Effectiveness and Outcome of Electronic Medical Record in Patient Service: A Systematic Review

Authors

  • Turido Pratama Universitas Airlangga

DOI:

https://doi.org/10.35790/msj.v6i2.50383

Abstract

Abstract: Using electronic medical records is one endeavor to enhance healthcare services and patient outcomes. The electronic medical record (EMR) is employed in healthcare facilities to accomplish every objective. This studyaimed to  evaluate the effectiveness and effect of medical record usage in hospitals. This was a systematic review study. Three databases—PubMed, ScienceDirect, and Cochrane—were searched for research publications in this study. Publications published during the last ten years were targeted for search. Three reviewers were involved in the screening of the title and abstract to establish eligibility. Information was acquired from the studies included in this systematic review using a data extraction form that had been pilot tested. The results obtained a total of 1341 articles selected through a search process by entering keywords in a predetermined database. Articles based on inclusion and exclusion criteria were selected, so that, seven articles were included in this study. Most of the studies indicated that EMR benefited health workers to give better clinical performances to the patients, improving quality-adjusted life year (QALY) of the patients, and reduce the mortality rates. In conclusion, implementing the EMR system may benefit health workers and increase their hospital performance.

Keywords: electronic medical record; outcome; hospital; health workers

Author Biography

Turido Pratama, Universitas Airlangga

Faculty of Public Health, Univeritas Airlangga, Surabaya, Indonesia

References

Andriani R, Wulandari DS, Margianti RS. Rekam medis elektronik sebagai pendukung manajemen pelayanan pasien di RS Universitas Gadjah Mada. J Ilm Perekam dan Inf Kesehat Imelda. 2022;7(1):96–107. Available from: https://jurnal.uimedan.ac.id/index.php/JIPIKI/article/view/599

De Benedictis A, Lettieri E, Gastaldi L, Masella C, Urgu A, Tartaglini D. Electronic medical records implementation in hospital: an empirical investigation of individual and organizational determinants. PLoS One. 2020;15(6):e0234108. Available from: https://dx.plos.org/10.1371/ journal.pone.0234108

Singer A, Duarte FR. The effect of electronic medical record system use on communication between pharmacists and prescribers. BMC Fam Pract. 2015;16(1):155. Available from: http://bmcfampract. biomedcentral.com/articles/10.1186/s12875-015-0378-7

Neves AL, Carter AW, Freise L, Laranjo L, Darzi A, Mayer EK. Impact of sharing electronic health records with patients on the quality and safety of care: a systematic review and narrative synthesis protocol. BMJ Open. 2018;8(8):1–8. Doi:10.1136/bmjopen-2017-020387

Farid ZM, Fernando NR, Sonia D. Efektivitas penggunaan rekam medis elektronik terhadap pelayanan pasien rawat jalan di Klinik Darul Arqam Garut. Cerdika J Ilm Indones. 2021;1(9):1247–54. Available from: https://cerdika.publikasiindonesia.id/index.php/cerdika/article/view/178

South M, Cheng D, Andrew L, Egan N, Carlin J. Decreased in‐hospital mortality rate following implementation of a comprehensive electronic medical record system. J Paediatr Child Health. 2022;58(2):332–6. Available from: https://onlinelibrary.wiley.com/doi/10.1111/jpc.15718

Liu S, Gnjidic D, Patanwala AE, Rubin G, Nielsen M, Penm J. Effect of an electronic medical record design modification on laxative co-prescribing among hospitalised patients taking opioids: a before-and-after study. Int J Med Inform. 2020;140(May):104172. Available from: https://linkinghub.elsevier.com/ retrieve/pii/S1386505619313152

Beauvais B, Kruse CS, Fulton L, Shanmugam R, Ramamonjiarivelo Z, Brooks M. Association of electronic health record vendors with hospital financial and quality performance: Retrospective data analysis. J Med Internet Res. 2021;23(4):e23961. Doi: 10.2196/23961

Yuan N, Dudley RA, Boscardin WJ, Lin GA. Electronic health records systems and hospital clinical performance: a study of nationwide hospital data. J Am Med Informatics Assoc. 2019;26(10):999–1009. Available from: https://academic.oup.com/jamia/article/26/10/999/5522435

Wu C, Zhang D, Bai X, Zhou T, Wang Y, Lin Z, et al. Are medical record front page data suitable for risk adjustment in hospital performance measurement? Development and validation of a risk model of in-hospital mortality after acute myocardial infarction. BMJ Open. 2021;11(4):e045053. Available from: https://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2020-045053

Ben-Assuli O, Shabtai I, Leshno M. Using electronic health record systems to optimize admission decisions: the creatinine case study. Health Informatics J. 2015;21(1):73–88. Available from: http://journals.sagepub.com/doi/10.1177/1460458213503646

Ben-Assuli O, Ziv A, Sagi D, Ironi A, Leshno M. Cost-effectiveness evaluation of EHR: simulation of an abdominal aortic aneurysm in the emergency department. J Med Syst. 2016;40(6):141. Available from: http://link.springer.com/10.1007/s10916-016-0502-9

Lin H-L, Wu D-C, Cheng S-M, Chen C-J, Wang M-C, Cheng C-A. Association between electronic medical records and health care quality. Medicine (Baltimore). 2020;99(31):e21182. Available from: https://journals.lww.com/10.1097/MD.0000000000021182

Lee J, Kuo Y-F, Goodwin JS. The effect of electronic medical record adoption on outcomes in US hospitals. BMC Health Serv Res. 2013;13(1):39. Available from: https://bmchealthservres. biomedcentral.com/articles/10.1186/1472-6963-13-39

Ayaad O, Alloubani A, ALhajaa EA, Farhan M, Abuseif S, Al Hroub A, et al. The role of electronic medical records in improving the quality of health care services: comparative study. Int J Med Inform. 2019;127:63–7. Available from: https://doi.org/10.1016/j.ijmedinf.2019.04.014

Pahlevi AR, Wardhana ES, Agustin ED et al. Electronic medical record at RSIGM Sultan Agung Semarang reviewed from the completeness and the safety format system. Medali J. 2021;3(1):20–8. Available from: https://www.researchgate.net/publication/357803571

Maryati Y. Evaluasi penggunaan electronic medical record rawat jalan di Rumah Sakit Husada dengan technology acceptance model. J Manaj Inf Kesehat Indones. 2021;9(2):190. Available from: https://jmiki.aptirmik.or.id/index.php/jmiki/article/view/180

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Published

2024-02-16

How to Cite

Pratama, T. (2024). Effectiveness and Outcome of Electronic Medical Record in Patient Service: A Systematic Review. Medical Scope Journal, 6(2), 203–209. https://doi.org/10.35790/msj.v6i2.50383