Electronic medical record implementation at Department of Dentistry, King Narai Hospital
Keywords:
Electronic Medical Records, EMR Implementation, Change ManagementAbstract
Medical records are crucial for medical care. Electronic Medical Records (EMR) have replaced paper-based records. EMR systems could help enhancing patient care, improving operational efficiency, facilitating research, and resource management. The Department of Dentistry at the King Narai Hospital implement EMRs to enhance dental care services. This study aims to explore the implementation of EMRs and compare the documentation rates of critical treatment data. We conducted a retrospective study, examining the implementation of EMRs and analyzing patient data recorded from 1 July 2022 to 30 June 2023. The results showed that: 1) EMR implementation aligned with organizational change management principles and the eight stages to transforming your organization. 2) Documentation rates for chief complaints, treatment data, and diagnosis text increased significantly after EMR adoption (1 December 2022 – 30 June 2023) compared to the period before implementation (1 July - November 2022), as evidenced by statistically significant findings. In conclusion, the implementation of EMRs led to increased treatment data documentation and emphasized the importance of change management.
References
World Health Organization. Regional Office for the Western, Medical records manual : a guide for developing countries. Manila: WHO Regional Office for the Western Pacific (in en), 2002.
Lee, Y. F. Kuo, and J. S. Goodwin, "The effect of electronic medical record adoption on outcomes in US hospitals," BMC Health Services Research, vol. 13, no. 1, pp. 1-7, 2013/2// 2013, doi: 10. 1186/1472-6963-13-39/TABLES/4.
Heart, O. Ben-Assuli, and I. Shabtai, "A review of PHR, EMR and EHR integration: A more personalized healthcare and public health policy," Health Policy and Technology, vol. 6, no. 1, pp. 20-25, 2017, doi: 10.1016/j.hlpt.2016.08.002.
Häyrinen, K. Saranto, and P. Nyknen, "Definition, structure, content, use and impacts of electronic health records: A review of the research literature," International Journal of Medical Informatics, vol. 77, no. 5, pp. 291-304, 2008/5// 2008, doi: 10.1016/J. IJMEDINF.2007.09.001.
A. Wager, F. W. Lee, and J. P. Glaser, "Health care information systems : a practical approach for health care management."
Vaidotas et al., "Medication errors in emergency departments: is electronic medical record an effective barrier?," vol. 17, no. 4, pp. 1-5, 2019, doi: 10.31744/ einstein_journal/2019GS4282.
Williams and S. A. Boren, "The role of the electronic medical record (EMR) in care delivery development in developing countries: a systematic review," Inform Prim Care, vol. 16, no. 2, pp. 139-45, 2008, doi: 10.14236/jhi.v16i2.685.
T. Sutton, D. Pincock, D. C. Baumgart, D. C. Sadowski, R. N. Fedorak, and K. I. Kroeker, "An overview of clinical decision support systems: benefits, risks, and strategies for success," doi: 10.1038/s41746-020-0221-y.
J. Wang et al., "A cost-benefit analysis of electronic medical records in primary care," Am J Med, vol. 114, no. 5, pp. 397-403, Apr 1 2003, doi: 10.1016/s0002-9343(03)00057-3.
C. Wylie, R. R. Baier, and R. L. Gardner, "Perceptions of electronic health record implementation: a statewide survey of physicians in Rhode Island," Am J Med, vol. 127, no. 10, pp. 1010 e21-7, Oct 2014, doi: 10.1016/j.amjmed.2014.06.011.
C. Neumeier, "Using Kotter’s Change Management theory and Innovation Diffusion theory in implementing an electronic medical record," 2013.
M. Lorenzi and R. T. Riley, "Managing change: an overview," J Am Med Inform Assoc, vol. 7, no. 2, pp. 116-24, Mar-Apr 2000, doi: 10.1136/jamia.2000. 0070116.
P. Kotter, "Leading Change: Why Transformation Efforts Fail Harvard Business Review," 1995.
P. Lundblad, "A Review and Critique of Rogers' Diffusion of Innovation Theory as It Applies to Organizations," Organization Development Journal, vol. 21, p. 50, 2003.
A. Peters, T. F. Green, and R. M. Schumacher, "Improving the User Interface and Adoption of Online Personal Health Records," Proceedings of the Human Factors and Ergonomics Society Annual Meeting, vol. 53, no. 11, pp. 704-708, 2009, doi: 10.1177/154193120905301115.