A Literature Review: Development of Electronic Medical Records In Hospital Management Information Systems


  • Dhau 'Atha Yudhistira Health Administration and Policy, Faculty of Public Health, Airlangga University SurabayaAlumni of Faculty of Medicine
  • Ernawaty Health Administration and Policy, Faculty of Public Health, Airlangga University SurabayaAlumni of Faculty of Medicine
  • Nadena Majeda Dien Pratami Alumni, University of Muhammadiyah Yogyakarta




cost-effectiveness; Acceptance; Hospital Information System; and Computerized Physician Order Entry


Introduction: Health technology today is developing very quickly from the initially conventional using paper to being computerized. This literature review aims to map and critically summarize the scientific evidence on the cost-effectiveness and acceptability of Computerized Physician Order Entry (CPOE) and Electronic Health Reports. This Journal have Question that need to be answered how does the development of CPOE in medical records affect cost-effectiveness improvement so that it can be accepted by many parties? Method used in this journal is literature review is conducted on journal articles related to costs and receipts in CPOE. The systematic search was conducted from 5 databases namely PubMed, Science Direct, ProQuest, DOAJ and Ebscohost. Journal articles are selected and selected following PRISMA guidelines. Twenty-five journal articles qualified based on predetermined criteria. At the end as result, Cost-effectiveness with CPOE is more likely to be found that it is easier to reach compared to conventional methods. In addition, the acceptance of patients and health workers is also high. These factors can have a positive or negative influence on the hospital management system because developing countries still need adequate resources so that they can run these methods. Discussion and conclusion CPOE systems can improve patient safety by detecting drug interactions and actions. It is necessary to develop medical records in order to provide effective financing and acceptance.

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Ali, M., Do, C. G., Clemens, J. D., Park, J. K., Von Seidlein, L., Truong, M. T., Vu, T. D., Le, T. H., &; Dang, T. D. (2005). The use of a computerized database to monitor vaccine safety in Viet Nam. Bulletin of the World Health Organization, 83(8), 604–610. http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emed7&NEWS=N&AN=2005377286

Allenet, B., Bedouch, P., Bourget, S., Baudrant, M., Foroni, L., Calop, J., &; Bosson, J. L. (2011). Physicians' perception of CPOE implementation. International Journal of Clinical Pharmacy, 33(4), 656–664. https://doi.org/10.1007/s11096-011-9521-2

Alsalman, D., Alumran, A., Alrayes, S., Althumairi, A., Almubarak, S., Alrawiai, S., Alakrawi, Z., Hariri, B., &; Alanzi, T. (2021). Implementation status of health information systems in hospitals in the eastern province of Saudi Arabia. Informatics in Medicine Unlocked, 22. https://doi.org/10.1016/j.imu.2020.100499

Anand, T., Nitpolprasert, C., Kerr, S. J., Apornpong, T., Ananworanich, J., Phanuphak, P., &; Phanuphak, N. (2017). Implementation of an online HIV prevention and treatment cascade in Thai men who have sex with men and transgender women using Adam's Love Electronic Health Record system. Journal of Virus Eradication, 3(1), 15–23. https://doi.org/10.1016/s2055-6640(20)30293-4

Atikeler, E. K., Fasseeh, A. N., Mantel-Teeuwisse, A. K., Çalışkan, Z., Öner, Z. G., Kızılay, H., Kalo, Z., &; Goettsch, W. (2023). Health technology assessment in Türkiye: Current status and perspectives on future implementation. Health Policy and Technology, 12(1). https://doi.org/10.1016/j.hlpt.2022.100701

Castilho, V., Lima, A. F. C., Fugulin, F. M. T., Peres, H. H. C., & Gaidzinski, R. R. (2014). Total staff costs to implement a decision support system in nursing. Revista Latino-Americana de Enfermagem, 22(1), 158–164. https://doi.org/10.1590/0104-1169.3074.2383

Cho, K. W., Kim, S. M., An, C. H., &; Chae, Y. M. (2015). Diffusion of electronic medical record based public hospital information systems. Healthcare Informatics Research, 21(3), 175–183. https://doi.org/10.4258/hir.2015.21.3.175

Dang, T. H., Nguyen, T. A., Van, M. H., Santin, O., Tran, O. M. T., & Schofield, P. (2021). Patient-centered care: Transforming the health care system in Vietnam with support of digital health technology. Journal of Medical Internet Research, 23(6). https://doi.org/10.2196/24601

Gallagher, J., O'Sullivan, D., McCarthy, S., Gillespie, P., Woods, N., O'Mahony, D., &; Byrne, S. (2016). Structured Pharmacist Review of Medication in Older Hospitalised Patients: A Cost-Effectiveness Analysis. Drugs and Aging, 33(4), 285–294. https://doi.org/10.1007/s40266-016-0348-3

Herbst, K., Littlejohns, P., Rawlinson, J., Collinson, M., & Wyatt, J. C. (1999). Evaluating computerized health information systems: Hardware, software and human ware: Experiences from the Northern Province, South Africa. Journal of Public Health Medicine, 21(3), 305–310. https://doi.org/10.1093/pubmed/21.3.305

Jathanna, R. (2017). Awareness and perception of nurses towards E - Health Records: A hospital study. Online Journal of Health and Allied Sciences, 16(2).

Kazemi, A., Ellenius, J., Tofighi, S., Salehi, A., Eghbalian, F., &; Fors, U. G. (2009). CPOE in Iran-A viable prospect?. Physicians' opinions on using CPOE in an Iranian teaching hospital. International Journal of Medical Informatics, 78(3), 199–207. https://doi.org/10.1016/j.ijmedinf.2008.07.004

Kazemi, A., Fors, U. G. H., Tofighi, S., Tessma, M., &; Ellenius, J. (2010). Physician order entry or nurse order entry? Comparison of two implementation strategies for a computerized order entry system aimed at reducing dosing medication errors. Journal of Medical Internet Research, 12(1). https://doi.org/10.2196/jmir.1284

Khammarnia, M., Sharifian, R., Zand, F., Barati, O., Keshtkaran, A., Sabetian, G., Shahrokh, N., &; Setoodezadeh, F. (2017). The impact of computerized physician order entry on prescription orders: A quasi-experimental study in Iran. Medical Journal of the Islamic Republic of Iran, 31(1), 396–400. https://doi.org/10.14196/MJIRI.31.69

Kundi, H., Coskun, N., &; Yesiltepe, M. (2021). Association of entirely claims-based frailty indices with long-term outcomes in patients with acute myocardial infarction, heart failure, or pneumonia: a nationwide cohort study in Turkey. The Lancet Regional Health - Europe, 10. https://doi.org/10.1016/j.lanepe.2021.100183

Lau, G., Ho, J., Lin, S., Yeoh, K., Wan, T., & Hodgkinson, M. (2019). Patient and clinician perspectives of an integrated electronic medication prescribing and dispensing system: A qualitative study at a multisite Australian hospital network. Health Information Management Journal, 48(1), 12–23. https://doi.org/10.1177/1833358317720601

Mitchell, M., Hedt-Gauthier, B. L., Msellemu, D., Nkaka, M., &; Lesh, N. (2013). Using electronic technology to improve clinical care - Results from a before-after cluster trial to evaluate assessment and classification of sick children according to Integrated Management of Childhood Illness (IMCI) protocol in Tanzania. BMC Medical Informatics and Decision Making, 13(1). https://doi.org/10.1186/1472-6947-13-95

Montazeri, M., Khajouei, R., Mohajeri, E., &; Ahmadian, L. (2021). Development of a Minimum Data Set for Drug Module of Computerized Physician Order Entry System. Frontiers in Health Informatics, 10(1), 95. https://doi.org/10.30699/fhi.v10i1.323

Nguyen, M. H., Gruber, J., Fuchs, J., Marler, W., Hunsaker, A., &; Hargittai, E. (2020). Changes in Digital Communication During the COVID-19 Global Pandemic: Implications for Digital Inequality and Future Research. Social Media and Society, 6(3). https://doi.org/10.1177/2056305120948255

Okumura, L. M., Veroneze, I., Burgardt, C. I., &; Fragoso, M. F. (2016). Effects of a computerized provider order entry and a clinical decision support system to improve cefazolin use in surgical prophylaxis: A cost saving analysis. Pharmacy Practice, 14(3). https://doi.org/10.18549/PharmPract.2016.03.717

Pollock, D., Peters, M. D. J., Khalil, H., McInerney, P., Alexander, L., Tricco, A. C., Evans, C., de Moraes, É. B., Godfrey, C. M., Pieper, D., Saran, A., Stern, C., &; Munn, Z. (2023). Recommendations for the extraction, analysis, and presentation of results in scoping reviews. JBI Evidence Synthesis, 21(3), 520–532. https://doi.org/10.11124/JBIES-22-00123

Pontefract, S. K., Coleman, J. J., Vallance, H. K., Hirsch, C. A., Shah, S., Marriott, J. F., &; Redwood, S. (2018). Pontefract, S. K., Coleman, J. J., Vallance, H. K., Hirsch, C. A., Shah, S., Marriott, J. F., &; Redwood, S. (2018). The impact of computerised physician order entry and clinical decision support on pharmacist-physician communication in the hospital settin. PLOS ONE, 13(11). https://doi.org/10.1371/journal.pone.0207450

Priya, K., Sreshta, M., &; Philip, S. (2021). Cost-saving medication therapy management for outpatients. Perspectives in Clinical Research, 12(1), 14–20. https://doi.org/10.4103/picr.PICR_164_18

Raut, A., Gauchan, B., Yarbrough, C., Schwarz, D., Citrin, D., Singh, V., Verma, V., Hawley, J., Bangura, A. H., Shrestha, B., Schwarz, R., Adhikari, M., &; Maru, D. (2017). Design and implementation of an affordable, public sector electronic medical record in rural Nepal. Journal of Innovation in Health Informatics, 24(2), 186–195. https://doi.org/10.14236/jhi.v24i2.862

Relph, S., Elstad, M., Coker, B., Vieira, M. C., Moitt, N., Gutierrez, W. M., Khalil, A., Sandall, J., Copas, A., Lawlor, D. A., Pasupathy, D., Coxon, K., Healey, A., Alagna, A., Briley, A., Johnson, M., Lees, C., Marlow, N., McCowan, L., ... Thilaganathan, B. (2021). Using electronic patient records to assess the effect of a complex antenatal intervention in a cluster randomised controlled trial—data management experience from the DESiGN Trial team. Trials, 22(1). https://doi.org/10.1186/s13063-021-05141-8

Rossi, L., Materia, E., Hourani, A., Yousef, H., Racalbuto, V., Venier, C., & Osman, M. (2009). Design and implementation of a hospital information system for the Palestine Red Crescent Society in Lebanon. Eastern Mediterranean Health Journal, 15(3), 738–746. https://doi.org/10.26719/2009.15.3.738

Sethuraman, U., Kannikeswaran, N., Murray, K. P., Zidan, M. A., &; Chamberlain, J. M. (2015). Prescription errors before and after introduction of electronic medication alert system in a pediatric emergency department. Academic Emergency Medicine, 22(6), 714–719. https://doi.org/10.1111/acem.12678

Shah, K. G., Slough, T. L., Yeh, P. T., Gombwa, S., Kiromera, A., Oden, Z. M., & Richards-Kortum, R. R. (2013). Novel open-source electronic medical records system for palliative care in low-resource settings. BMC Palliative Care, 12(1). https://doi.org/10.1186/1472-684X-12-31

Sultan, F., Aziz, M. T., Khokhar, I., Qadri, H., Abbas, M., Mukhtar, A., Manzoor, W., &; Yusuf, M. A. (2014). Development of an in-house hospital information system in a hospital in Pakistan. International Journal of Medical Informatics, 83(3), 180–188. https://doi.org/10.1016/j.ijmedinf.2013.12.004

Tsai, M. F., Hung, S. Y., Yu, W. J., Chen, C. C., &; Yen, D. C. (2019). Understanding physicians' adoption of electronic medical records: Healthcare technology self-efficacy, service level and risk perspectives. Computer Standards and Interfaces, 66. https://doi.org/10.1016/j.csi.2019.04.001

University of South Australia. (2024). Apply PCC. https://guides.library.unisa.edu.au/ScopingReviews/ApplyPCC

Webster, R., Usherwood, T., Joshi, R., Saini, B., Armour, C., Critchley, S., Di Tanna, G. L., Galgey, S., Hespe, C. M., Jan, S., Karia, A., Kaur, B., Krass, I., Laba, T. L., Li, Q., Lo, S., Peiris, D. P., Reid, C., Rodgers, A., ... Patel, A. (2021). An electronic decision support-based complex intervention to improve management of cardiovascular risk in primary health care: a cluster randomised trial (INTEGRATE). Medical Journal of Australia, 214(9), 420–427. https://doi.org/10.5694/mja2.51030

Zakaria, N., &; Mohd Yusof, S. A. (2016). Understanding Technology and People Issues in Hospital Information System (HIS) Adoption: Case study of a tertiary hospital in Malaysia. Journal of Infection and Public Health, 9(6), 774–780. https://doi.org/10.1016/j.jiph.2016.08.017


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Yudhistira, D. ’Atha, Ernawaty, & Nadena Majeda Dien Pratami. (2024). A Literature Review: Development of Electronic Medical Records In Hospital Management Information Systems . Sinkron : Jurnal Dan Penelitian Teknik Informatika, 8(3), 1302-1312. https://doi.org/10.33395/sinkron.v8i3.13713