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Due to limited surgeon in Indonesia, and many daily task that have to do by a surgeon, an efficient and simple way of medical records filling is needed. This study design is a qualitative with phenomenological method, through design thinking model. The result of this research is a prototype of IESR (Integrated Electronic Surgical Report) that designed in collaboration between design thinker team and IT team. IESR prototype concern on efficient medical record and surgical reports filling matching to clinician needs. IESR prototyping process through design thinking model implementation was carried out in 5 stages. In the emphatize, define, and ideate process, there are various problems faced by clinicians in medical records and surgical reports filling. By formulating various problem solving suggestion , the chosen solution was designing IESR prototype. The prototyping stage was carried out by storyboards making and prototypes designing collaborating with the IT team. The testing phase shown 87.5% of informan stated that the IESR prototype was easy to use, and 75% informan stated timely efficient, 75 % informan stated that the prototype already matching clinicians needs. IESR prototype hopefully emphasized medical record filling concerned on surgical report efficiently by operator doctor.
Manual medical records (paper) have several weaknesses, the use of electronic medical records is a solution to overcome them. Husada Hospital started testing the implementation of Electronic Medical Record (EMR) at the Specialist Clinic in September 2019, until June 2021 it was found that the use of EMR was not 100%. This study aims to determine the effect of characteristics, perceived usefulness, perceived comfort, and behavioral interest on the use of EMR. This type of research is quantitative with a population of 288 Health Workers involved in the use of ESDM consisting of Doctors, Nurses, Medical Record Officers, Radiology Officers, Laboratory Officers, Pharmacists and Admissions Officers. The sample in this study was 80 people who were calculated using the Lemeshow formula and then stratified by profession. The results showed the highest use of EMR in the Admissions Unit with a score of 24.10 and the lowest in doctors with a score of 19.04. In the test results, it is known that there is no relationship between perceived comfort and the use of EMR, and there is a relationship between perceived usefulness and behavioral interest with the use of EMR with a significance value of 0.000. The benefits that users feel with EMR are that it saves time and effort. In the perception of ease of average score of 36.79, there are still several obstacles, including the network that does not appear error or patient data. The behavioral interest score in the use of ESDM is 20.55, which means that the interest in the use of ESDM is quite good. Suggestions for Husada Hospital are the need for a comprehensive network improvement to reduce the occurrence of system disturbances. Backing up data regularly and server backups is an effort to avoid problems if the system goes down
This study investigates user acceptance of Electronic Medical Records (EMR) using an integrated framework of the Technology Acceptance Model (TAM) and Diffusion of Innovation Theory (DOI) at Mitra Husada Pringsewu Hospital. A mixed-methods design was applied, combining questionnaire-based quantitative data and qualitative data from in-depth interviews. The findings reveal a positive, very strong, and significant relationship between Perceived Ease of Use (PEOU) and Perceived Usefulness (PU), as well as between P and Attitude toward Using (ATU). Ease of use emerged as the most influential factor shaping positive attitudes toward EMR. Age and gender showed no significant effect on PEOU, while professional role significantly differentiated perceptions of EMR usefulness. Clinical pharmacists and registration staff exhibited the highest acceptance, whereas general practitioners and radiographers faced workload and workflow-related barriers. These results highlight the importance of usability and role-specific system alignment in successful EMR implementation.
