Evaluation of Electronic Medical Records (EMRs) on Patient Safety Incident (PSI)
Keywords:
EMR, Evaluation, PSIAbstract
Traditional paper-based medical record systems can be inefficient and prone to errors, necessitating the adoption of digital solutions. EMR have emerged as a critical innovation in healthcare, .addressing these challenges by streamlining documentation, improving data accuracy, and enhancing patient care coordination. Patient Safety Incidents are an integral part of Patient Safety in hospitals, as they have the potential to result in preventable injuries. PSI is commonly defined as an event, incident, or condition that could have resulted or did result in harm to a patient The review systematically analyzed peer-reviewed studies from databases including PubMed, Scopus, Web of Science, and Google Scholar, published between 2015 and 2025. Result were analyzed using qualitative-descriptive statistics. The implementation of EMR has been shown to have a positive impact on patient safety .incident. Near misses reported to EMR while multitasking. EMR components may also improve AE ascertainment. EMR identified more no-harm incidents compared to other incident-reporting systems The key benefits include improved patient safety by reducing medication errors, enhancing the accuracy of medical documentation, improving the traceability of vital signs and infusion administration, and facilitating. better coordination among medical teams. EMR also increases patient satisfaction compared to paper-based medical records.Downloads
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References
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Tsang, C., Majeed, A., Aylin, P. (2012). Routinely recorded patient safety events in primary care: a literature review. Family Practice. 29 (1): 8-15. https://doi.org/10.1093/fampra/cmr050
WHO. (2009). Conceptual Framework for The International Classification for Patient Safety. https://www.who.int/patientsafety/taxonomy/icps_statement_of_purpose.pdf
De Hoon, S. E. M., Hek, K., Van Dijk, L., & Verheij, R. A. (2017). Adverse events recording in electronic health record systems in primary care. BMC Medical Informatics and Decision Making, 17 (1), 163. Https://doi.org/10.1186/s12911-017-0565-7
Edmund, L. C. S., Ramaiah, C. K., & Gulla, S. P. (2009). Electronic medical records management systems: an overview. Desidoc Journal of Library & Information Technology, 29 (6), 3–12. Https://doi.org/10.14429/djlit.29.273
Efroliza, E. (2024). Faktor – faktor yang berhubungan dengan pelaksanaan keselamataan pasien. Masker Medika, 12 (1), 18–28. Https://doi.org/10.52523/maskermedika.v12i1.583
Feng, C., Le, D., McCoy, A. B. (2019). Using Electronic Health Records to Identify Adverse Drug Events in Ambulatory Care: A Systematic Review. Appl Clin Inform. 10 (1): 123-128. https://doi.org/ 10.1055/s-0039-1677738
Gedikci Ondogan, A., Sargin, M., & Canoz, K. (2023). Use of electronic medical records in the digital healthcare system and its role in communication and medical information sharing among healthcare professionals. Informatics in Medicine Unlocked, 42. Https://doi.org/10.1016/j.imu.2023.101373
Harianti Fajar, & Elisabet Kundalim. (2021). Hubungan karakteristik perawat dengan kepatuhan dalam menerapkan pedoman patient safety di instalasi rawat inap rumah sakit Islam Faisal Makassar. Pasapua Health Journal, 4(1), 44-49, 4.
Hegarty, J., Jane Flaherty, S., Saab, M. M., Goodwin, J., Walshe, N., Wills, T., Mccarthy, V. J., Murphy, S., Cutliffe, A., Meehan, E., Landers, C., Lehane, E., Lane, A., Landers, M., Kilty, C., Madden, D., Tumelty, M., & Naughton, C. (2020). An international perspective on definitions and terminology used to describe serious reportable patient safety incidents: a systematic review. Journal Patient Safety. 17 (8): 1247-1254. http://doi.org/ 10.1097/PTS.0000000000000700
Huynh-Le, MP., Walker, A, J., Kominers, S, D., Paz-Priel, I., Wharam, M, D., Terezakis, S. S. (2014). Patterns of Failure After Involved Field Radiation Therapy for Pediatric and Young Adult Hodgkin Lymphoma. Pediatric Blood Cancer. 61 (7): 1210-1214. https://doi.org/ 10.1002/pbc.24968
Ikawati, F, R., Haris, M, S. (2024). Challenges in implementing digital medical records in indonesian hospitals: perspectives on technology, regulation, and data security. Proceeding of the International Conference of Innovation, Science, Technology, Education, Children, and Health. 4 (2): 01-25. https://doi.org/10.62951/icistech.v4i2.70
Lencioni, A., Hutchin, L., Annis, S., Chen, W., Ermisoglu, E., Feng, Z., Mack, K., Simpson, K., Lane, C., Topaloglu, U. (2015). An Adverse event capture and management system for cancer studies. BMC Bioinformatics. 16 (13): 1-11. http://www.biomedcentral.com/1471-2105/16/S13/S6
Listiowati, E., Arini, M., Nurmansyah, M. I., Rachmawati, E., & Samsudin, A. (2024). Patient safety incident reporting challenges in indonesian private hospitals. Global Medical & Health Communication (GMHC), 12 (1). Https://doi.org/10.29313/gmhc.v12i1.12158
Marpaung, Y., Karnita, F., Diana, N., & Dhea Ananda, A. (2025). Science midwifery the reporting of patient safety incidents by nurses in both outpatient and inpatient units of the hospital. Journal In Science Midwifery. 12(6). Online. www.midwifery.iocspublisher.orgjournalhomepage:www.midwifery.iocspublisher.org
Meeks, D. W., Smith, M. W., Taylor, L., Sittig, D. F., Scott, J. M., & Singh, H. (2014a). An analysis of electronic health record-related patient safety concerns. Journal of the American Medical Informatics Association, 21(6), 1053–1059. Https://doi.org/10.1136/amiajnl-2013-002578
Meeks, D. W., Smith, M. W., Taylor, L., Sittig, D. F., Scott, J. M., & Singh, H. (2014b). An analysis of electronic health record-related patient safety concerns. Journal of the American Medical Informatics Association, 21(6), 1053–1059. Https://doi.org/10.1136/amiajnl-2013-002578
Miller, T. P., Li, Y., Getz, K. D., Dudley, J., Burrows, E., Pennington, J., Ibrahimova, A., Fisher, B. T., Bagatell, R., Seif, A. E., Grundmeier, R., & Aplenc, R. (2017). Using electronic medical record data to report laboratory adverse events. British Journal of Haematology, 177 (2), 283–286. https://doi.org/10.1111/bjh.14538
Naamneh, R., & Bodas, M. (2024). The effect of electronic medical records on medication errors, workload, and medical information availability among qualified nurses in israel– a cross-sectional study. BMC Nursing, 23(1). Https://doi.org/10.1186/s12912-024-01936-7
Nass, C., Yen, C. (2010). The Man Who Lied to His Laptop: What Machines Teach Us About Human Relationships. Penguin Group: USA
PMK RI. (2011). Peraturan Menteri Kesehatan Republik Indonesia nomor 1691/menkes/per/viii/2011.
Ratanawongsa, N., Matta, G. Y., Bohsali, F. B., & Chisolm, M. S. (2018). Reducing misses and near misses related to multitasking on the electronic health record: observational study and qualitative analysis. JMIR Human Factors, 5(1). Https://doi.org/10.2196/humanfactors.9371
Schildmeijer, K., Unbeck, M., Muren, O., Perk, J., Pukk Härenstam, K., & Nilsson, L. (2013). Retrospective record review in proactive patient safety work - identification of no-harm incidents. BMC Health Services Research, 13(1). Https://doi.org/10.1186/1472-6963-13-282
Sinaga, L., Janwarin, L., & Mamuly, W. (2019). Hubungan pengetahuan dan pelatihan dengan penerapan patient safety oleh perawat di RSUD dr. M. Haulussy Ambon. Mollucas Health Journal, 1, 50–56.
Sinaga, N. C., & Sumartini, B. (2025). Effectiveness of electronic medical records on patient safety. Indonesian Journal of Global Health Research, 7(1), 1095–1104. Https://doi.org/10.37287/ijghr.v7i1.5778
Surahmat, R., Neherta, M., & Nurariati, N. (2019). Hubungan karakteristik perawat terhadap pelaksanaan sasaran keselamatan pasien pasca akreditasi rumah sakit “x” di kota palembang tahun 2018. Jurnal Ilmiah Universitas Batanghari Jambi, 19 (1), 1. Https://doi.org/10.33087/jiubj.v19i1.493
Tilaar, T. S., & Sewu, P. L. S. (2023). Review of electronic medical records in Indonesia and its developments based on legal regulations in Indonesia and its harmonization with electronic health records (manual for developing countries). Daengku: Journal of Humanities and Social Sciences Innovation, 3 (3), 422–430. https://doi.org/10.35877/454ri.daengku1662
Tsang, C., Majeed, A., Aylin, P. (2012). Routinely recorded patient safety events in primary care: a literature review. Family Practice. 29 (1): 8-15. https://doi.org/10.1093/fampra/cmr050
WHO. (2009). Conceptual Framework for The International Classification for Patient Safety. https://www.who.int/patientsafety/taxonomy/icps_statement_of_purpose.pdf
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2025-07-31
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Evaluation of Electronic Medical Records (EMRs) on Patient Safety Incident (PSI). (2025). Proceeding of International Conference on Economics, Technology, Management, Accounting, Education, and Social Science (ICETEA), 1, 566-580. https://conference.unita.ac.id/index.php/icetea/article/view/402
