Failure Modes of Electronic Medical Record Implementation: A Bibliometric Study Ellya Yudianti1*, Merita Arini2
1,2Master of Hospital Administration, Postgraduate Program,
Universitas Muhammadiyah Yogyakarta, Indonesia
2Family Medicine and Public Health Department, School of Medicine, Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta, Indonesia- Sustainable Development Goals (SDGs) Center, Universitas Muhammadiyah Yogyakarta, Indonesia
Abstract
Background: Numerous studies have concluded that electronic medical records (EMRs) and electronic health records (EHRs) are progressively enhancing the quality of health services. On the other hand, due to the significant role of EMRs in the healthcare sector, the use and utilization of EMRs still need to be improved in developing countries. Additional research is necessary concerning the failure mode EMR implementation. Before further study, it is essential to know how previous studies describe publication patterns and research development.
Purpose: This study aims to determine publication patterns and research developments on the failure modes of EMRs or EHR implementation.
Methods: This research used qualitative description and bibliometric analysis with VOSviewer. This study collected the data on January 19, 2023, with the keywords (Failure Mode AND Electronic Medical Record Implementation) OR Electronic Health Record Implementation and limitations on year, field, type of document, and publication source.
Results: The past decade has brought about the accumulation of eighty-one research documents. The publication trend has fluctuated for ten years, with the highest peak in 2015 and the lowest in 2018. The United States is the country that contributes the most (61). Medicine (56%) and nursing (15%) are the most common subjects. Most affiliates were from Harvard Medical School. Most journal sources are from CIN (Computers Informatics Nursing) and the Journal of The American Medical Informatics Association. The highest number of citations was 59 times. There were 139 co-occurrence keywords according to cluster, grouped into four themes, including the subject of EMRs, the quality of the EMR system, the use of EMRs, and the policy of using EMRs.
Conclusion: There has yet to be much research on this topic, so it opens up a novelty opportunity in the following study, according to four themes, mainly for the nursing profession as the primary EHR users.
Keywords: bibliometric- VOSviewer- failure mode- electronic medical record- electronic health record