Prioritizing the Challenges of Implementation of the Electronic Medical Record in the Emergency Department of Hospitals

Document Type : Original Article

Authors
Nahid Tavakoli 1
Hossein Bagherian 2
1 Assistant Professor, Health Information Technology Research Center, Isfahan University of Medical Sciences,, Isfahan, Iran
2 Assistant Professor, Health Information Technology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
10.48305/him.2023.41826.1122
Abstract
Introduction: Emergency departments of hospitals play a very important role in the health system, and the effectiveness of these services can be effectively increased by using health information technologies. The purpose of this study was to prioritize the challenges of implementing electronic medical records in the emergency department of selected hospitals in Isfahan.

Methods: This descriptive-cross-sectional study was conducted in 1401. The research population included doctors and nurses from Al-Zahra, Kashani and Amin hospitals of Isfahan University of Medical Sciences. The data was collected through a researcher-made questionnaire. The validity of this tool was confirmed based on the opinions of 10 experts, and the reliability of the questionnaire was obtained by calculating Cronbach's alpha of 0.85. Data analysis was done using SPSS statistical software software and presented via Mean and standard deviation.

Results: The findings showed that challenges in the organizational field, technical field, human field, and financial field had the first to fourth priority, respectively, among the organizational challenges, the increase in the workload of health service providers, the complexity of the processes of accepting and providing services to emergency patients and the lack of necessary infrastructure for electronic transmission of information to interested organizations has been assigned the highest priority.

Conclusion: The effective implementation of electronic medical records in the emergency department of the studied hospitals requires the development of effective processes for accepting and providing medical services to emergency patients, providing the necessary organizational and technical infrastructure for proper access of health service providers and other users to electronic records. and providing funds for training users.

Keywords

Subjects

1. Khajouei R, Azizi A, Atashi A. Usability Evaluation of an Emergency Information System: A Heuristic Evaluation. Health Management. 2013;
52(16): 61-72.
2. The EMR toolkit.Implementing electronic medicalrecords in primary health care settings.Health Canada, 2006 Available at: www.emrtoolkit.ca
3. Sonico E.A. Implementation and Utilization of Electronic Medical Records; an Analysis. Master theses in Health care Administration.
California State University, May 2013.
4. Nzioka C. et al. Standards and Guidelines for Electronic Medical Record Systems in Kenya. Ministry of Medical Services and Ministry of
Public Health and Sanitation. 2009. Available at:health.go.ke
5. Kim S, Kim EH, Kim HS. Physician knowledge base: clinical decision support systems. Yonsei Med J 2022 Jan;63(1):8-15
https://doi.org/10.3349/ymj.2022.63.1.8.
6. Ludwick D, Manca D, Doucette J. Primary care physicians’ experiences with electronic medical records. Can Fam Physician 2010;56(1):40-7
7. Tavakoli N, Shahin A, Jahanbakhsh M, Mokhtari H, Rafiei M. Investigating Factors Influencing Users' Acceptance and Use of Electronic
Medical Record Based on Technology Acceptance Model at Central Oil Industry's Clinic. Hospital Quarterly. 2013; 12(4): 8-19
8. Mirabootalebi N, Ahmadi M, Dehghani M, Khani S, Azad M. Electronic Medical Records, A New Step in Technology of Health System:
Administrators and Physicians` Perspective. Payavard Salamat. 2017; 10(5): 408-418 [In Persian].
9. Kahouei M, Eskrootchi R, Ebadi Fard Azar F. Conceptual Model Designing of Clinical Staff's Information Needs of Emergency Information
System. Payavard Salamat. 2013;7(3): 217-227.
10. Dehghani M, Hayavi Haghighi MH, Tavassoli Farahi M. Comparison of teaching and non-teaching hospitals emergency centers information
management systems of Hormozgan University of medical sciences. Journal of Modern Medical Information Science 2015; 1(2): 71-79.
http://him.mui.ac.ir
چالش های پرونده الکترونیک
84 مدیریت اطالعات سالمت / دوره بیستم / شماره دوم/ تابستان 1402
11. Shahabian M, Hasan Ghasemi R, Jalali A, Sadrzadeh M, Rezvani Kakhki B, Foroughian M. Evaluation of the reasons for delay in Disposition
in the emergency department from the perspective of physicians, nurses, and other personnel at Ghaem Hospital, Mashhad. Pars Journal of
Medical Sciences, 2022; 20(3): 60-70.
12. De Freitas L, Goodacre S, O’Hara R, Thokala P, Hariharan S. Interventions to improve patient flow in emergency departments: an umbrella
review. Emergency Medicine Journal. 2018;35(10):626-37.
13. Hugman A, l Miles P. My Health Record in Emergency Departments Final report and adoption model. Australian Commission on Safety and
Quality in Health Care. 2021.Available At: https://www.safetyandquality.gov.au/sites/default/files/2022-09/my-health-record-in-emergencydepartments.pdfAccess date: 30.08.2023.
14. Mirani N, Ayatollahi, Haghani H. A Survey on Barriers to the Development and Adoption of Electronic Health Records in Iran. Heath
Management Journal. 2012;50(15):65-75.
15. Jebraeily M, Piri Z, Rahimi B, Ghasemzade N, Ghasemirad M, Mahmodi A. Barriers of Electronic Health Records Implementation. Journal
of Health Information Management. 2011;8(6):807-814
16. Ayatollahi H, Bath PA, Goodacre S. based versus computer-based records in the emergency department: Staff preferences, expectations, and
concerns. Health Informatics Journal. 2009 ; (3):199-211.
17. Gupta V, Murtaza MB. Approaches to electronic health record implementation. Review of Business Information Systems (RBIS). 2009;13(4).
18. Gyamfi A, Mensah K, Oduro G, Donkor P, Mock Ch, Barriers and facilitators to Electronic Medical Records usage in the Emergency Centre
at Komfo Anokye Teaching Hospital, Kumasi-Ghana. African Journal of Emergency Medicine. 2017; 7: 177–182.
19. Ayatollahi H, Bath P. Factors influencing the use of IT in the emergency department: A qualitative study . Health Informatics Journal. 2010;
16(3): 189–200.
20. Mills T R , Vavroch J, Bakensky J A. Ward M. Electronic Medical Record Systems in Critical Access Hospitals: Leadership Perspectives on
Anticipated and Realized Benefits. Perspectives in Health Information Management. Spring 2010; 7(1): 17-37.
21. Zandieh S, , Yoon-Flannery K,. Kuperman G, Langsam D, Hyman D, Kaushal R. Challenges to EHR Implementation in Electronic- Versus
Paper-based Office Practices. JGen intern Med.2008 Jun:23(6):755-761.