Implementation Of Electronic Medical Record Research Articles

Improving data quality by implementing an electronic medical record seems to depend on the context

Abstract Background The European healthcare system is reliant on its digital transformation to deal with challenges like rising expenditures or workforce shortage. The digital transformation is inevitably accompanied by the implementation of electronic medical records (EMR) and the ongoing adaptation of existing ones. Systematic reviews indicate that this process can have an impact on medical records data quality (DQ) [1]. At micro level, DQ is essential to ensure high quality of care. At macro level, sufficient DQ is a prerequisite for big data analyzability. In this field, completeness is a commonly analyzed dimension of DQ and empirical results indicate that completeness can improve but also deteriorate as a result of the described implementation or adoption of EMRs [2]. The aim of this work was to investigate the implementation of EMRs in comparable settings and to observe and discuss possible differences in the change in DQ. Methods Data was collected on three surgical clinics of a German academic teaching hospital before and after the implementation of an EMR. Paper-based and electronic medical records were compared. Analysis focused on ten items that were commonly documented in both record types (e.g. pain). T-tests and χ²-tests were used to compare average completeness per record type and percentage of completeness per item. Results A total of N = 659 records was analyzed. Overall, results show a significant improvement in completeness from an average of 6.0/10 items in the paper-based record type to 7.2/10 in the EMR (p<.05). At clinic level, improvement rates vary from 0.9 to 1.4. At the level of the specific items, significant deteriorations are visible in certain clinics. Conclusions Results suggest that DQs variability is context-dependent (e.g. on the clinic’s turnover rate or its patient’s length of stay). Due to the unavoidable digital transformation, a detailed context and needs analysis involving all stakeholders should be carried out before any changes are made. Key messages • The application of advanced analytics such as big data or AI training is reliant on the availability of high-quality datasets. • Electronic medical records have been demonstrated to enhance data quality, but it remains uncertain how and why improvements appear to be context-dependent.

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.

Analysis of the Implementation of Electronic Medical Records in Efficiency, Productivity, and Performance of Health Services at the Sriamur Bekasi Health Center with the Wellbeing Method

The application of digital technology in health services has significantly improved efficiency and service quality. Electronic Medical Record (E.M.R.) is a technology implementation that records, stores, and manages patient medical data electronically. This study aims to analyze the impact of using E.M.R. on the productivity and efficiency of health services at the Sriamur Bekasi Community Health Center. This research uses the Wellbeing method with a qualitative approach. Primary data was collected through in-depth interviews and questionnaires distributed to the medical and administrative staff of the Sriamur Community Health Center. Secondary data on the number of patients before and after E.M.R. implementation was also analyzed. The leading indicators measured include service time, quality, error rate, and human resource utilization. The research results show a significant increase in productivity and efficiency after E.M.R. implementation. The number of patients served per day increases, and the time required for recording and retrieving patient data is reduced. Respondents indicated high satisfaction with using E.M.R., with the majority assessing that the system helps speed up administrative processes and improve the accuracy of medical data. Implementing E.M.R. at the Sriamur Bekasi Community Health Center has increased the medical staff's operational efficiency and productivity. This technology makes it easier to access and manage patient data and reduces the administrative burden so that medical personnel can focus more on health services. To maximize the benefits of E.M.R., ongoing training and regular evaluation of existing systems and procedures are required.

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 < 0.05) and information quality (β = 0.199, p < 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 Analysis of Electronic Medical Record Implementation in the Administrative Processs of the Beauty Clinic X

the Analysis of Electronic Medical Record Implementation in the Administrative Processs of the Beauty Clinic X

Impact of digital health on the quadruple aims of healthcare: A correlational and longitudinal study (Digimat Study)

BackgroundDigital healthcare aims to deliver on the quadruple aim: enhance patient experiences, improve population health, reduce costs and improve provider experiences. Despite large investments, it is unclear how advancing digital health enables these healthcare aims. ObjectiveOur objectives were to: 1) measure the correlation between digital capability and health system outcomes mapped to the quadruple aim, and 2) measure the longitudinal impact of electronic medical record implementations upon health system outcomes. Materials and methodsWe undertook two studies: 1) Digital health correlational study investigating the association among healthcare system capability and healthcare aims, and 2) Digital hospital longitudinal study investigating outcomes pre and post electronic medical record implementation. ResultsDigital health capability was associated with lower staff turnover. Digitising healthcare services was associated with decreased medication errors, decreased nosocomial infections, increased hospital activity, and a transient increase in staff leave. DiscussionThese results suggest positive impacts on the population health and healthcare costs aim, minimal impacts on the provider experience aim and no observed impacts to the patient experience aim. ConclusionThese findings should provide confidence to healthcare decision-makers investing in digital health.

Cashing in: cost-benefit analysis framework for digital hospitals

BackgroundFor many countries, especially those outside the USA without incentive payments, implementing and maintaining electronic medical records (EMR) is expensive and can be controversial given the large amounts of investment. Evaluating the value of EMR implementation is necessary to understand whether or not, such investment, especially when it comes from the public source, is an efficient allocation of healthcare resources. Nonetheless, most countries have struggled to measure the return on EMR investment due to the lack of appropriate evaluation frameworks.MethodsThis paper outlines the development of an evidence-based digital health cost-benefit analysis (eHealth-CBA) framework to calculate the total economic value of the EMR implementation over time. A net positive benefit indicates such investment represents improved efficiency, and a net negative is considered a wasteful use of public resources.ResultsWe developed a three-stage process that takes into account the complexity of the healthcare system and its stakeholders, the investment appraisal and evaluation practice, and the existing knowledge of EMR implementation. The three stages include (1) literature review, (2) stakeholder consultation, and (3) CBA framework development. The framework maps the impacts of the EMR to the quadruple aim of healthcare and clearly creates a method for value assessment.ConclusionsThe proposed framework is the first step toward developing a comprehensive evaluation framework for EMRs to inform health decision-makers about the economic value of digital investments rather than just the financial value.

Adoption of Electronic Medical Records in Healthcare Facilities in the Emirate of Dubai.

This paper aimed to assess the adoption of electronic medical records (EMRs) in healthcare facilities in Dubai, the largest city in the United Arab Emirates (UAE) and a location where extensive healthcare services are provided. It explored the challenges, milestones, and accomplishments associated with this process. A situation analysis was conducted by contacting 2,089 healthcare facilities in Dubai to determine whether they had implemented EMR in their medical practices and to identify the challenges they faced during this process. Additionally, the Electronic Medical Record Adoption Model (EMRAM) was utilized to measure the maturity level of hospitals in terms of EMR adoption. The EMRAM stages were rated on a scale from 0 to 7, with 0 representing the least mature stage and 7 the most mature. By September 2023, all hospitals (100%, n = 54) and 75% of private clinics (n = 1,460) in Dubai had implemented EMRs. Several challenges were identified, including the absence of EMRs within the healthcare facility, having an EMR with a low EMRAM score, or the lack of a unified interoperability standard. Additionally, the absence of a clear licensing program for EMR vendors, whether standalone or cloud-based, was among the other challenges noted. EMR implementation in healthcare facilities in Dubai is at a mature stage. However, further efforts are required at both the decision-making and technical levels. We believe that our experience can benefit other countries in the region in implementing EMRs and using EMRAM to assess their health information systems.

Organizational Culture with Individual Readiness as a Mediator for Championing Behavior Electronic Medical Record Implementation

The dynamism of the application information technology in the health sector, especially in hospitals, which is currently being developed is the electronic medical record (EMR). Global competition in the era of industrial revolution 4.0 makes all hospitals have to be ready for the changes that will occur in the management of medical record management. This study aims to analyze the influence of organizational culture with individual readiness as a mediator on championing behavior in the implementation of electronic medical records (EMR) at Muhammadiyah Hospital. Respondents amounted to 133 people consisting of professional health workers who will later be involved implementation of EMR. The research instrument was in the form of a questionnaire via a google form link. Analysis using SEM (structural equation model) with Lisrel. The results showed that organizational culture significantly affected individual readiness (?=0.67, t-value=7.40). Organizational culture has a significant effect on championing behavior (?=0.42, t-value=4.10). Individual readiness significantly affects championing behavior (?=0.48 , t-value = 4.56). Individual readiness is also a significant mediator of the relationship between organizational culture and championing behavior (complementary mediation type). A strong organizational culture will support the readiness of the organization's planned changes. A strong organizational culture also influences behavior to fight for the success of the change plan. Through individual readiness, organizational culture influences behavior to fight for the successful implementation of EMR. So, organizations need to prepare individuals well for the success of the change plan. Keywords : Championing Behavior, EMR, Organizational Culture, Readiness for Change

The effect of electronic medical records on medication errors, workload, and medical information availability among qualified nurses in Israel– a cross sectional study

BackgroundErrors in medication administration by qualified nursing staff in hospitals are a significant risk factor for patient safety. In recent decades, electronic medical records (EMR) systems have been implemented in hospitals, and it has been claimed that they contribute to reducing such errors. However, systematic research on the subject in Israel is scarce. This study examines the position of the qualified nursing staff regarding the impact of electronic medical records systems on factors related to patient safety, including errors in medication administration, workload, and availability of medical information.MethodsThis cross-sectional study examines three main variables: Medication errors, workload, and medical information availability, comparing two periods– before and after EMR implementation based on self-reports. A final sample of 591 Israeli nurses was recruited using online private social media groups to complete an online structured questionnaire. The questionnaires included items assessing workload (using the Expanding Nursing Stress Scale), medical information availability (the Carrington-Gephart Unintended Consequences of Electronic Health Record Questionnaire), and medical errors (the Medical Error Checklists). Items were assessed twice, once for the period before the introduction of electronic records and once after. In addition, participants answered open-ended questions that were qualitatively analyzed.ResultsNurses perceive the EMR as reducing the extent of errors in drug administration (mean difference = -0.92 ± 0.90SD, p < 0.001), as well as the workload (mean difference = -0.83 ± 1.03SD, p < 0.001) by ∼ 30% on average, each. Concurrently, the systems are perceived to require a longer documentation time at the expense of patients’ treatment time, and they may impair the availability of medical information by about 10% on average.ConclusionThe results point to nurses’ perceived importance of EMR systems in reducing medication errors and relieving the workload. Despite the overall positive attitudes toward EMR systems, nurses also report that they reduce information availability compared to the previous pen-and-paper approach. A need arises to improve the systems in terms of planning and adaptation to the field and provide appropriate technical and educational support to nurses using them.

Improving Identification of Firearm Access in Children With Mental Health Complaints.

To determine if electronic medical record (EMR) changes and implementation of a study on firearm storage practices changed identification of firearm exposure in children presenting to a pediatric emergency department (PED) with mental health complaints. We also sought to determine the accuracy of information collected on firearm storage practices. Retrospective study of EMR documentation of firearm exposure in PED patients with mental health complaints from January 20, 2015 until November 20, 2017. EMR changes occurred on January 20, 2016 and the firearms study began on February 13, 2016. The primary outcome was documentation of firearm exposure. Secondary outcomes were documentation of unsafe firearm storage practices. We also examined differences between clinical and research documentation of unsafe firearm storage practices post-intervention. We compared groups using descriptive statistics and chi-squared tests. We used statistical process control to examine the relationship between interventions and changes in outcomes. 5582 encounters were examined. Identification of firearm exposure increased from 11 to 17% postintervention. Identification of unsafe storage practices increased from 1.9% to 4.4% across all encounters. Special cause variation in both metrics occurred concurrently with the interventions. Postintervention, unsafe firearms storage practices in firearm owning families were under-identified (39% identified as not triple-safe in clinical data vs 75% in research data). EMR changes and implementation of a firearms study improved identification of firearm exposure and unsafe storage practices in families of PED patients being evaluated for mental health complaints. However, unsafe storage practices continued to be under-identified in firearm-owning families.

Factors inhibiting readiness to implement Electronic Medical Records (RME) in management information systems in hospitals: Literature review

Advances in communication and information technology have occurred in the health sector, especially in health services such as hospitals, one of which is Electronic Medical Records (RME). RME is the application of information technology used in collecting, storing data, processing data and accessing data as patient track records. The Ministry of Health is also targeting all health facilities to have implemented RME no later than December 2023. The challenges for implementing RME are so complex, it is necessary to identify factors inhibiting RME implementation and evaluate them. Research Objective: to identify factors inhibiting the implementation of Electronic Medical Records in hospitals. Method: Data collection was carried out through 4 data sources, namely, Google Scholar, ScienceDirect, PubMed, and Digital Referral Garba (Garuda) using the keywords " Barriers of Electronic Medical Record" OR "Readiness of Electronic Medical Record" AND "Electronic Medical Record Implementation" OR “Hospital Management Information System”. Results: Based on the screening , 4 Google Scholar articles were obtained , 2 ScienceDirect articles , 2 PubMed articles, 2 Digital Reference Garba (Garuda) articles. The results of a review of 10 journals on factors inhibiting the implementation of RME in hospitals are caused by individual readiness factors and organizational readiness factors. From all journals, the most frequently found results were individual unpreparedness to face changes and technological advances , lack of training. Conclusion: Barriers to implementing electronic medical records are influenced by two factors, namely individual readiness factors and organizational readiness factors which are divided into psychological factors and also structural factors.

The Effect of Interprofessional Collaboration and Total Quality Management on the Implementation of Electronic Medical Records In Outpatient Units Mediated By Work Culture

The enactment of government regulations requires every health service facility to maintain electronic medical records as an effort to improve the quality of health services in Indonesia. There are 13,372 healthcare facilities in Indonesia and only 40% have run EMR. Influencing aspects: human data sources, policies, regulations, infrastructure and costs. There are still differences in aspects and responses of doctors and nurses to the implementation of electronic medical records. The importance of interprofessional collaboration through communication, joint decision making, coordination and cooperation, as well as continuous quality improvement through total quality management strategies and work culture of health workers as an effort to improve the quality of health services. The purpose of the study was to analyze the effect of interprofessional collaboration, total quality management on the implementation of electronic medical records in the mediation of work culture simultaneously and partially. The method uses descriptive statistics, quantitative associative correlations and questionnaires. Sampling using systematic random sampling from respondents of 109 health workers in the outpatient installation of RSUD Kabupaten Tangerang. The results showed that there is an influence of interprofessional collaboration and total quality management on the implementation of electronic medical records mediated by work culture. The coefficient value of the determination of influence on work culture variables and the implementation of electronic medical records of more than 0.75 is included in the medium category. Workshops related to the implementation of electronic edis records and effective communication among interprofessionals need to be conducted and further research can be carried out on the impact and benefits.

Implementation of Electronic Medical Record System in Indonesia Viewed from the Perspective of Legal Certainty

Indonesia's Health Transformation is rapidly advancing, marked by the launch of six Pillars of Health Transformation, including the Health Technology Transformation Pillar. The implementation of Electronic Medical Records (EMR) is a key component of this transformation, aiming to transition health records from paper to electronic form, with the government emphasizing the need for secure data management, as outlined in the Regulation of the Minister of Health of the Republic of Indonesia number 24 of 2022. The purpose of this study is to analyze the implementation of the Electronic Medical Record System in Indonesia which has one important and strategic aspect, namely in relation to existence as one of the pillars of health technology transformation in realizing national health and as a condition for indicators of realizing people's welfare mandated in the Preamble of the 1945 Constitution as a national goal. Its implementation is regulated according to the applicable laws and regulations in Law No. 17 of 2023 concerning Health, as well as specifically in Minister of Health Regulation No. 24 of 2022 concerning Medical Records. The method used is Normative Juridic. As part of the health service system, the role of the Electronic Medical Record System is very strategic in the quality of health services. The quality of health services is greatly influenced by the successful implementation of the Electronic Medical Record System. This will boil down to the regulation regarding the Electronic Medical Record in question. Currently, the laws governing RME are Law Number 17 of 2023 concerning Health and Minister of Health Regulation Number 24 of 2022 concerning Medical Records. In both regulations, it is regulated on the Implementation of Medical Records, it is formulated that Medical Records are one of the implementation of the pillars of health transformation in the realization of state goals mandated in the 1945 Constitution, especially to improve the nation's health through a sustainable Electronic Medical Record system. Although various obstacles were found in the implementation of the RME, one of them was related to the Electronic Medical Record System used, one of which was related to the security and confidentiality of patient health data. The conclusion in this study will be further examined the implementation of the Electronic Medical Record System which is still experiencing problems in terms of security and confidentiality of Electronic Medical Record data in Indonesia.

Analysis Of Inhibiting Factors Implementation Of Electronic Medical Records In East Pamulang Community Health Center

Patient medical records in Indonesia are starting to transform into electronic-based medical records. Electronic Medical Records (EMR) are medical records created using an electronic system. It is an electronic repository of information about a patient's health status and health services throughout patient life. The impact if health services have not implemented EMR is that it could hamper patient health services. This research aims to identify factors inhibiting the implementation of EMR at the East Pamulang Community Health Center (Puskesmas). The research method used is descriptive with a qualitative approach. The research subject population was medical records officer and chief administrative officer, while the object population was the medical records, registration, clinics, laboratory, and pharmacy room. The results of the research identified several factors inhibiting the implementation of EMR, such as inadequate infrastructure, no officers with a background in medical records, and still using paper-based manual medical records. The conclusion of this research is the discovery of several factors inhibiting the implementation of EMR, human resource factors where it doesn’t yet have an officer with an educational background in medical records, the number of computers is still limited which supporting EMR in each service unit, and the electronic-based medical record applications are still not used comprehensively in the service units of the Puskesmas. Suggestions from the results of this research are that Puskesmas immediately recruits officers who have an educational background in Medical Records, increases the number of computer devices that support the implementation of EMR, and immediately implements electronic-based medical records.

Electronic medical record implementation in the emergency department in a low-resource country: Lessons learned.

There is paucity of information regarding electronic medical record (EMR) implementation in emergency departments in countries outside the United States especially in low-resource settings. The objective of this study is to describe strategies for a successful implementation of an EMR in the emergency department and to examine the impact of this implementation on the department's operations and patient-related metrics. We performed an observational retrospective study at the emergency department of a tertiary care center in Beirut, Lebanon. We assessed the effect of EMR implementation by tracking emergency departments' quality metrics during a one-year baseline period and one year after implementation. End-user satisfaction and patient satisfaction were also assessed. Our evaluation of the implementation of EMR in a low resource setting showed a transient increase in LOS and visit-to-admission decision, however this returned to baseline after around 6 months. The bounce-back rate also increased. End-users were satisfied with the new EMR and patient satisfaction did not show a significant change. Lessons learned from this successful EMR implementation include a mix of strategies recommended by the EMR vendor as well as specific strategies used at our institution. These can be used in future implementation projects in low-resource settings to avoid disruption of workflows.

Qualitative study of challenges with recruitment of hospitals into a cluster controlled trial of clinical decision support in Australia

ObjectiveTo identify barriers to hospital participation in controlled cluster trials of clinical decision support (CDS) and potential strategies for addressing barriers.DesignQualitative descriptive design comprising semistructured interviews.SettingFive hospitals in New South...

Implementation of Sanctions for Health Facilities that Have Not Implemented Electronic Medical Records (EMR)

Hospitals are health care institutions that provide inpatient, outpatient, and emergency services. One of the services in the hospital is medical record services. This medical record stores various records regarding the identity, examination, treatment, actions, and other services performed on the patient. Along with the development of technology, medical records are present in digital form or called Electronic Medical Records (RME). The purpose of this study is to analyze sanctions for health facilities that have not implemented Electronic Medical Records (RME). The research method used is a literature review with a qualitative approach. The results show that with the regulatory provisions and sanctions, the implementation of RME is expected to improve the overall standard of health services. In accordance with circular number HK.02.01/MENKES/1030/2023, health facilities that do not comply with the RME implementation deadline may face administrative sanctions, including recommendations for revocation of accreditation status. These sanctions also apply to health facilities that have not integrated with the SATUSEHAT Platform by March 2024 or have not submitted patient visit data as required. This regulation is not only a guide, but also an encouragement for health service delivery to become more sophisticated, efficient, and safe through the implementation of RME.

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.