Impact of electronic medical records (EMRs) on hospital productivity in Japan

Kaneko, Kozo; Onozuka, Daisuke; Shibuta, Hidetoshi; Hagihara, Akihito

doi:10.1016/j.ijmedinf.2018.07.008

Cited by 18 publications

(10 citation statements)

References 36 publications

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“…Their research findings show that patients who received medical and surgical treatment in facilities without an EMR program had similar outcomes compared to patients receiving care in hospitals with such a system when accounting for significant confounders. A study by Kaneko et al conducted to evaluate the impact of EMRs on hospital productivity in Japan showed no significant association found between EMR implementation and labor productivity growth [32]. It concluded that EMR implementation has an adverse effect on the productivity and profitability of municipal hospitals in Japan and this finding should be considered when developing future healthcare policies promoting the implementation of IT.…”

Section: Discussionmentioning

confidence: 98%

The Impact of Upgrade towards Comprehensive Electronic Medical Record System on Hospital Performance: A Single Tertiary Care Center Experience in Saudi Arabia

Alrehaili¹,

Alsharqi²

2021

JBMS

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In line with the global trend, hospitals in the Kingdom of Saudi Arabia, including tertiary medical care centers, have increasingly adopted comprehensive electronic medical record (EMR) systems in the past twenty years. However, knowledge of these systems and the extent of their impact on performance is still limited in the Kingdom due to the lack of studies researching in this field. Accordingly, this study aims to investigate the impact of implementing a comprehensive EMR system in King Abdullah Medical City (KAMC) on hospital performance and to test the assumed hypotheses which propose that implementing a comprehensive EMR significantly improves the clinical effectiveness, patient-centeredness, patients' safety and production efficiency in an advanced tertiary care setting in Saudi Arabia. To achieve this, a quantitative cross-sectional survey was conducted, using a valid questionnaire, on a random representative sample of 150 participants from healthcare professionals working in KAMC who experienced the upgrade towards the comprehensive EMR. The data collected was analyzed and the results showed the existence of statistically significant relationships between the implementation of comprehensive EMR as an independent variable and the four investigated dependent variables which are clinical effectiveness, patient-centeredness, patients' safety and production efficiency in an advanced tertiary care setting in Saudi Arabia at significance level p=0.000 < 0.05. The study concluded the necessity of implementing comprehensive EMR to the point where tertiary care hospitals should pay attention to the application of such advanced electronic system because of their role in improving health care performance. Eventually, the study recommends the need to build an integrated EMR system at the level of the Kingdom that ensures the safe exchange of information between hospitals and health national centers which would enhance the provision of more distinguished health service for each patient, increase administrative efficiency and reduce the use of traditional means of recording like paper.

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Section: Discussionmentioning

confidence: 98%

The Impact of Upgrade towards Comprehensive Electronic Medical Record System on Hospital Performance: A Single Tertiary Care Center Experience in Saudi Arabia

Alrehaili¹,

Alsharqi²

2021

JBMS

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“…Selama beberapa tahun terakhir, pesatnya perkembangan teknologi informasi dan komunikasi dimanfaatkan oleh perusahaan untuk menunjang kegiatan operasional dan kegiatan perkantoran (Holgersson & Aaboen, 2019), (Liu & Huang, 2020), (Shirai & Kiritani, 2021). Salah satu pemanfaatan teknologi di kegiatan perkantoran yaitu di bidang kearsipan berupa pengelolaan arsip berbasis elektronik (Jervis & Masoodian, 2014), (Kaneko, 2018), (Sun, 2020). teknologi mengubah kegiatan kearsipan yang dulu dilakukan secara konvensional menjadi elektronik atau otomatis (Engelman, Enkvist, & Pettersson, 2019), (Zheng, Wang, Zhang, Wu, & Yang, 2020).…”

Section: Pendahuluanunclassified

Pengembangan sistem kearsipan dan administrasi gaji elektronik (SIPAMIGA) berbasis website dinamis di PT. Subur Jaya Prima Kabupaten Tuban

Nafisah

Pratikto

2021

JEBP

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Saat ini teknologi dimanfaatkan oleh Perusahaan sebagai salah satu sarana penunjang kinerja operasional dan kegiatan perkantoran. salah satunya yaitu di bidang kearsipan. Berkaitan dengan hal tersebut, maka diperlukan adanya pengembangan lebih lanjut pada sistem kearsipan di perusahaan dengan memanfaatkan teknologi yang sudah ada dan sedang berkembang saat ini. Oleh karena itu, penelitian ini bertujuan untuk menghasilkan produk sistem kearsipan dan Administrasi gaji elektronik berbasis website dinamis yang layak dan efektif untuk digunakan berdasarkan hasil validasi Ahli Materi dan Ahli Media serta Pengguna sesuai dengan kebutuhan. produk sistem kearsipan gaji yang dikembangkan dapat menjadi alternatif pilihan bagi perusahaan dalam meminimalisir kesalahan yang terjadi pada proses kearsipan administrasi gaji. Penelitian dan pengembangan ini menggunakan model Research and Development Borg and Gall yang telah dimodifikasi. Teknik analisis data yang digunakan adalah teknik analisis deskriptif dan teknik deskriptif persentase. Hasil penelitian dan pengembangan ini adalah menghasilkan sistem kearsipan dan administrasi gaji elektronik (SIPAMIGA) berbasis website dinamis yang dinyatakan sangat valid, layak dan efektif untuk digunakan berdasarkan penilaian ahli media, ahli materi, dan 7 pengguna uji coba kelompok kecil. Sehingga dapat disimpulkan bahwa SIPAMIGA layak dan efektif digunakan sebagai sistem kearsipan administrasi gaji.

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“…In Japan, the adoption of EMR systems has been steadily increasing since 2005 [23]. By 2020, the EMR adoption rate is expected to reach 90% for general hospitals [24].…”

Section: Introductionmentioning

confidence: 99%

Understanding the Situated Roles of Electronic Medical Record Systems to Enable Redesign: Mixed Methods Study

Helou¹,

Abou-Khalil²,

Yamamoto³

et al. 2019

JMIR Hum Factors

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Background Redesigning electronic medical record (EMR) systems is needed to improve their usability and usefulness. Similar to other artifacts, EMR systems can evolve with time and exhibit situated roles. Situated roles refer to the ways in which a system is appropriated by its users, that is, the unintended ways the users engage with, relate to, and perceive the system in its context of use. These situated roles are usually unknown to the designers as they emerge and evolve as a response by the users to a contextual need or constraint. Understanding the system’s situated roles can expose the unarticulated needs of the users and enable redesign opportunities. Objective This study aimed to find EMR redesign opportunities by understanding the situated roles of EMR systems in prenatal care settings. Methods We conducted a field-based observational study at a Japanese prenatal care clinic. We observed 3 obstetricians and 6 midwives providing prenatal care to 37 pregnant women. We looked at how the EMR system is used during the checkups. We analyzed the observational data following a thematic analysis approach and identified the situated roles of the EMR system. Finally, we administered a survey to 5 obstetricians and 10 midwives to validate our results and understand the attitudes of the prenatal care staff regarding the situated roles of the EMR system. Results We identified 10 distinct situated roles that EMR systems play in prenatal care settings. Among them, 4 roles were regarded as favorable as most users wanted to experience them more frequently, and 4 roles were regarded as unfavorable as most users wanted to experience them less frequently; 2 ambivalent roles highlighted the providers’ reluctance to document sensitive psychosocial information in the EMR and their use of the EMR system as an accomplice to pause communication during the checkups. To improve the usability and usefulness of EMR systems, designers can amplify the favorable roles and minimize the unfavorable roles. Our results also showed that obstetricians and midwives may have different experiences, wants, and priorities regarding the use of the EMR system. Conclusions Currently, EMR systems are mainly viewed as tools that support the clinical workflow. Redesigning EMR systems is needed to amplify their roles as communication support tools. Our results provided multiple EMR redesign opportunities to improve the usability and usefulness of EMR systems in prenatal care. Designers can use the results to guide their EMR redesign activities and align them with the users’ wants and priorities. The biggest challenge is to redesign EMR systems in a way that amplifies their favorable roles for all the stakeholders concurrently.

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Impact of electronic medical records (EMRs) on hospital productivity in Japan

Abstract: EMR implementation has an adverse effect on the productivity of municipal hospitals in Japan. This finding should be considered when developing future healthcare policies promoting the implementation of IT.

Cited by 18 publications

References 36 publications

The Impact of Upgrade towards Comprehensive Electronic Medical Record System on Hospital Performance: A Single Tertiary Care Center Experience in Saudi Arabia

The Impact of Upgrade towards Comprehensive Electronic Medical Record System on Hospital Performance: A Single Tertiary Care Center Experience in Saudi Arabia

Pengembangan sistem kearsipan dan administrasi gaji elektronik (SIPAMIGA) berbasis website dinamis di PT. Subur Jaya Prima Kabupaten Tuban

Understanding the Situated Roles of Electronic Medical Record Systems to Enable Redesign: Mixed Methods Study

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