Hospital administrative services with electronic medical records: A meta-analysis 10.55131/jphd/2023/210325
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Abstract
Electronic medical record (EMR) is an online record of patient's personal and clinical data stored in a healthcare treatment administration. It has been increasingly in demand and is perceived as the “backbone” of digital healthcare. The current study aims to analyse the effectivity of electronic medical records in improving health services in terms of administration. It is a systematic review and meta-analysis of articles published in Science Direct, ProQuest, PubMed, and Google Scholar. The inclusion criterion is a full-text article with observational research design published from 2013 to 2022. The articles were analysed using Review Manager 5.3. The database searches produced nine articles from Asia (China, Australia, and Singapore), Africa (Ethiopia), and nationwide studies in the USA and New York. The finding suggested that hospitals or health services that employ electronic medical records can improve the quality of health care by 1.84 times compared to those that do not make the most of EMR. The results were significant by statistics (aOR = 1.84; 95% CI = 1.20 to 2.83; p = 0.005; I2= 98%).
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References
Pastorino R, De Vito C, Migliara G, Glocker K, Binenbaum I, Ricciardi W, et al. Benefits and challenges of Big Data in healthcare: An overview of the European initiatives. Eur J Public Health. 2019;29:23–7.
Batko K, Ślęzak A. The use of Big Data Analytics in healthcare. J Big Data [Internet]. 2022;9(1). Available from: https://doi.org/10.1186/s40537-021-00553-4
Abid Haleem, Mohd Javaid RPS, Suman R. Telemedicine for healthcare: Capabilities, features, barriers, and applications. Sensors Int. 2021;2:1–12.
Alolayyan MN, Alyahya MS, Alalawin AH, Shoukat A, Nusairat FT. Health information technology and hospital performance the role of health information quality in teaching hospitals. Heliyon [Internet]. 2020;6(10):e05040. Available from: https://doi.org/10.1016/j.heliyon.2020.e05040
Jeffries PR, Bushardt RL, Dubose-Morris R, Hood C, Kardong-Edgren S, Pintz C, et al. The Role of Technology in Health Professions Education during the COVID-19 Pandemic. Acad Med. 2022;97(3):S104–9.
Aryani R, Weni I, Saputra E. Sistem Informasi Electronic Medical Record (EMR) Berbasis Web untuk Meningkatkan Kualitas Hasil Diagnosa Penyakit Pasien. JUSS (Jurnal Sains dan Sist Informasi). 2018 Mar;1(1):56–66.
Alotaibi YK, Federico F. The impact of health information technology on patient safety. Saudi Med J. 2017;38(12):1173–80.
Vahedi HS, Mirfakhrai M, Vahidi E, Saeedi M. Impact of an educational intervention on medical records documentation. World J Emerg Med. 2018;9(2):136.
Shaharul NA, Ahmad Zamzuri M ‘Ammar I, Ariffin AA, Azman AZF, Mohd Ali NK. Digitalisation Medical Records: Improving Efficiency and Reducing Burnout in Healthcare. Int J Environ Res Public Health. 2023;20(4).
Norton PT, Candidate M, Rodriguez HP, Shortell SM, Lewis VA. Organizational Influences on Health Care System Adoption and Use of Advanced Health Information Technology Capabilities. 2019;
Babalola TK, Moodley I. Technical efficiency and productivity of public district hospitals in KwaZulu-Natal province, South Africa. J Public health Res. 2020;9(1):47–56.
Flessa S, Huebner C. Innovations in health care—a conceptual framework. Int J Environ Res Public Health. 2021;18(19).
Li H, Yang X, Wang H, Wei W, Xue W. A Controllable Secure Blockchain-Based Electronic Healthcare Records Sharing Scheme. J Healthc Eng. 2022;2022.
McGill T, Hobbs V, Klobas J. User-developed applications and information systems success: A test of DeLone and McLean’s model. Inf Resour Manag J. 2003;16(1):24–45.
Donnelly C, Janssen A, Vinod S, Stone E, Harnett P, Shaw T. A Systematic Review of Electronic Medical Record Driven Quality Measurement and Feedback Systems. Int J Environ Res Public Health. 2023;20(1).
Villarin LA, Patrick JR. How a digital patient experience can lead to future outcome driven healthcare: thoughts for executive teams. mHealth. 2023;9:8–8.
Tsai CH, Eghdam A, Davoody N, Wright G, Flowerday S, Koch S. Effects of electronic health record implementation and barriers to adoption and use: A scoping review and qualitative analysis of the content. Life. 2020;10(12):1–27.
Lee S, Kim HS. Prospect of artificial intelligence based on electronic medical record. J Lipid Atheroscler. 2021;10(3):282–90.
Ahmad Shahabuddin F, Wah KY, Buji RI, Zulkafli NS, Lee SW, Soon HL, et al. Medical record abstraction in a hospital with paper-based records: experience of early career psychiatrists in northern Borneo. BJPsych Int. 2020;17(2):43–4.
Mattar A, Carlston D, Sariol G, Yu T, Almustafa A, Melton GB, et al. The prevalence of obesity documen-tation in Primary Care Electronic Medical Records Are we acknowledging the problem? 2017;
Kokkonen EWJ, Davis SA, Lin HC, Dabade TS, Feldman SR, Fleischer AB. Use of electronic medical records differs by specialty and office settings. J Am Med Informatics Assoc. 2013 Jun;20(E1):e33–8.
Hatef E, Ma X, Rouhizadeh M, Singh G, Weiner JP, Kharrazi H. Assessing the Impact of Social Needs and Social Determinants of Health on Health Care Utilization: Using Patient- and Community-Level Data. https://home.liebertpub.com/pop. 2021 Apr;24(2):222–30.
Harrison Id SL, Fazio-Eynullayeva Id E, Id DAL, Underhill P, Lip Id GYH. Comorbidities associated with mortality in 31,461 adults with COVID-19 in the United States: A federated electronic medical record analysis. 2020;
Rahman N, Wang DD, Hui-Xian Ng S, Ramachandran S, Sridharan S, Khoo A, et al. Processing of Electronic Medical Records for Health Services Research in an Academic Medical Center: Methods and Validation. 2018;
Wang X, Carcel C, Hsu B, Shajahan S, Miller M, Peters S, et al. Differences in the pre-hospital management of women and men with stroke by emergency medical services in New South Wales. Med J Aust. 2022 Aug;217(3):143–8.
Rotmensch M, Halpern Y, Tlimat A, Horng S, Sontag D. Learning a Health Knowledge Graph from Electronic Medical Records OPEN. 2017;
King J, Patel V, Jamoom EW, Furukawa MF. Clinical Benefits of Electronic Health Record Use: National Findings. Health Serv Res. 2014 Feb;49(1pt2):392–404.
Adler-Milstein J, Holmgren AJ, Kralovec P, Worzala C, Searcy T, Patel V. Electronic health record adoption in US hospitals: the emergence of a digital “advanced use” divide. 2017;
Clegg A, Bates C, Young J, Ryan R, Nichols L, Teale EA, et al. Development and validation of an electronic frailty index using routine primary care electronic health record data. Age Ageing. 2016;45:353–60.
Senbekov M, Saliev T, Bukeyeva Z, Almabayeva A, Zhanaliyeva M, Aitenova N, et al. The recent progress and applications of digital technologies in healthcare: A review. Int J Telemed Appl. 2020;2020.
Fattah TI, Hariyati RTS. View of EFEKTIVITAS IMPLEMENTASI ELECTRONIC HEALTH RECORDS (EHR) TERHADAP PENINGKATAN KUALITAS DOKUMENTASI ASUHAN KEPERAWATAN: A LITERATURE REVIEW. 2022. p. 629–32.
Negro-Calduch E, Azzopardi-Muscat N, Krishnamurthy RS, Novillo-Ortiz D. Technological progress in electronic health record system optimization: Systematic review of systematic literature reviews. Int J Med Inform [Internet]. 2021;152:104507. Available from: https://doi.org/10.1016/j.ijmedinf.2021.104507
Malik M, Kazi AF, Hussain A. Adoption of health technologies for effective health information system: Need of the hour for Pakistan. PLoS One [Internet]. 2021;16(10 October):1–22. Available from: http://dx.doi.org/10.1371/journal.pone.0258081
Jin Z, Wang Z. Operational and Financial Impacts of Digital Health Technology: A Study on Canadian Healthcare System during the COVID-19 Pandemic. Int J Environ Res Public Health. 2022;19(22).
Lin H-L. Association between Electronic Medical Records and Healthcare Quality. Medicine (Baltimore). 2020;99(31):1–7.
Adane K, Gizachew M, Kendie S. The role of medical data in efficient patient care delivery: A review. Risk Manag Healthc Policy. 2019;12:67–73.
Masic I. Medical Decision Making. Acta Inform Medica. 2022;30(3):230–5.
Kasaye MD, Beshir MA, Endehabtu BF, Tilahun B, Guadie HA, Awol SM, et al. Medical documentation practice and associated factors among health workers at private hospitals in the Amhara region, Ethiopia 2021. BMC Health Serv Res [Internet]. 2022;22(1):1–13. Available from: https://doi.org/10.1186/s12913-022-07809-6
Park Y, Yoon HJ. Understanding personal health record and facilitating its market. Healthc Inform Res. 2020;26(3):248–50.
Tubaishat A. The effect of electronic health records on patient safety: A qualitative exploratory study. Informatics Heal Soc Care [Internet]. 2019;44(1):79–91. Available from: https://doi.org/10.1080/17538157.2017.1398753
Upadhyay S, Hu HF. A Qualitative Analysis of the Impact of Electronic Health Records (EHR) on Healthcare Quality and Safety: Clinicians’ Lived Experiences. Heal Serv Insights. 2022;15.
Huang C, Koppel R, McGreevey JD, Craven CK, Schreiber R. Transitions from One Electronic Health Record to Another: Challenges, Pitfalls, and Recommendations. Appl Clin Inform. 2020;11(5):742–54.
Honavar SG. Electronic medical records - The good, the bad and the ugly. BMC Ophthalmol [Internet]. 2020;68(3):417–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/28331284%0Ahttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC5354527%5Cnhttp://bmcpsychiatry.biomedcentral.com/articles/10.1186/1471-244X-11-49%5Cnhttp://bmcophthalmol.biomedcentral.com/articles/10.1186/s12886
Albagmi S. The effectiveness of EMR implementation regarding reducing documentation errors and waiting time for patients in outpatient clinics: A systematic review. F1000Research. 2021;10:1–18.
Ibrahim AA, Ahmad Zamzuri MAI, Ismail R, Ariffin AH, Ismail A, Muhamad Hasani MH, et al. The role of electronic medical records in improving health care quality: A quasi-experimental study. Med (United States). 2022;101(30):E29627.
Wali RM, Alqahtani RM, Alharazi SK, Bukhari SA, Quqandi SM. Patient satisfaction with the implementation of electronic medical Records in the Western Region, Saudi Arabia, 2018. BMC Fam Pract. 2020;21(1):1–6.
Samal L, Fu HN, Camara DS, Wang J, Bierman AS, Dorr DA. Health information technology to improve care for people with multiple chronic conditions. Health Serv Res. 2021;56(S1):1006–36.
Flott K, Maguire J, Phillips N. Digital safety: the next frontier for patient safety. Futur Healthc J. 2021;8(3):e598–601.
Strudwick G, McGillis Hall L, Nagle L, Trbovich P. Acute care nurses’ perceptions of electronic health record use: A mixed method study. Nurs Open. 2018 Oct;5(4):491–500.
Vos JFJ, Boonstra A, Kooistra A, Seelen M, Van Offenbeek M. The influence of electronic health record use on collaboration among medical specialties. BMC Health Serv Res. 2020;20(1):1–11.
Quinn M, Forman J, Harrod M, Winter S, Fowler KE, Krein SL, et al. Electronic health records, communication, and data sharing: Challenges and opportunities for improving the diagnostic process. Diagnosis. 2019;6(3):241–8.
Dressler AM, Gillman AG, Wasan AD. A narrative review of data collection and analysis guidelines for comparative effectiveness research in chronic pain using patient-reported outcomes and electronic health records. J Pain Res. 2019;12:491–500.
Park J, Artin MG, Lee KE, May BL, Park M, Hur C, et al. Structured deep embedding model to generate composite clinical indices from electronic health records for early detection of pancreatic cancer. Patterns [Internet]. 2023;4(1):100636. Available from: https://doi.org/10.1016/j.patter.2022.100636
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.
Aguirre RR, Suarez O, Fuentes M, Sanchez-Gonzalez MA. Electronic Health Record Implementation: A Review of Resources and Tools. Cureus. 2019;11(9).