Electronic Medical Record Implementation in the Emergency Department in a Low-Resource Country: Lessons Learned.

Nagham Faris,Miriam Saliba,Hani Tamim,Rima Jabbour, Ahmad Fakih, Zouhair Sadek, Rula Antoun,Mazen El Sayed,Eveline Hitti

PLOS ONE（2024）

Amer Univ Beirut

Cited 0|Views15

Abstract

OBJECTIVE:There is paucity of information regarding electronic medical record (EMR) implementation in emergency departments in countries outside the United States especially in low-resource settings. The objective of this study is to describe strategies for a successful implementation of an EMR in the emergency department and to examine the impact of this implementation on the department's operations and patient-related metrics.METHODS:We performed an observational retrospective study at the emergency department of a tertiary care center in Beirut, Lebanon. We assessed the effect of EMR implementation by tracking emergency departments' quality metrics during a one-year baseline period and one year after implementation. End-user satisfaction and patient satisfaction were also assessed.RESULTS:Our evaluation of the implementation of EMR in a low resource setting showed a transient increase in LOS and visit-to-admission decision, however this returned to baseline after around 6 months. The bounce-back rate also increased. End-users were satisfied with the new EMR and patient satisfaction did not show a significant change.CONCLUSIONS:Lessons learned from this successful EMR implementation include a mix of strategies recommended by the EMR vendor as well as specific strategies used at our institution. These can be used in future implementation projects in low-resource settings to avoid disruption of workflows.

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Electronic Health Records

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