META ANALYSIS: EFFECTIVENESS OF ELECTRONIC MEDICAL RECORD (EMR) ON THE QUALITY OF HEALTH SERVICES
DOI:
https://doi.org/10.26911/thejhpm.2024.09.02.03Abstract
Background : Progress technology information make all affected areas _ experience change . One of impact progress technology and information in the area health that is exists record medical electronic . There is a record medical electronic is designed to improve communication between providers within and between organizations by automating the collection, use, and storage of patient information. Additionally, record medical electronics can facilitate guideline compliance and decision support in service health . There is a record medical electronic expected can increase quality service health care in the facility service health .
Subjects and Methods : This research is a meta-analysis and systematic review study , with PICO Population = Hospitals that use an EMR system . Intervention = _ Electronic Medical Records ( EMR ) . Comparison = Without Electronic Medical Record ( EMR ) . Outcome = Quality of health services. The articles used in this research were obtained from several databases including PubMed, ScienceDirect, and Google Scholar. Keywords to find articles are: “EMR” OR “ effectiveness of EMR use” OR “ quality of health care” OR “ effectiveness of EMR”
Results : A total of 10 articles reviewed in this meta-analysis study came from America, Arabia, London and Taipei. Studies show that EMR use improves the quality of health care ( aOR = 0.87 (95% CI, 0.79 - 0.95).
Conclusion : Service health services that use Electronic Medical Records ( EMR ) are 0.87 times more effective in improving health services compared to with service health who do not use an Electrocik Medical Record ( EMR ) .
Keywords : EMR, Quality of health services, Electronic Medical Records
References
Dorzi HM, Tamim HM, Cherfan A, Hassan MA, Taher S, Arabi YM (2011). Impact of computerized physician order entry (CPOE) system on the outcome of critically ill adult patients: A before-after study. BMC Medical Inform Decis Mak. 11(1). https://doi.org/10.1186/1472-6947-11-71.
Amarasingham R, Plantinga L, Diener-West M, Gaskin DJ, Powe NR (2009). Clinical Information Technologies and Inpatient Outcomes. Arch Internal Med. 169(2), 108. doi.org/10.1001/-archinternmed.2008.520
Chaudhry B, Wang J, Wu S (2016). Systematic review: impact of health information technology on quality, efficiency, and costs of Medical care. Ann Intern Med,144(10):742–752.
Collin S, Reeves BC, Hendy J, Fulop N, Hutchings A, Priedane E (2008). Implementation of computerised physician order entry (CPOE) and picture archiving and communication systems (PACS) in the NHS: Quantitative before and after study. Bmj, 337(7670), 622–625. https://doi.org/10.1136/bmj.a939
Danarahmanto PA, Pratami JF, Prihadi D, Nurfadillah N (2021). Pengaruh Rekam Medis Elektronik Terhadap Loyalitas Pasien di Tami Dental Care (The Effect of Electronic Medical Records on Patient Loyalty at Tami Dental Care). Jurnal Manajemen Informasi Kesehatan Indonesia, 9(2), 151. doi.org/10.33560/jmiki.v9i2.332
Filice GA, Drekonja DM, Thurn JR, Rector TS, Hamann GM, Masoud BT, Leuck AM, et al. (2013). Use of a Computer Decision Support System and Anti-microbial Therapy Appropriateness. Infection Control & Hospital Epidemiology, 34(6), 558–565. doi.org/10.-1086/670627
Holdsworth MT, Fichtl RE, Raisch DW, Hewryk A, Behta M, Mendez-Rico E, Wong CL, et al. (2015). Impact of computerized prescriber order entry on the incidence of adverse drug events in pediatric inpatients. Pediatrics, 120(5), 1058–1066. https://doi.org/10.1542/peds.2006-3160
Kurniawan HD, Hartono M, Ismandani RS, Natanael N (2023). Hubungan Pemberian Informed Consent Praoperasi Dengan Tingkat Kepuasan Pasien Di Rumah Sakit Dr. Oen Kandang Sapi Solo. Jurnal Ilmu Kesehatan, 11(1), 75–84. https://doi.org/10.37831/kjik.v11i1-.270
Latipah T, Solihah S, Setiatin S (2021). Pengaruh Rekam Medis Elektronik Terhadap Peningkatan Efektivitas Pelayanan Rawat Jalan di Rumah Sakit X. Jurnal Ilmiah Indonesia, 1(10), 1422–1434. https://doi.org/10.36418-/cerdika.v1i10.215
Lin HL, Wu DC, Cheng SM, Chen CJ, Wang MC, Cheng CA (2020). Association between Electronic Medical Records and Healthcare Quality. Medicine, 99(31), 1–7.
Murphy EV (2014). Clinical decision support: Effectiveness in improving quality processes and clinical outcomes and factors that may influence success. Yale Journal of Biology and Medicine, 87(2), 187–197.
Murti B. (2018). Prinsip dan Metode Riset Epidemiologi (Principles and Methods of Epidemiological Research) (5th ed). Surakarta: Program Studi Ilmu Kese-hatan Masyarakat, Program Pasca-sarjana, Universitas Sebelas Maret
Price-haywood E G, Orleans N, Burton J, Orleans N, Burstain T, Orleans N, Harden-barrios J, Orleans N, Lefante J, Orleans N, Shi L, Orleans N, Jamison R N, Bazzano A, Orleans N, & Bazzano L. (2021). HHS Public Access. 23(October 2018), 157–163. https://doi.org/10.10-16/j.jval.2019.09.2748.Clinical.
Teufel R J, Kazley A S, & Basco W T. (2012). Is computerized physician order entry use associated with a decrease in hos-pital resource utilization in hospitals that care for children?. J Med Systems. 36(4): 2411–2420. https://doi.org/10.1007/s10916-011-9708-z.