Transformation from Manual Medical Records to Electronic Medical Records: A Phenomenological Study
Abstract
With the rapid advancement of information technology in the healthcare sector, the implementation of electronic medical records has become a dominating trend. The transition from manual medical records to electronic medical records is not just a technological transformation but also a revolution in healthcare services. This research aims to explore the hospital's experience in transitioning from manual medical records to electronic medical records at dr. R. Soeharsono hospital, a level iii hospital. This research utilizes a qualitative approach with a phenomenological design. Data collection is conducted through in-depth interviews, and data analysis follows the colaizzi method. Triangulation methods were carried out by means of interviews with electronic medical records users, document analysis, and field observations The study involves four participants. The results reveal four main themes: Benchmarking, Finding suitable service platforms, EMR facilities, EMR training and Implementation of EMR. Electronic medical records training emerges as a crucial factor in preparing for electronic medical records usage, supported by regulations mandating electronic medical records service platforms. The use of external service platforms is acknowledged as an effort to enhance data security. The success of the implementation of electronic medical records also relies on the availability of supporting facilities and the selection of the right service platforms. This research provides important insights for hospitals and related parties to understand the transformation process from manual medical records to electronic medical records optimally.
Keywords: Electronic Medical Record, technology
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Abramson, E. L., Patel, V., Malhotra, S., Pfoh, E. R., Nena Osorio, S., Cheriff, A., … Kaushal, R. (2012). Physician experiences transitioning between an older versus newer electronic health record for electronic prescribing. International Journal of Medical Informatics, 81(8), 539–548. https://doi.org/10.1016/j.ijmedinf.2012.02.010
Afzal, S., & Arshad, A. (2021). Ethical issues among healthcare workers using electronic medical records: A systematic review. Computer Methods and Programs in Biomedicine Update, 1, 100030. https://doi.org/10.1016/j.cmpbup.2021.100030
Aguirre, R. R., Suarez, O., Fuentes, M., & Sanchez-Gonzalez, M. A. (2019). Electronic Health Record Implementation: A Review of Resources and Tools. Cureus, 11(9). https://doi.org/10.7759/cureus.5649
Alassaf, N., & Gutub, A. (2019). Simulating light-weight-cryptography implementation for IoT healthcare data security applications. International Journal of E-Health and Medical Communications, 10(4), 1–15. https://doi.org/10.4018/IJEHMC.2019100101
Amin, M., Setyonugroho, W., & Hidayah, N. (2021). Implementasi Rekam Medik Elektronik: Sebuah Studi Kualitatif. JATISI (Jurnal Teknik Informatika Dan Sistem Informasi), 8(1), 430–442. https://doi.org/10.35957/jatisi.v8i1.557
Arianti, N., Agushybana, F., & Widodo, Puji, A. (2023). Assessment of Information Technology in Electronic Medical Records Using the Concept Health Technology Assessment at X Jepara Hospital. Contagion: Scientific Periodical Journal of Public Health and Coastal Health, 5(4), 1512–1528.
Asih, H. A., & Indrayadi. (2023a). Part of Incomplete Medical Record Documents : Literature Review, 4(1). https://doi.org/10.26714/jichi.v4i1.11443
Asih, H. A., & Indrayadi. (2023b). Perkembangan Rekam Medis Elektronik di Indonesia: Literature Review. Jurnal Promotif Preventif, 6(1), 182–198. Retrieved from http://journal.unpacti.ac.id/index.php/JPP
Blumenthal, D., & Tavenner, M. (2010). The “Meaningful Use” Regulation for Electronic Health Records David. The New England Journal of Medicine, 501–504.
Campanella, P., Lovato, E., Marone, C., Fallacara, L., Mancuso, A., & Specchia, M. L. (2015). The impact of electronic health records on healthcare quality : a systematic review and meta-analysis, 1–5. https://doi.org/10.1093/eurpub/ckv122
Carter, N., Bryant-Lukosius, D., Dicenso, A., Blythe, J., & Neville, A. J. (2014). The use of triangulation in qualitative research. Oncology Nursing Forum, 41(5), 545–547. https://doi.org/10.1188/14.ONF.545-547
Feder, S. L. (2018). Data Quality in Electronic Health Records Research: Quality Domains and Assessment Methods. Western Journal of Nursing Research, 40(5), 753–766. https://doi.org/10.1177/0193945916689084
Gemilang, G., Kristina, I., & Amarulloh, A. (2022). Analisa Pengaplikasian Sistem Rekam Medis Elektronik di Rumah Sakit Setia. Jurnal Rekam Medis Dan Informasi Kesehatan, 5(2), 122–132.
Graetz, I., Reed, M., Shortell, S. M., Rundall, T. G., Bellows, J., & Hsu, J. (2014). The Next Step Towards Making Use Meaningful. Medical Care, 52(12), 1037–1041. https://doi.org/10.1097/mlr.0000000000000245
Hidayat, A. R., & Sari, W. E. (2017). Analisis Kesiapan (Readiness Assessment) Penerapan Electronic Medical Record di Klinik Rawat Inap PKU Muhammadiyah Pakem. Indonesian Journal On Medical Science, 4(1), 147–155.
Honeyford, K., Cooke, G. S., Kinderlerer, A., Williamson, E., Gilchrist, M., Holmes, A., … Costelloe, C. (2020). Evaluating a digital sepsis alert in a London multisite hospital network: A natural experiment using electronic health record data. Journal of the American Medical Informatics Association, 27(2), 274–283. https://doi.org/10.1093/jamia/ocz186
Jedwab, R. M., Manias, E., Hutchinson, A. M., Dobroff, N., & Redley, B. (2022). Understanding nurses’ perceptions of barriers and enablers to use of a new electronic medical record system in Australia: A qualitative study. Int J Med Inform, 158. https://doi.org/https://doi.org/10.1016/j.ijmedinf.2021.104654
Kementrian Kesehatan Republik Indonesia. (2022). Peraturan Menteri Kesehatan Republik Indonesia Nomor 24 Tahun 2022 Tentang Rekam Medis. Kementerian Kesehatan Republik Indonesia.
Keshta, I., & Odeh, A. (2021). Security and privacy of electronic health records: Concerns and challenges. Egyptian Informatics Journal, 22(2), 177–183. https://doi.org/10.1016/j.eij.2020.07.003
Kruse, C. S., Kristof, C., Jones, B., Mitchell, E., & Martinez, A. (2016). Barriers to Electronic Health Record Adoption: a Systematic Literature Review. Journal of Medical Systems, 40(12). https://doi.org/10.1007/s10916-016-0628-9
Kruse, C. S., Mileski, M., Vijaykumar, A. G., Viswanathan, S. V., Suskandla, U., & Chidambaram, Y. (2017). Impact of electronic health records on long-term care facilities: Systematic review. JMIR Medical Informatics, 5(3), 1–9. https://doi.org/10.2196/medinform.7958
Lubis, I. K., Ningtyas, A. M., & Nurfillaeli, N. (2023). Patient Perceptions of Electronic Medical Record Use by Doctors in GMC Health Center Clinic. Contagion: Scientific Periodical Journal of Public Health and Coastal Health, 5(1), 204. https://doi.org/10.30829/contagion.v5i1.14878
Magrabi, F., Liaw, S. T., Arachi, D., Runciman, W., Coiera, E., & Kidd, M. R. (2016). Identifying patient safety problems associated with information technology in general practice: An analysis of incident reports. BMJ Quality and Safety, 25(11), 870–880. https://doi.org/10.1136/bmjqs-2015-004323
Meystre, S. M., Lovis, C., Bürkle, T., Tognola, G., Budrionis, A., & Lehmann, C. U. (2017). Clinical Data Reuse or Secondary Use: Current Status and Potential Future Progress. Yearbook of Medical Informatics, 26(01), 38–52. https://doi.org/10.1055/s-0037-1606528
Morrow, R., Rodriguez, A., King, & Nigel. (2015). Colaizzi’s descriptive phenomenological method Original Citation. The Psychologist, 28(8), 643–644. Retrieved from http://eprints.hud.ac.uk/id/eprint/26984/
Ningsih, K. P., Purwanti, E., Sevtiyani, I., Santoso, S., & Ma’arif, M. R. (2022). Pelatihan Migrasi Data Rekam Medis Manual Ke Elektronik. Link, 18(1), 43–48. https://doi.org/10.31983/link.v18i1.8433
Papoutsi, C., Reed, J. E., Marston, C., Lewis, R., Majeed, A., & Bell, D. (2015). Patient and public views about the security and privacy of Electronic Health Records (EHRs) in the UK: Results from a mixed methods study Healthcare Information Systems. BMC Medical Informatics and Decision Making, 15(1), 1–15. https://doi.org/10.1186/s12911-015-0202-2
Pi, L., Expert, P., Clarke, J. M., Jauneikaite, E., & Costelloe, C. E. (2021). Electronic health record enabled track and trace in an urban hospital network: implications for infection prevention and control. MedRxiv, 2021.03.15.21253584. Retrieved from http://medrxiv.org/content/early/2021/03/17/2021.03.15.21253584.abstract
Pratama, M. H., & Darnoto, S. (2017). Analisis Strategi Pengembangan Rekam Medis Elektronik Di Instalasi Rawat Jalan Rsud Kota Yogyakarta. Jurnal Manajemen Informasi Kesehatan Indonesia, 5(1), 34. https://doi.org/10.33560/.v5i1.146
Rathert, C., Mittler, J. N., Banerjee, S., & McDaniel, J. (2017). Patient-centered communication in the era of electronic health records: What does the evidence say? Patient Education and Counseling, 100(1), 50–64. https://doi.org/10.1016/j.pec.2016.07.031
Riyanti, R., Arfan, A., & Zuana, E. (2023). Analisis kesiapan penerapan rekam medis elektronik: Sebuah studi kualitatif. Holistik Jurnal Kesehatan, 17(6), 507–521. https://doi.org/10.33024/hjk.v17i6.12867
Ruan, Y., Tan, G. D., Lumb, A., & Rea, R. D. (2019). Importance of inpatient hypoglycaemia: impact, prediction and prevention. Diabetic Medicine, 36(4), 434–443. https://doi.org/10.1111/dme.13897
Saleem, J. J., & Herout, J. (2018). Transitioning from one electronic health record (ehr) to another: A narrative literature review. Proceedings of the Human Factors and Ergonomics Society, 1, 489–493. https://doi.org/10.1177/1541931218621112
Sudirahayu, I., & Harjoko, A. (2017). Analisis Kesiapan Penerapan Rekam Medis Elektronik Menggunakan DOQ-IT di RSUD Dr. H. Abdul Moeloek Lampung. Journal of Information Systems for Public Health, 1(3). https://doi.org/10.22146/jisph.6536
Ulfa, N., & Yuspin, W. (2023). Legality of Electronic Medical Records (RME) in Hospital Management Information System Readiness based on Minister of Health Regulation Number 24 of 2022 concerning Medical Records. Soepra, 9(1), 72–78. https://doi.org/10.24167/sjhk.v9i1.6122
Wani, D., & Malhotra, M. (2018). Does the meaningful use of electronic health records improve patient outcomes? Journal of Operations Management, 10(1–18). https://doi.org/https://doi.org/10.1016/j.jom.2018.06.003.
Wirajaya, M. K. M., & Dewi, N. M. U. K. (2020). Analisis Kesiapan Rumah Sakit Dharma Kerti Tabanan Menerapkan Rekam Medis Elektronik. Jurnal Kesehatan Vokasional, 5(1), 1. https://doi.org/10.22146/jkesvo.53017
Yoga, V., Jaka, B., & Yanti, M. (2021). Analisis Kesiapan Penerapan Rekam Medis Elektronik (Rme)Di Rsup Dr. M. Djamil Padang. B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah, 8(1), 71–82. https://doi.org/10.33854/jbd.v8i1.598
Zumrotussa’adah, & Retnowati. (2023). Tinjauan Persiapan Alih Media Rekam Medis Rawat Inap Aktif Ke Rekam Medis Elektronik Di Rsud Dr. H. Soewondo Kendal. Politeknik Kesehatan Kemenkes Semarang. Retrieved from http://repository.poltekkes-smg.ac.id/index.php?p=show_detail&id=34938&keywords=alih+media+rekam+medis
DOI: http://dx.doi.org/10.30829/contagion.v6i1.19188
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