The role of electronic medical records in improving the quality of health care services: Comparative study

Ayaad, Omar; Alloubani, Aladeen; ALhajaa, Eyad Abu; Farhan, Mohammad; Abuseif, Sami; Hroub, Ahmad Al; Akhu‐Zaheya, Laila

doi:10.1016/j.ijmedinf.2019.04.014

Cited by 70 publications

(53 citation statements)

References 11 publications

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“…A past survey of medical providers found that the adoption of EMRs led to improvements in healthcare. [ 3 ] During the full EMR stage, the medical records are integrated into the system, making it easier to query medical records and deliver information. The transfer of information in team-based care is more immediate, and most paperwork is reduced.…”

Section: Discussionmentioning

confidence: 99%

“…[ 1 ] According to a meta-analysis, the adoption of EMRs leads to better adherence to clinical guidelines, fewer medication errors and fewer adverse drug reactions but has no significant effect on mortality. [ 2 ] The full implementation of EMRs improves healthcare quality, [ 3 ] but a recent population-based study showed conflicting results and the lack of associations between the adoption of EMRs and improvement in inpatient mortality, readmissions, and patient safety indicators after adjusting for patient and hospital factors. [ 4 ]…”

Section: Introductionmentioning

confidence: 99%

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Association between Electronic Medical Records and Healthcare Quality

Lin

Cheng³

et al. 2020

Medicine

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The implementation of electronic medical records (EMRs) has generally been thought to improve medical efficiency and safety, but consistent evidence of improved healthcare quality due to EMRs in population-based studies is lacking. We assessed the relationship between the degree of EMR adoption and patient outcomes. We performed an observational study using discharge data from Tri-service General Hospital from 2013 to 2018. The levels of EMR utilization were divided into no EMRs, partial EMRs and full EMRs. The primary healthcare quality indicators were inpatient mortality, readmission within 14 days, and 48-hour postoperative mortality. We performed a Cox proportional hazards regression analysis to evaluate the relationship between the EMR utilization level and healthcare quality. In total, 262,569 patients were included in this study. Compared with no EMRs, full EMR implementation led to lower inpatient mortality [adjusted hazard ratio (HR) 0.947, 95% confidence interval (CI): 0.897–0.999, P = ..049] and a lower risk of readmission within 14 days (adjusted HR 0.627, 95% CI: 0.577–0.681, P < .001). Full EMR implementation was associated was a lower risk of 48-hour postoperative mortality (adjusted HR 0.372, 95% CI: 0.208–0.665, P = .001) than no EMRs. Partial EMR implementation was associated with a higher risk of readmission within 14 days than no EMRs (HR 1.387, 95% CI: 1.298–1.485, P < .001). Full EMR adoption improves healthcare quality in medical institutions treating severely ill patients. A prospective study is needed to confirm this finding.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Association between Electronic Medical Records and Healthcare Quality

Lin

Cheng³

et al. 2020

Medicine

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“…Concerns about the lack of infrastructure for stable power supply and Internet access in Myanmar and other lower income countries in the region have been reported previously by Lewis et al [15]. EMR system deployment increases the quality of healthcare services [16] as well as physicians' satisfaction [17]. However, implementing such systems is never easy while taking into account baseline data, such as who will be the users, their ICT knowledge, and their acceptance towards the system.…”

Section: Discussionmentioning

confidence: 99%

“…EMR system deployment increases the quality of healthcare services [ 16 ] as well as physicians’ satisfaction [ 17 ]. However, implementing such systems is never easy while taking into account baseline data, such as who will be the users, their ICT knowledge, and their acceptance towards the system.…”

Section: Discussionmentioning

confidence: 99%

User Acceptance of Electronic Medical Record System: Implementation at Marie Stopes International, Myanmar

et al. 2020

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This study assessed the technical feasibility and aimed to determine the factors influencing intention to use Electronic Medical Records (EMRs) at Marie Stopes International, Myanmar (MSI-M). Methods: A cross-sectional survey was conducted among 112 participants who were working at the clinics and head office of MSI-M. Demographic information, type of office, technical feasibility, information communication technology knowledge, computer usage, and user acceptance towards the proposed system were obtained from the participants. Results: The results indicated low health information technology usage and network availability at MSI-M clinics. Positive perception of EMRs was found among the staff members of MSI-M, which was reflected by positive responses regarding perceived usefulness (average score of 4.15), perceived ease of use (average score of 4.03), and intention to use (average score of 4.10) on a 5-point Likert scale. Statistically, staff from the head office expressed less desire to implement an EMR system (odds ratio = 0.07; 95% confidence interval, 0.01-0.97), especially when they do not perceive the usefulness of the system (odds ratio = 5.05; 95% confidence interval, 2.39-10.69). Conclusions: Since health information technology usage and network availability were low in MSI-M, it is important to strengthen the information and communication technology infrastructure and introduce a policy for capacity building at MSI-M. Adequate training and strong leadership support are recommended for the successful initial implementation and sustainability of an EMR system at MSI-M.

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“…So that the sustainable services can be attained, while at the same time reducing the mortality rate and fulfilling all parties' rights and obligations (Sistiarini et al, 2014). The significance of medical records will give an impact on the quality of the health services, hospitals with electronic medical records (EMRs) have better service quality compared to those that use the conventional medical records in paper form (Ayaad et al, 2019). The use of electronic medical records allows an accurate service according to the patients' problems and needs so that a better decision can be made by the health staff (Chen et al, 2020).…”

Section: Legal Substancementioning

confidence: 99%