Use Of Electronic Medical Record Research Articles

Nurses' experiences using electronic medical record (EMR): A systematic review

Background: The evolution of information and communication technology has led to significant changes in nursing care and the health care system, particularly through the use of Electronic Medical Records (EMR). This literature review focuses on the pivotal role of nurses in the development and implementation of EMR for the documentation of nursing care. Purpose: To investigate nurses' experiences with electronic medical records (EMR) for documenting nursing care. Method: A systematic review approach in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Articles were sourced from online databases such as PubMed, Google Scholar, Garuda, and Science and Technology Index (SINTA). The review was organized according to the PICOS framework. In this article, the PICOS criteria were defined as follows: P: Nurse and health worker, I: Nursing documentation uses electronic medical records, C: Explains the influence, impact of electronic documentation, O: Efficiency, quality of health care and safety of patient care, S: qualitative research methods. The keywords used in the search included “documentation of nursing”, “electronic medical record” and “nurse performance”. Articles were selected based on specific inclusion criteria: publication within the last five years (2019-2024), English language, use of qualitative research methodology, the nurse uses electronic medical records, and with full-text availability. Results: The literature review found that most nurses felt a sense of ease and efficiency in filling out documentation, higher data accuracy, increased work productivity, and ease in identifying patient data to carry out nursing diagnoses regarding patient care, thereby underscoring the integral role of nurses in the development and use of EMR. Conclusion: Computer-based nursing care documentation provides various conveniences and helps nurses deliver their care. Thus, considering the use of EMR in nursing documentation may increase the quality of care.

Predicting mortality of type-2 diabetes mellitus by applying machine learning to electronic medical records in the west of scotland and hong kong

Abstract Introduction Type 2 diabetes mellitus (T2DM) is associated with accelerated development of atherosclerosis and a reduced life expectancy. Using machine learning (ML) to identify novel characteristics from electronic medical records (EMRs) associated with prognosis may increase prognostic precision and find new targets for investigation and treatment. Aim We used a novel ML approach to investigate the use of EMRs to predict all-cause mortality in two ethnically and geographically different populations; one from the West of Scotland (WoS) and the other from Hong Kong. Methods We obtained EMRs including demographics, prior comorbidities, laboratory measurements, medications, and mortality. Multivariable Cox regression and time-dependent random forest model were used to identify predictors of all-cause mortality in patients with T2DM. Subsequently, we applied a state-of-the-art ML interpretability method, to gain further insight into the key predictors. Results In WoS, 46,031 individuals received a new diagnosis of T2DM between 2009 and 2019. Their median age was 66 (IQR: 56 to 75) years. Within 10 years, 11,727 (25%) deaths were recorded. In Hong Kong, 273,876 patients with a first-attendance with T2DM at public hospitals or clinics were included, with follow-up until December 2019. The median age of the patients was 64 (IQR: 57 to 72) years. Within 10 years, 91,155 (33%) deaths were recorded. For both cohorts, the strongest predictor for all-cause mortality was prescription of loop diuretics (Figure 1). For the WoS, other important predictors were greater age, lower serum albumin, elevated alanine transaminase (ALT), increased alkaline phosphatase (ALP), and lower estimated glomerular function rate (eGFR) (c-index: 0.83; Brier score: 0.07). For Hong Kong, predictive variables were remarkably similar and included greater age, lower eGFR, lower haemoglobin and lymphocytes, lower serum albumin, and elevated ALP (c-index: 0.85; Brier score: 0.06). Multivariable Cox regression adjusting for age and sex showed a higher mortality amongst those prescribed loop diuretics compared to those who were not (WoS: hazard ratio: 1.549, 95% CI: 1.521 to 1.575; Hong Kong: hazard ratio: 1.745 (95% CI: 1.721 to 1.769). Only a minority of patients prescribed loop diuretics had a diagnosis of heart failure, end-stage renal disease or resistant hypertension. Conclusion Amongst patients with recent-onset T2DM, prescription of loop diuretics was the most important predictor of all-cause mortality in both WoS and Hong Kong. Prescription of loop diuretics might be a pharmacological marker of congestion and undiagnosed heart failure or loop diuretics might have deleterious effects on the outcome of patients with T2DM.Fig 1:Predictors of all-cause Mortality

Usage and perception of electronic medical records (EMR) among medical students in southwestern Nigeria

BackgroundThe transformational potential of electronic medical records (EMRs) in global healthcare is evident, but their adoption in low- and middle-income countries, including Nigeria, remains low.ObjectiveThis study aimed to understand the perceptions of southwestern Nigerian medical students toward EMRs given the limited literature on this topic.MethodsA descriptive, cross-sectional online survey was conducted among 412 medical students from four institutions in southwestern Nigeria. Data on the students' demographics, exposure to, and perspectives on EMR was collected. Data was analyzed using R Version 3.6.1.ResultsMajority (79%) of respondents were in their clinical years. We found that 68.4% of the respondents had good perception (scores ≥ 16) about EMRs while 31.6% were deemed as having fair level of perception (scores < 16). Interestingly, 54.9% had never used an electronic medical record (EMR). Although 46.4% felt very comfortable with EMRs' postgraduation use, 16% felt very uncomfortable. Notably, 94.5% believed that health technology solutions could enhance Nigerian health outcomes. Furthermore, 81.8% felt that their medical education would benefit from greater EMR exposure, while 80.9% believed that EMRs are essential for adequate patient care. Males exhibited significantly more EMR experience and more positive attitudes toward EMRs. However, there was no significant association between the level of study, location of medical school, and respondents' experience or perceptions of EMRs.ConclusionMore than half of students surveyed reported that they have never used EMRs. Despite this, many students felt comfortable with the idea of using EMRs in their future practice. Observed gender differences in EMR use and attitudes highlight the need for targeted strategies to prepare all students, regardless of gender, for the digital transition in healthcare.

Development and Validation of a Workflow Instrument to Evaluate the Success of Electronic Health Records Implementation from a Nursing Perspective: An Exploratory and Descriptive Study

Introduction Electronic medical records (EMR) have been recognized as practical tools for the improvement of the quality and safety of healthcare despite their occasional use in hospitals worldwide. Epic is an integrated software suite with functionality ranging from patient administration through systems for healthcare providers to billing systems, integration to the primary health sector, and a facility for granting patients access to their data. The implementation process is complicated; creating effective methods requires understanding users’ attitudes about these information technologies. This study aimed to develop and validate a questionnaire that measures the efficacy of using workflow during the EMR (Epic) implementation. Furthermore, it describes the nurses’ views on the use of quality and satisfaction of workflow. Methods Following a literature review, an initial pool of 57 items was generated based on the following three primary constructs: use, quality, and user satisfaction with the tool’s workflow. Internal consistency reliability was assessed by calculating Cronbach’s alpha and correlation coefficients for construct validity. Results The final scale comprised 53 items corresponding to the following five distinct factors: use of workflow, information quality, service quality, use of EMR, and user satisfaction and the influence of workflow on clinical care. The full scale was assessed, and Cronbach’s alpha of 0.95 was found. The construct validity was assessed using the Kaiser-Meyer-Olkin measure of sampling adequacy and Bartlett’s Test of Sphericity (0.976). Construct validity was tested twice using Exploratory Factor Analysis-Principal Component Analysis. Conclusion The use of workflow, quality of information, quality of service, use of EMR, and user satisfaction scale have good reliability and validity and can be used to implement technology in healthcare.

Impact of Information and System Quality on User Satisfaction with Outpatient EMRs at RSKIA Sadewa, Indonesia

The use of electronic medical records (EMR) in outpatient services continues to increase, however, many hospitals still face challenges in ensuring optimal adoption and user satisfaction. Previous research suggests that issues related to information quality and system stability may hinder the effective use of EMRs, but not many studies have specifically analyzed these two factors in the context of regional hospitals. This study aimed to evaluate the effect of information and system quality on EMR user satisfaction in RSKIA Sadewa, Yogyakarta, and identify strategic improvement steps. Primary data were collected from 42 questionnaires distributed to EMR users, and 37 responses were analyzed using multiple linear regression. Results showed that system quality (β = 0.213, p &lt; 0.05) and information quality (β = 0.199, p &lt; 0.05) had a significant influence on user satisfaction, with a joint contribution of 81.1% (R² = 0.811). Although the system provided sufficient features, system reliability constraints and incomplete information negatively affected user experience. System menu optimization and regular training are proposed as strategic measures to improve operational effectiveness. The findings provide important insights for hospital managers and policymakers regarding the importance of strengthening IT infrastructure and data validation to support more effective EMR implementation. Further research is recommended to involve various hospitals in different contexts to expand external validity and provide more comprehensive recommendations for the healthcare sector.

The Relationship of EMR (Electronic Medical Record) Documentation Performance with Patient Satisfaction

Technological developments have an impact on developments in the world of health, especially information technology in hospitals. The use of EMR makes medical records more orderly and improves health services that are faster, more precise, valuable and accountable. User usage and satisfaction will influence individual impact. Methods: An analysis of the relationship between EMR documentation and nurse satisfaction is needed. This study used a cross-sectional, The sampling technique in this research used purposive sampling correlational design with a sample of 80 patient at RSUD Dr. Soetomo. Research data was collected through questionnaires from the EMR documentation performance variables and nurse satisfaction. The results of the validity test of the EMR Documentation Performance instrument obtained a Parson correlation value in the range 0.590-0.926 &gt; r table 0.514 and the results of the reliability test in this research showed a Cronbach's Alpha value of 0.966 so it is reliable. results of the validity and reliability of the patient satisfaction instrument Cronbach α reliability coefficient was high, ranging from 0.900 to 0.940. Research data was processed using the Spearmen rho test with a p value &lt;0.05. Results: The results of the study showed that EMR documentation performance was related to patient satisfaction (0.009). Discussion: Good electronic medical record documentation performance can increase patient satisfaction.

Halth Workers' Knowledge about The Use of Electronic Medical Records: A Literature Review

Introduction: The knowledge of health workers will affect their skills in carrying out the quality of medical records. The development of knowledge is so fast that health workers will quickly fall behind if they do not take advantage of various things to update the latest developments. The purpose of this study was to identify the knowledge of health workers about the use of electronic medical records (EMR).Methods: This study used a literature review design with a qualitative approach to the data obtained in the form of literature review study data collection. Researchers collected 15 articles or scientific journals that have been published to analyze the knowledge of health workers in using EMR.Results: The percentage of health workers who knew about the use of EMR was more than 50% in 10 articles and less than 50% in 5 articles.Conclusion: The percentage of health workers who know about the use of EMR is relatively high. The level of knowledge is still low due to the lack of training and computer skills for officers and the lack of understanding by officers regarding the benefits of EMR for health facilities.

An Australian survey of health professionals' perceptions of use and usefulness of electronic medical records in hospitalised children's pain care.

Pain in hospitalised children is common, yet inadequately treated. Electronic medical records (EMRs) can improve care quality and outcomes during hospitalisation. Little is known about how clinicians use EMRs in caring for children with pain. This national cross-sectional survey examined the perceptions of clinician-EMR users about current and potential use of EMRs in children's pain care. One hundred and ninety-four clinicians responded (n = 81, 74% nurses; n = 21, 19% doctors; n = 7, 6% other); most used Epic (n = 53/109, 49%) or Cerner (n = 42/109, 38%). Most (n = 84/113, 74%) agreed EMRs supported their initiation of pharmacological pain interventions. Fewer agreed EMRs supported initiation of physical (n = 49/113, 43%) or psychological interventions (n = 41/111, 37%). Forty-four percent reported their EMR had prompt reminders for pain care. Prompts were perceived as useful (n = 40/51, 78%). Most agreed EMRs supported pain care provision (n = 94/110, 85%) and documentation (n = 99/111, 89%). Only 39% (n = 40/102) agreed EMRs improved pain treatment, and 31% (n = 32/103) agreed EMRs improved how they involve children and families in pain care. Findings provide recommendations for EMR designs that support clinicians' understanding of the multidimensionality of children's pain and drive comprehensive assessments and treatments. This contribution will inform future translational research on harnessing technology to support child and family partnerships in care.

Digital health in Latin America: current legislation and ethical aspectsSaúde digital na América Latina: legislação atual e aspectos éticos

Describe the current legislation on electronic medical records (EMR) and telehealth in Latin American countries and analyze the treatment of confidentiality and professional secrecy. Between March and September 2022, a survey of the regulations in force in 21 Latin American countries was conducted at two levels: the existence of legislation on EMR and telehealth, and the treatment of confidentiality and professional secrecy in EMR and telehealth. A data extraction form was prepared for each country. Data were collected from official on-line sources. The information was analyzed qualitatively and synthesized in tables when possible. The use of EMR is legally regulated in 16 countries. Nineteen countries have legislation on telehealth. All the countries analyzed safeguard confidentiality and professional secrecy through regulations. However, confidentiality and professional secrecy are mentioned in 11 countries in the context of telehealth, and in only nine countries in the context of EMR. Since the start of this century, Latin America has made progress in the legislation of digital tools for health care, such as EMR and telehealth. There is also interest in ethical issues related to the use of EMR and telehealth, particularly confidentiality and professional secrecy, aspects that should be strengthened in digital health.

Improved Cardiac Rehabilitation Referral Rate Utilizing a Multidisciplinary Quality Improvement Team.

Introduction Cardiac rehabilitation (CR) is an underutilized resource in patients with ischemic heart disease, despite being a Class IA recommendation. In this study, a multidisciplinary quality improvement (QI) team aimed to improve CR referrals by standardizing the ordering process at our hospital system. Method By using a collaborative approach involving the electronic medical record (EMR), medical provider education, and hospital protocols, our two-hospital healthcare system was able to successfully identify barriers to CR referral rates and implement interventions for these barriers. All physicians and medical providers, including ancillary staff, were educated on the EMR order sets to improve compliance by using automated order sets in the EMR. The CR referral order in the EMR included a statement regarding the application of evidence-based medicine, and a computerized provider order entry was included as a reminder to the ordering provider. The use of EMR was monitored monthly by the QI committee. Chi-square test and odds ratios were obtained for statistical analysis. Results Through provider-EMR education and patient education on discharge, CR referral rates significantly improved from 51.2 to 87.1% (p = 0.0001) in a 12-month period. The study included 1,499 patients in total. The improvement was statistically significant regardless of patient gender, race, or insurance coverage. Additionally, subgroup analysis in this study found that prior to standardization of the ordering process, African American patients were significantly less likely to be referred to CR compared to Caucasian patients. (51.2% vs. 41.0%, p=0.01). There was no statistically significant difference in the likelihood of CR referral between Caucasian and African American patients following the intervention (84.0% vs. 78.0%, p = 0.166). Conclusion This study shows that CR is an underutilized resource and that effective QI initiatives may not only increase CR referral rates but also close the gap between racial inequities in referral rates. Future research with multi-center randomized control trials is needed to further enhance its external generalizability to other institutions.

Primary Care Physician Preferences Regarding Communication from Orthopaedic Surgeons.

Musculoskeletal consultations constitute a growing portion of primary care physician (PCP) referrals. Optimizing communication between PCPs and orthopaedists can potentially reduce time spent in the electronic medical record (EMR) as well as physician burnout. Little is known about the preferences of PCPs regarding communication from orthopaedic surgeons. Hence, the present study investigated, across a large health network, the preferences of PCPs regarding communication from orthopaedists. A total of 175 PCPs across 15 practices within our health network were surveyed. These providers universally utilized Epic as their EMR platform. Five-point, labeled Likert scales were utilized to assess the PCP-perceived importance of communication from orthopaedists in specific clinical scenarios. PCPs were further asked to report their preferred method of communication in each scenario and their overall interest in communication from orthopaedists. Logistic regression analyses were performed to determine whether any PCP characteristics were associated with the preferred method of communication and the overall PCP interest in communication from orthopaedists. A total of 107 PCPs (61.1%) responded to the survey. PCPs most commonly rated communication from orthopaedists as highly important in the scenario of an orthopaedist needing information from the PCP. In this scenario, PCPs preferred to receive an Epic Staff Message. Scenarios involving a recommendation for surgery, hospitalization, or a major clinical change were also rated as highly important. In these scenarios, an Epic CC'd Chart rather than a Staff Message was preferred. Increased after-hours EMR use was associated with diminished odds of having a high interest in communication from orthopaedists (odds ratio, 0.65; 95% confidence interval, 0.48 to 0.88; p = 0.005). Ninety-three PCPs (86.9%) reported spending 1 to 1.5 hours or more per day in Epic after normal clinical hours, and 27 (25.2%) spent >3 hours per day. Forty-six PCPs (43.0%) reported experiencing ≥1 symptom of burnout. There were distinct preferences among PCPs regarding clinical communication from orthopaedic surgeons. There was also evidence of substantial burnout and after-hours work effort by PCPs. These results may help to optimize communication between PCPs and orthopaedists while reducing the amount of time that PCPs spend in the EMR.

Strengths, Weaknesses, Opportunities, and Threats (SWOT) Analysis of Hemodialysis Electronic Health Record Implementation.

The Nephrology Department of Hassan II Hospital in Fez, Morocco, has implemented an Electronic Medical Record (EMR) system for managing patients undergoing acute hemodialysis. This initiative aims to digitize patient monitoring and enhance the management of acute dialysis within the department. Conducting strengths, weaknesses, opportunities, and threats (SWOT) analysis - assessing strengths, weaknesses, opportunities, and threats - was crucial to identifying and understanding the internal strengths and weaknesses, as well as the external opportunities and threats. This article outlines the SWOT analysis findings that may impact the project's success and shape decision-making. It also discusses strategies that could be implemented to allocate resources, mitigate risks, and capitalize on potential advantages. This study involved a multidisciplinary team, including professors, nephrologists, nephrology residents, and a healthcare information system engineer. Brainstorming sessions were held during the specification drafting phase to pinpoint both internal and external factors affecting the project. User feedback during testing further refined these factors, ensuring the project's alignment with real-world needs and challenges. The study identifies the project's strengths as providing safe and immediate access to information, along with strong communication between the department (application users) and the project manager. The significant EMR weakness is the lack of logistical resources and the absence of a long-term maintenance plan for the application. The opportunity presented by this EMR implementation is its functionality's potential to evolve, enabling the solution to be deployed in other dialysis centers across the region. The project's threat is the potential abandonment of EMR use by future practitioners. These SWOT analysis findings enable the development and implementation of strategies to reduce the current deployment's vulnerabilities and ensure the success of future HIS implementations in the nephrology network of the Fez-Meknes region, Morocco.

Electronic medical record systems data use in decision-making and associated factors among health managers at public primary health facilities, Dodoma region: a cross-sectional analytical study.

Tanzania has shown some improvements in the adoption of electronic medical record (EMR) systems in public health facilities; however, the rate of utilization of data generated from EMRs among health managers is not well documented. This study aims to assess the use of electronic medical record systems data in decision-making among health managers at public primary health facilities in Dodoma Region, Central Tanzania. A facility-based quantitative cross-sectional analytical study was conducted among 308 randomly selected health managers. A self-administered questionnaire supplemented with documentary review was used. Descriptive summary statistics and bivariable and multivariable logistic regression analyses (crude and adjusted odds ratios) were used. A P-value of <0.05 was used to declare statistically significant associations. Overall, more than a third (40.6%) of the health managers, that is 174 of the 308 included in the study, reported using data generated by EMR systems in decision-making. One-third (33.4%) of the health managers were adequately using data generated by EMR systems, of which 39.3% used data to support continuous quality improvement initiatives. Among the facilities visited, only nine (30%) had good documented EMR systems data use. Access to computers [adjusted odds ratio (AOR) = 4.72, 95% confidence interval (CI): 1.65, 13.48, p-value (p) = 0.004] and discussions on EMRs during meetings (AOR = 2.77, 95% CI: 1.01, 7.58, p = 0.047) were independent predictors of EMR system data use. Those who reported having EMR systems in all working areas were seven times more likely to use EMR system data (AOR = 7.23, 95% CI: 3.15, 16.59, p = 0.001). The respondents with good perceived EMR system information quality were more likely to use EMR system data (AOR = 2.84, 95% CI: 1.50, 5.39, p = 0.001) than those with poor perception. Furthermore, health managers who had excellent knowledge of computers and data use had higher odds of using EMR system data (AOR = 1.84, 95% CI: 3.38, 10.13, p = 0.001) compared with their counterparts. The findings of this study indicate that utilization of EMR system data in decision-making among health managers was optimal. It was found that training in itself is insufficient to improve use of EMR, which points to more organizational aspects of work routine as a challenge. Hence, a comprehensive approach that addresses these factors is essential for maximizing EMR system data use in decision-making.

The use of Electronic Medical Record (EMR) in hospitals during the COVID-19 pandemic in Indonesia: a systematic literature review

Purpose: Electronic medical records (EMR) are information technology-based systems that store and manage patient medical data. EMR are beneficial for improving healthcare services' efficiency, effectiveness, and security. The COVID-19 pandemic has driven the adoption of EMR, but there are still challenges, such as the surge in patient numbers and problems with EMR filling. This study aimed to investigate the use of EMR in hospitals during the COVID-19 pandemic in Indonesia. &#x0D; Method: This study was a systematic literature review using the PRISMA diagram. Article search was conducted based on the PICO model eligibility criteria. The articles used were retrieved from 3 databases: Google Scholar, ResearchGate, and Cerdika. The researcher limited the publication year of the journals to 2020-2021, when the COVID-19 pandemic was ongoing, and added the keyword "COVID-19" to the journals published in 2022-2023. &#x0D; Results: The results of the study showed that the COVID-19 pandemic has had a significant impact and the need for the implementation of EMR due to its various benefits, such as improving the efficiency and effectiveness of healthcare services, facilitating access to patient health information, increasing collaboration among healthcare workers, accelerating the process of clinical decision-making, and improving the security and accuracy of health data. However, implementing EMR during the COVID-19 pandemic has only sometimes been smooth. Some challenges include suboptimal infrastructure, untrained human resources, and inadequate policies. &#x0D; Conclusion: To overcome these challenges, efforts from various parties, including the government, hospitals, and healthcare workers, are needed.

Interrelationship among Personal Characteristics, Perceptions, and Self-Efficacy on Electronic Medical Record System (ERNRS) Use among Health Professionals

Improvements in the quality and safety of patient treatment are enhanced with the use of electronic medical records (EMRs). Despite the use of EMR, no established data existed on perceptions and self-efficacy and their relationship at the local level. The study assessed the interrelationships among personal characteristics, perceptions, and self-efficacy on EMR system use among 306 health professionals of a tertiary private hospital in Pasig, Metro Manila, Philippines, for the second quarter of 2023 who were chosen utilizing a proportionate stratified random sampling. This quantitative research used the descriptive, correlational design. Findings revealed that most respondents were young adults, females, had bachelor's degrees, had good typing ability, and had training in EMR systems. Most belonged to the medical department, used the system moderately, and served for 1-3 years. Overall, perceptions of EMR and self-efficacy were good. All the personal characteristics had a relationship with perceptions of EMR. All personal characteristics, except gender, were correlated with self-efficacy. However, gender was not. Lastly, perceptions of EMR had a relationship with self-efficacy. To address the findings, an action plan for telehealth utilization was created. In conclusion, perceptions of EMR and self-efficacy are influenced by personal characteristics, while perceptions of EMR influence self-efficacy.

Optimizing Nutrition Care Management at Nutrition Care Center (NCC)

In nutrition care services, the creation and storage of medical records at the Nutrition Care Center (NCC) are still relatively simple and paper-based or manual. Additionally, management challenges, in the form of system constraints, are one of the obstacles to healthcare management at NCC. Therefore, there is a need for optimizing healthcare management at NCC. The aim of this study is to optimize nutrition care management at the NCC clinic through the use of EMR (Electronic Medical Records) facilitated by QR Codes and the implementation of a Whatsapp Bot. The results indicate that optimizing Nutrition Care Management through the Implementation of EMR with QR Codes and Whatsapp Bot simplifies nutritionists' access to previous client allergy and therapy history in one view and facilitates clients in accessing their medical record number without a physical card. This research has also designed a system that can be used both through web and mobile platforms

Using Emr In A Corporate Hospital: Healthcare Providers Perspective From Bangladesh

Background: An Electronic Medical Record (EMR) is an essential tool for delivering high-quality healthcare in a hospital. In recent years, hospitals have increased their investment in EMRs to improve the level of integrated management of information. The purpose of this study was to explore the perspectives of using EMR among healthcare providers (HCPs) in a corporate hospital in Bangladesh.&#x0D; Methods: This cross-sectional study was conducted among 153 HCPs (doctors, nurses, lab technicians, drug dispensers, billing managers, and administrative personnel) who have access to EMR and working in a selected corporate hospital of Dhaka city. The study period was January to December 2019. HCPs were selected by convenience sampling technique. Data were collected by face-to-face interview using semi structured questionnaire. Data analysis was done by IBM SPSS software. Ethical issues were maintained strictly.&#x0D; Result: Study revealed that 59.5% HCPs were in the age group of 18-29 years with the mean age being 29.26 (±7.58) years. Only 32.7% HCPs had previous experience of using this type of software before working in the current hospital and 62.7% got technical training on EMR within the current hospital. The majority (81.7%) of the HCPs found that the technical training was effective for using the EMR software. The difficulty of using EMR was significantly associated with the age (p&lt;0.001), gender (p&lt;0.001), professional status (p&lt;0.001) and highest level of education (p&lt;0.001) of the HCPs. HCPs ability to overcome job related challenges was significantly associated with the professional status of them (p&lt;0.001). HCPs perception regarding effectiveness of EMR was found significantly associated with their place of technical training (p=0.004) and duration of the training (p=0.012).&#x0D; Conclusion: EMR can be a helpful tool for the health service providers to provider health services at the corporate hospitals. Digital literacy need to be increased among the HCPs to ensure effective use of EMRs. Regular maintenance and upgrades of the technology infrastructure are necessary for advanced record-keeping and quality service.&#x0D; JOPSOM 2021; 41(2):12-19

Investigating allied health professionals' attitudes, perceptions and acceptance of an electronic medical record using the Unified Theory of Acceptance and Use of Technology.

Objective This study aimed to investigate allied health professionals' (AHPs') perspectives pre- and post-implementation of an electronic medical record (EMR) in a tertiary health service in Australia and examine factors influencing user acceptance. Methods Data were collected pre- and post-EMR implementation via cross-sectional online surveys based on the Unified Theory of Acceptance and Usage of Technology (UTAUT). All AHPs at a large tertiary hospital were invited to complete the surveys. Data analysis included descriptive analysis, Mann-Whitney U tests for pre-post item- and construct-level comparison and content analysis of free-text responses. The theoretical model was empirically tested using partial least squares structural equation modelling. Results AHPs had positive attitudes toward EMR use both pre- and post-implementation. Compared to pre-implementation, AHPs felt more positive post-implementation about system ease of use and demonstrated decreased anxiety and apprehension regarding EMR use. AHPs felt they had adequate resources and knowledge to use EMR and reported real-time data accessibility as a main advantage. Disadvantages of EMR included an unfriendly user interface, system outages and decreased efficiency. Conclusions As AHPs increase EMR system familiarity, their positivity towards its use increases. An understanding of what influences AHPs when implementing new compulsory technology can inform change management strategies to improve adoption.

Use of Electronic Medical Records (EMR) in Gerontology: Benefits, Considerations and a Promising Future.

Electronic medical records (EMRs) have many benefits in clinical research in gerontology, enabling data analysis, development of prognostic tools and disease risk prediction. EMRs also offer a range of advantages in clinical practice, such as comprehensive medical records, streamlined communication with healthcare providers, remote data access, and rapid retrieval of test results, ultimately leading to increased efficiency, enhanced patient safety, and improved quality of care in gerontology, which includes benefits like reduced medication use and better patient history taking and physical examination assessments. The use of artificial intelligence (AI) and machine learning (ML) approaches on EMRs can further improve disease diagnosis, symptom classification, and support clinical decision-making. However, there are also challenges related to data quality, data entry errors, as well as the ethics and safety of using AI in healthcare. This article discusses the future of EMRs in gerontology and the application of AI and ML in clinical research. Ethical and legal issues surrounding data sharing and the need for healthcare professionals to critically evaluate and integrate these technologies are also emphasized. The article concludes by discussing the challenges related to the use of EMRs in research as well as in their primary intended use, the daily clinical practice.

Implementation of Electronic Medical Records at Primary Care in Semarang City Region: An Analysis of Individual and Organisational Determinants

Implementing electronic medical records (EMR) in Puskesmas faces various challenges and barriers that hinder system users. This study aims to identify the effects of individual and organizational factors on the implementation of EMR in Puskesmas located in Semarang City. The study was designed as a cross-sectional study and was conducted between August and September 2023. Participants were selected from five health centres representing five regions of Semarang city, and included 46 health professionals, including physicians, nurses, midwives, medical record keepers and IT staff. The survey was taken from a standardized questionnaire based on the Technology Acceptance Theory and Institutional Theory. The results showed that 34% of the respondents were between 20 and 30 years old, where 76.1% were female and 52.2% had a bachelor's degree, and were dominated by nurses, where the majority had 1-5 years of experience. The constant (a) of 1.770 indicates the value of the independent variables in increasing EMR usage. The regression coefficient of the individual factor variable of 0.207 has a positive effect on EMR implementation. Organisational factors negatively affect the implementation of EMR use. The test results found that individual factors partially and significantly (0.005 &lt;0.05) affect the implementation of EMR utilised.