The Effect of Utilizing Electronic Medical Record Data on Improving Patient Care Quality at Hospital X

Authors

  • Je-ann Budiman Mahalong Piksi Ganesha Polythecnic, Bandung, Indonesia
  • Prihartono Aksan Halim Piksi Ganesha Polythecnic, Bandung, Indonesia

DOI:

https://doi.org/10.38035/ijphs.v3i4.1690

Keywords:

Utilization of Electronic Medical Record Data, Service Quality, Digitalization of Health Services, Clinical Decision Support System

Abstract

The utilization of Electronic Medical Records (EMR) plays a central role in the digital transformation of healthcare services by improving efficiency, documentation accuracy, and evidence-based clinical decision-making. Although national policies such as the Indonesian Ministry of Health Regulation No. 24/2022 and the SATUSEHAT interoperability platform have accelerated EMR adoption, challenges remain, including limited infrastructure, workflow resistance, and uneven digital literacy among healthcare workers. This study aims to analyze differences in service quality indicators before and after EMR implementation at Hospital X, including registration waiting time, pharmacy waiting time, medication errors, SOAP completeness, and CDSS adoption. Using a quantitative pre–post comparison design and Mann-Whitney analysis, results show significant improvements across all indicators (p < 0.001). Registration and pharmacy waiting times decreased, medication errors declined, while SOAP completeness and CDSS usage increased markedly. All variables demonstrated large effect sizes (r = 0.587–0.924), indicating strong practical impacts of EMR implementation. These findings confirm that EMR contributes significantly to enhancing service efficiency, patient safety, and clinical documentation quality, providing valuable empirical evidence for strengthening digital health strategies in hospital settings.

References

Aditya Kurniawan, Saryadi Saryadi, & Liss Dyah Dewi Arini. (2025). The Impact of Electronic Medical Record Implementation on Hospital Service Quality. Journal of Medical and Health Sciences, 4(2), 596–610. https://doi.org/10.55606/klinik.v4i2.4272

Akbar, R., Sukmawati, U. S., & Katsirin, K. (2024). Analysis of Quantitative Research Data. Pelita Nusantara Journal, 1(3), 430–448. https://doi.org/10.59996/jurnalpelitanusantara.v1i3.350

Ariani, S. (2023). Analysis of the success of electronic medical record implementation in improving service efficiency and quality. Journal of Health and Medicine, 2(2), 7–14.

Belard, A., Buchman, T., Forsberg, J., Potter, B. K., Dente, C. J., Kirk, A., & Elster, E. (2017). Precision diagnosis: a view of the clinical decision support systems (CDSS) landscape through the lens of critical care. Journal of Clinical Monitoring and Computing, 31(2), 261–271.

Donnelly, C., Janssen, A., Vinod, S., Stone, E., Harnett, P., & Shaw, T. (2023). A Systematic Review of Electronic Medical Record Driven Quality Measurement and Feedback Systems. International Journal of Environmental Research and Public Health, 20(1). https://doi.org/10.3390/ijerph20010200

Honavar, S. G. (2020). Electronic medical records–The good, the bad and the ugly. In Indian journal of ophthalmology (Vol. 68, Issue 3, pp. 417–418). Medknow.

Hossain, M. K., Sutanto, J., Handayani, P. W., Haryanto, A. A., Bhowmik, J., & Frings-Hessami, V. (2025). An exploratory study of electronic medical record implementation and recordkeeping culture: the case of hospitals in Indonesia. BMC Health Services Research, 25(1), 249. https://doi.org/10.1186/s12913-025-12399-0

Ikawati, F. R. (2024). The Effectiveness of Electronic Medical Records in Improving the Quality of Patient Care in Hospitals. Ranah Research: Journal of Multidisciplinary Research and Development, 6(3), 288–298.

Ministry of Health of the Republic of Indonesia. (2022). Regulation of the Minister of Health of the Republic of Indonesia Number 24 of 2022 concerning Electronic Medical Records. Ministry of Health of the Republic of Indonesia (Kemenkes RI), 51(1), 2022.

Khasanah, L., Sania, A., Mohammad, M. I., & Tinggi, A. P. (2024). Adoption of Electronic Medical Records: A TOE Framework Analysis. Procedia of Engineering and Life Science, 6, 302–307.

Larasati, T., Fardiansyah, A. I., Saketi, D., & Nusa Dewiarti, A. (2024). The Ethical and Legal Aspects of Health Policy on Electronic Medical Records in Indonesia. Cepalo, 8(2), 103–112. https://doi.org/10.25041/cepalo.v8no2.3634

Laurenxius, V. S., Ginting, C. N., & Ginting, R. (2025). Efficiency of Transition from Manual Medical Records to Electronic Medical Records on the Speed of Patient Service at RSU Royal Prima Medan. Indonesian Journal of Electronics, Electromedical Engineering, and Medical Informatics, 7(2), 245–252.

Nugroho, Y. W., & Pramudita, F. A. (2024). The Role of Electronic Medical Records in Improving Efficiency, Quality of Health Services, and Patient Care Safety: A Systematic Literature Review Analysis. Indonesian Health Promotion Publication Media (MPPKI), 7(2), 343–350.

Paramesthi, P., Jati, S. P., & Suryoputro, A. (2024). The use of Electronic Medical Record (EMR) in hospitals during the COVID-19 pandemic in Indonesia: a systematic literature review. BKM Public Health and Community Medicine, 40(1), e11727. https://doi.org/10.22146/bkm.v40i01.11727

Setiatin, S., Ningrum, I. S., & Aulia Zeta Andhani. (2023). Evaluation of E-Medrec in the Quantitative Medical Record Analysis Section of Inpatient Care at TK II Dustira Hospital in Cimahi. Imelda Journal of Health Records and Information (JIPIKI), 8(2), 231–241. https://doi.org/10.52943/jipiki.v8i2.1379

Upadhyay, S., & Hu, H. (2022). A qualitative analysis of the impact of electronic health records (EHR) on healthcare quality and safety: clinicians’ lived experiences. Health Services Insights, 15, 11786329211070722.

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Published

2025-12-17

Issue

Vol. 3 No. 4 (2025): International Journal of Psychology and Health Science (October - December 2025)

Section

Articles

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Copyright (c) 2025 Je-ann Budiman Mahalong, Prihartono Aksan Halim

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