suggested pockets of mature utilisation. Achieving mature allied health EMR use will require strategies implemented at the clinician, EMR support, and service levels.

User Perceptions of Academic and Clinical Electronic Medical Records in an Undergraduate Nursing Program

Background: Electronic Medical Records (EMRs) are a widely used technology within health care. Nursing students require preparation during undergraduate education for the use of EMR. Nursing educators in universities also need to be proficient with EMR. This study reports the experiences and attitudes of nursing students and nurse educators using a simulated Academic Electronic Medical Record (AEMR) system within a nursing degree. Aim: To determine nursing student and nursing educator experience with and attitudes towards EMR and AEMR. Methods: Nursing students across three years of a Bachelor of Nursing program and nurse educators teaching with an AEMR system completed an online survey. Results: Findings from participating nursing students (n=103) revealed a favourable view of the learning and clinical relevance of AEMR (87.5%). Less than half (45.5%) of the surveyed students had been exposed to EMR whilst on clinical placements. In contrast most of the students (38.8%) who had been employed in a health care setting within the previous five years had used an EMR. Nurse educator responses (n=7) showed that most (n=5) had experience with EMR and viewed AEMR as important for student learning, with fewer (n=3) regarding it as an easy system to use. Conclusion: The survey revealed that both students and educators were satisfied with AEMR - and that AEMR use was acceptable for use in the University setting. However, the survey shows student exposure to EMR on placement is low. AEMR applications have the potential to bridge the gap in student experience however adequate support and training for academic staff in the use of AEMR is required.

Identifying contributors to disparities in patient access of online medical records: examining the role of clinician encouragement.

The aim of this study was to understand the influence of clinician encouragement and sociodemographic factors on whether patients access online electronic medical records (EMR). We analyzed 3279 responses from the Health Information National Trends Survey 5 cycle 4 survey, a cross-sectional, nationally representative survey administered by the National Cancer Institute. Frequencies and weighted proportions were calculated to compare clinical encouragement and access to their online EMR. Using multivariate logistic regression, we identified factors associated with online EMR use and clinician encouragement. In 2020, an estimated 42% of US adults accessed their online EMR and 51% were encouraged by clinicians to access their online EMR. In multivariate regression, respondents who accessed EMR were more likely to have received clinician encouragement (odds ratio [OR], 10.3; 95% confidence interval [CI], 7.7-14.0), college education or higher (OR, 1.9; 95% CI, 1.4-2.7), history of cancer (OR, 1.5; 95% CI, 1.0-2.3), and history of chronic disease (OR, 2.3; 95% CI, 1.7-3.2). Male and Hispanic respondents were less likely to have accessed EMR than female and non-Hispanic White respondents (OR, 0.6; 95% CI, 0.5-0.8, and OR, 0.5; 95% CI, 0.3-0.8, respectively). Respondents receiving encouragement from clinicians were more likely to be female (OR, 1.7; 95% CI, 1.3-2.3), have college education (OR, 1.5; 95% CI, 1.1-2.0), history of cancer (OR, 1.8; 95% CI, 1.3-2.5), and greater income levels (OR, 1.8-3.6). Clinician encouragement of patient EMR use is strongly associated with patients accessing EMR, and there are disparities in who receives clinician encouragement related to education, income, sex, and ethnicity. Clinicians have an important role to ensure that all patients benefit from online EMR use.

Experience of introducing electronic health records station in an objective structured clinical examination to evaluate medical students' communication skills in Canada: a descriptive study.

There is limited literature related to the assessment of electronic medical record (EMR)-related competencies. To address this gap, this study aims to explore the feasibility of EMR objective structured clinical examination (OSCE) station to evaluate the medical students' communication skills by psychometric study and standardized patients' (SPs) perspectives on EMR use in OSCE. An OSCE station that incorporated the use of an EMR was developed and pilot-tested in March 2022. Students' communication skills were assessed by SPs and physician examiners. Student's score in EMR station was compared with that of other 9 stations. Psychometric analysis, including item total correlation was done. SPs participated in a post-OSCE focus group to discuss their perception of EMRs' effect on communication. Ninety-nine 3rd year medical students participated in a 10-station OSCE that included the use of the EMR station. The EMR station had an acceptable item total correlation (0.217). Students who leveraged graphical displays in counseling received higher OSCE station scores from the SPs (P -value). Thematic analysis of the SP perception of students' EMR use from the focus group revealed the following domains of themes: technology, communication, case design, ownership of health information, and timing of EMR usage. This study demonstrated the feasibility of incorporating EMR in assessing learner communication skills in an OSCE. The EMR station had acceptable psychometric characteristics. Some medical students were able to efficiently use the EMRs as an aide in patient counseling. Teaching students how to be patient-centred even in the presence of technology may help with engagement.

National survey of user-reported usability of electronic medical record software in ophthalmology in Germany.

A nationwide, comparative survey of the physician-reported usability of electronic medical record (EMR) software used by ophthalmologists in Germany using the System Usability Scale (SUS) as a standardized metric. A cross-sectional survey of members of the German Ophthalmological Society (DOG) and professional association of ophthalmologists (BVA) was conducted in May 2022. All 7788 physician members of both societies were invited to participate in an anonymous online-survey by individualized links. User-reported usability of the participants main software used for electronic medical recordkeeping was assessed using the SUS (range 0-100). A total of 881 participants with 51 different EMRs completed the entire questionnaire. Mean EMR-SUS score was 65.7 (SD ± 23.5). Significant differences in mean SUS of several EMR programs were observed with a range of 31.5 to 87.2 in programs with 10 or more responses. 31.8% of all main program SUS ratings were below 50 points. Female gender was associated with 4.02 higher SUS score (95% CI 0.46-7.59). Main program SUS was positively correlated with overall work-related satisfaction and work environment SUS but negatively correlated with the number of programs in the work environment. The SUS of the entire digital work environment including all programs used daily was closely correlated with the main EMR SUS, but not the number of programs used. Our survey revealed a fragmented pattern of EMR use by ophthalmologists in Germany with many competing software products and widely diverging mean System Usability Scale scores. A considerable share of ophthalmologists report EMR usability below what is commonly considered acceptable.

Student Access to Electronic Medical Records: Missing an Opportunity to Prepare Our Workforce.

The use of an electronic medical record (EMR) during a student's clinical placement is intricately linked with student learning and skill development necessary to become a competent healthcare professional. However, significant variation currently exists in student EMR access and use within healthcare. In this study, we bring to light evidence of this variability amongst medical, nursing, pharmacy, and allied health student placements, both in policy and in practice. We found some health districts lack student policies on EMR use, as well as prohibiting important tasks including record writing capabilities. There was also variation in exposure to EMR training. In order to provide healthcare students with optimal education that includes technological competency, we identify a need for changes to both policies and practices.

Ghosts in the machine

The time physicians spend on the electronic health record (EHR) is difficult to quantify. Data generated by the EHR itself, usually measured in time intervals between clicks, is often significantly less than physicians' own estimates. In their excellent study, Ho et al 1 Ho V.T. Sgroi M.D. Chandra V. Asch S.M. Chen J.H. Lee J.T. Utilizing remote access for electronic medical records reduces overall EMR time for vascular surgery residents. J Vasc Surg. 2023; 77: 1797-1802 Google Scholar attempt a more scientific method to quantify this burden. Still, their calculations omit work done after hours and on weekends, so the true measure remains elusive. Other than its vendors, few doubt the cost the EHR has had on the administrative burdens facing modern doctors. In a recent survey 2 Coleman D.M. Money S.R. Meltzer A.J. Wohlauer M. Drudi L.M. Freischlag J.A. et al. Vascular surgeon wellness and burnout: a report from the SVS wellness task force. J Vasc Surg. 2021; 73: 1841-1850 Abstract Full Text Full Text PDF PubMed Scopus (22) Google Scholar performed by the Society for Vascular Surgery of its members, vascular surgeons reported spending an additional 5.0 ± 6.1 hours on the EHR at home each week. Additionally, the burden posed by the EHR was significantly associated with burnout. Utilizing remote access for electronic medical records reduces overall electronic medical record time for vascular surgery residentsJournal of Vascular SurgeryVol. 77Issue 6PreviewSurvey data suggests that surgical residents spend 20% to 30% of training time using the electronic medical record (EMR), raising concerns about burnout and insufficient operative experience. We characterize trainee EMR activity in the vascular surgery service of a quaternary care center to identify modifiable factors associated with high EMR use. Full-Text PDF

Literature Review: The Effectiveness of Electronic Medical Records (RME) On Hospital Service Quality

Health Information System is a systematic way of managing information at all levels of government to provide healthcare services to the community. In providing services to the community, the health information system is a systemic management of information at all levels of government. Every healthcare facility in Indonesia must maintain electronic medical records based on Permenkes No. 24/2022. This shows that the role of Health Information Systems is needed in a health system. However, using electronic medical records (EMR) in Indonesian healthcare facilities must be uniformly and sufficiently implemented, so it cannot provide accurate and timely data. This study aims to assess the implementation of EMR in Indonesian hospitals. This study used the literature review method by reviewing 15 journal articles published between 2016 and 2022, retrieved through Google Scholar. The results showed that several hospitals in Indonesia had implemented EMR; some hospitals have effectively implemented it and benefit from the implementation of EMR, such as improving the efficiency of time and effort in providing health services to patients. Patients also receive better medical care. The study findings aim to encourage all healthcare facilities to optimize the use of EMR to enhance healthcare services.

Development of an assessment tool to measure communication skills among family medicine residents in the context of electronic medical record use

BackgroundThe introduction of the electronic medical record (EMR) has led to new communication skills that need to be taught and assessed. There is scarce literature on validated instruments measuring electronic-specific communication skills. The aim is to develop an assessment checklist that assesses the general and EMR-specific communication skills and evaluates their content validity and reliability.MethodsUsing the SEGUE theoretical framework for communication skills, the assessment checklist items were developed by the Communication Skills Working Group (CSWG) at the family medicine department using a literature review about the positive and negative aspects of EMR use on physician-patient communication. A group of faculty members rated real resident-patient encounters on two occasions, three weeks apart. Patients were asked to fill out the Communication Assessment Tool (CAT) at the end of the encounter.ResultsA total of 8 residents agreed to participate in the research, with 21 clinical encounters recorded. The average total score was 65.2 ± 6.9 and 48.1 ± 9.5 for the developed scale and the CAT scale, respectively. The scale reliability was good, with a Cronbach alpha of 0.694. The test-retest reliability was 0.873, p < 0.0001. For the total score on the developed checklist, the intraclass correlation coefficient between raters (ICC) was 0.429 [0.030,0.665], p-value of 0.019. The level of agreement between any two raters on the cumulative score of the 5 subsections ranged from 0.506 (interpersonal skills) to 0.969 (end encounter).ConclusionThis checklist is a reliable and valid instrument that combines basic and EMR-related communication skills.

Patient Perceptions of Electronic Medical Record Use by Doctors in GMC Health Center Clinic

&lt;div&gt;&lt;table cellspacing="0" cellpadding="0" align="left"&gt;&lt;tbody&gt;&lt;tr&gt;&lt;td align="left" valign="top"&gt;&lt;p&gt;&lt;em&gt;Effective communication between doctor and patient is needed to obtain optimal results for patient recovery. The GMC Health Center clinic applies Electronic Medical Records (EMR) to support comprehensive health services. EMR has a positive impact on doctors but is not so felt by patients. This study aims to analyze patient perceptions of EMR use by doctors in GMC Health Center Clinic. This research is an analytic survey with a cross-sectional design. Sampling by accidental sampling with a total of 91 patients. Research variables include patient perceptions of the use of EMR by doctors and patient satisfaction. Data analysis was carried out in univariate and bivariate with the Pearson Product-Moment correlation test using SPSS Software. The results showed that patients who were satisfied with the use of EMR by doctors mostly had a positive perception of EMR (76.6%). Pearson Product-Moment correlation test showed that there was a significant relationship between patients' perceptions of the use of EMR with patient satisfaction (p-value&amp;lt;α=0.05; r=0.689). The perception of the EMR communication function has a greater correlation with patient satisfaction (72%) than the perception of the clinical function of EMR (48.2%). The conclusion is patients have a positive perception of the use of EMR by doctors and also proven by the high level of patient satisfaction. Doctors should continue to improve communication and focus on patients when using EMR.&lt;/em&gt;&lt;/p&gt;&lt;p&gt;&lt;em&gt; &lt;/em&gt;&lt;/p&gt;&lt;p&gt;&lt;strong&gt;&lt;em&gt;Keyword: &lt;/em&gt;&lt;/strong&gt;&lt;strong&gt;&lt;em&gt; &lt;/em&gt;&lt;/strong&gt; &lt;strong&gt;&lt;em&gt;Electronic Medical Records, Patient, Perception ,&lt;/em&gt;&lt;/strong&gt;&lt;strong&gt;&lt;em&gt;&lt;/em&gt;&lt;/strong&gt;&lt;/p&gt;&lt;/td&gt;&lt;/tr&gt;&lt;/tbody&gt;&lt;/table&gt;&lt;/div&gt;

The Current Status of Secondary Use of Claims, Electronic Medical Records, and Electronic Health Records in Epidemiology in Japan: Narrative Literature Review

Real-world data, such as claims, electronic medical records (EMRs), and electronic health records (EHRs), are increasingly being used in clinical epidemiology. Understanding the current status of existing approaches can help in designing high-quality epidemiological studies. We conducted a comprehensive narrative literature review to clarify the secondary use of claims, EMRs, and EHRs in clinical epidemiology in Japan. We searched peer-reviewed publications in PubMed from January 1, 2006, to June 30, 2021 (the date of search), which met the following 3 inclusion criteria: involvement of claims, EMRs, EHRs, or medical receipt data; mention of Japan; and published from January 1, 2006, to June 30, 2021. Eligible articles that met any of the following 6 exclusion criteria were filtered: review articles; non-disease-related articles; articles in which the Japanese population is not the sample; articles without claims, EMRs, or EHRs; full text not available; and articles without statistical analysis. Investigations of the titles, abstracts, and full texts of eligible articles were conducted automatically or manually, from which 7 categories of key information were collected. The information included organization, study design, real-world data type, database, disease, outcome, and statistical method. A total of 620 eligible articles were identified for this narrative literature review. The results of the 7 categories suggested that most of the studies were conducted by academic institutes (n=429); the cohort study was the primary design that longitudinally measured outcomes of proper patients (n=533); 594 studies used claims data; the use of databases was concentrated in well-known commercial and public databases; infections (n=105), cardiovascular diseases (n=100), neoplasms (n=78), and nutritional and metabolic diseases (n=75) were the most studied diseases; most studies have focused on measuring treatment patterns (n=218), physiological or clinical characteristics (n=184), and mortality (n=137); and multivariate models were commonly used (n=414). Most (375/414, 90.6%) of these multivariate modeling studies were performed for confounder adjustment. Logistic regression was the first choice for assessing many of the outcomes, with the exception of hospitalization or hospital stay and resource use or costs, for both of which linear regression was commonly used. This literature review provides a good understanding of the current status and trends in the use of claims, EMRs, and EHRs data in clinical epidemiology in Japan. The results demonstrated appropriate statistical methods regarding different outcomes, Japan-specific trends of disease areas, and the lack of use of artificial intelligence techniques in existing studies. In the future, a more precise comparison of relevant domestic research with worldwide research will be conducted to clarify the Japan-specific status and challenges.

Utilizing remote access for electronic medical records reduces overall electronic medical record time for vascular surgery residents

ObjectiveSurvey data suggests that surgical residents spend 20% to 30% of training time using the electronic medical record (EMR), raising concerns about burnout and insufficient operative experience. We characterize trainee EMR activity in the vascular surgery service of a quaternary care center to identify modifiable factors associated with high EMR use. MethodsResident activity while on the vascular surgery service was queried from the EMR. Weekends and holidays were excluded to focus on typical staffing periods. Variables including daily time spent, post-graduate year (PGY), remote access via mobile device or personal laptop, and patient census including operative caseload were extracted. Univariate analysis was performed with t tests and χ2 tests where appropriate. We then fit a linear mixed-effects model with normalized daily EMR time as the outcome variable, random slopes for resident and patient census, and fixed effects of PGY level, academic year, and fractional time spent using remote access. ResultsEMR activity for 53 residents from July 2015 to June 2019 was included. The mean daily EMR usage was 1.6 hours, ranging from 3.6 hours per day in PGY1 residents to 1.1 hours in PGY4 to 5 residents. Across all PGYs, the most time-consuming EMR activities were chart review (43.0%-46.6%) and notes review (22.4%-27.0%). In the linear mixed-effects model, increased patient census was associated with increased daily EMR usage (Coefficient = 0.61, P-value < .001). Resident seniority (Coefficient = −1.2, P-value < .001) and increased remote access (Coefficient = −0.44, P-value < .001) were associated with reduced daily EMR usage. Over the study period, total EMR usage decreased significantly from the 2015/2016 academic year to the 2018/2019 academic year (mean difference, 2.4 hours vs 1.78; P-value < .001). ConclusionsIn an audit of EMR activity logs on a vascular surgery service, mean EMR time was 1.6 hours a day, which is lower than survey estimates. Resident seniority and remote access utilization were associated with reduced time spent on the EMR, independent of patient census. Although increasing EMR accessibility via mobile devices and personal computers have been hypothesized to contribute to poor work-life balance, our study suggests a possible time-saving effect by enabling expedient access for data review, which constitutes the majority of resident EMR activity. Further research in other institutions and specialties is needed for external validation and exploring implications for resident wellness initiatives.

Electronic Medical Record System Use and Determinants in Ethiopia: Systematic Review and Meta-Analysis

The strategic plan of the Ethiopian Ministry of Health recommends an electronic medical record (EMR) system to enhance health care delivery and streamline data systems. However, only a few exhaustive systematic reviews and meta-analyses have been conducted on the degree of EMR use in Ethiopia and the factors influencing success. This will emphasize the factors that make EMR effective and increase awareness of its widespread use among future implementers in Ethiopia. This study aims to determine the pooled estimate of EMR use and success determinants among health professionals in Ethiopia. We developed a protocol and searched PubMed, Web of Sciences, African Journals OnLine, Embase, MEDLINE, and Scopus to identify relevant studies. To assess the quality of each included study, we used the Joanna Briggs Institute quality assessment tool using 9 criteria. The applicable data were extracted using Microsoft Excel 2019, and the data were then analyzed using Stata software (version 11; StataCorp). The presence of total heterogeneity across included studies was calculated using the index of heterogeneity I2 statistics. The pooled size of EMR use was estimated using a random effect model with a 95% CI. After reviewing 11,026 research papers, 5 papers with a combined total of 2439 health workers were included in the evaluation and meta-analysis. The pooled estimate of EMR usage in Ethiopia was 51.85% (95% CI 37.14%-66.55%). The subgroup study found that the northern Ethiopian region had the greatest EMR utilization rate (58.75%) and that higher (54.99%) utilization was also seen in publications published after 2016. Age groups <30 years, access to an EMR manual, EMR-related training, and managerial support were identified factors associated with EMR use among health workers. The use of EMR systems in Ethiopia is relatively low. Belonging to a young age group, accessing an EMR manual, receiving EMR-related training, and managerial support were identified as factors associated with EMR use among health workers. As a result, to increase the use of EMRs by health care providers, it is essential to provide management support and an EMR training program and make the EMR manual accessible to health professionals.

Persepsi Dokter Klinik Dalam Menggunakan Rekam Medis Elektronik Berbasis Cloud Computing: Survei Penggunaan rekmed.com

Background : The use of electronic medical records (EMR), including cloud computing-based EMR, is widely increasing. However, data regarding the perception of physicians using cloud computing-based EMR in Indonesia is still limited. Objective: This study aims to determine the perception of clinical doctors in using EMR based on cloud computing. Methods: This is a cross sectional study with a mixed-methods explanatory sequential design approach to determine the perception of clinicians in using cloud computing-based EMR. Qualitative analysis is used to support the depth of quantitative data analysis. Result: There are 10 private clinic doctors who participate. The average value of respondents' satisfaction after using cloud computing-based EMR is 7.4 from a scale of 1-10, with a median value of 8. In the analysis of interest in using cloud computing-based EMR in the long term, it was found that 30% of respondents said "yes", and 70% said "maybe". Qualitative data show that the problems in using EMR are the high price of the EMR system, security and privacy, the display is still limited, and the need for a stable internet network. Conclusion: The use of cloud computing-based EMR by clinicians still meet a number of obstacles. Further development is needed to increase the satisfaction and interest of doctors using RME based on cloud computingKeywords: electronic medical records, cloud computing, clinical physicians, perception

Use of electronic medical records in the digital healthcare system and its role in communication and medical information sharing among healthcare professionals

It is important for the future of electronic health services to determine the attitudes of physicians and nurses towards electronic medical records (EMR) in communication and sharing information (CSI), the type of medical record they prefer and the main problems, they experience. For this purpose, the study was carried out in a university hospital with a 963-bed capacity in Türkiye in 2022 to collect data from the field. The survey method was used in the research and the data were collected by means of a printed questionnaire. The frequency of use of EMRs (3.82 ± 1.07) and CSI behaviors (3.76 ± 0.082) of physicians and nurses in the performance of daily tasks in the hospital were also determined. There was a moderate positive correlation between the use of EMRs and CSI behavior (r = 0.442; p < .05) and that the use of EMRs explained 20 % of the variability in CSI behavior. Paper forms continue to be used due to legal requirements and distrust of electronic records. There is a positive and significant relationship between the use of EMR and CSI behavior. The use of EMRs is effective in increasing CSI behaviors, but there is a need to identify and remove barriers to EMR use to increase the effectiveness of CSI among healthcare professionals.