The shift from paper-based records to digital systems is intended to improve patient safety, service quality, and data accuracy. In practice, many hospitals still struggle with incomplete documentation, technical barriers, and resistance to new work routines. At Pamanukan Medical Center Hospital, internal evaluations revealed that while some departments have successfully adapted, others continue to face difficulties in consistently using the EMR system.
The researchers analyzed hospital evaluation reports from January to December 2024, using a simple quantitative review of existing data. Seven key documentation indicators were examined, including patient identity, consultation notes, medical resumes, informed consent, laboratory and radiology results, operative reports, and inpatient admission requests. These results were then mapped using the ADKAR Change Management model, which looks at five elements of change: Awareness, Desire, Knowledge, Ability, and Reinforcement.
The findings show clear contrasts across hospital units. Operative reports achieved the highest compliance at 95%, indicating that surgical documentation has become a stable digital practice. Laboratory and radiology records also performed relatively well at 82.5%, followed by patient identity data at 80%.
In contrast, consultation notes recorded the lowest score at just 50%, mainly due to missing or incomplete diagnoses in the system. Medical resumes (70%), informed consent (75%), and inpatient request forms (75%) also showed recurring documentation gaps.
When viewed through the ADKAR framework, the main challenges were concentrated in three areas:
- Desire: Limited motivation among healthcare workers to consistently complete digital documentation.
- Knowledge: Incomplete understanding of EMR standards and documentation procedures.
- Ability: Technical and operational difficulties in using the system, especially for uploading and accessing data.
“Technology alone does not guarantee successful digital transformation in hospitals,” the authors note. They emphasize that motivation, understanding, and hands-on skills among healthcare staff are decisive factors in making EMR systems work effectively.
The study carries important implications for hospital management and health policymakers. Strengthening change management strategies—through continuous training, clearer communication, and stronger managerial support—can help hospitals close the gap between system availability and actual use. For patients, better EMR implementation means safer care, more accurate records, and smoother clinical services. For the healthcare system, it highlights the need to invest not only in digital tools but also in human readiness.
Author Profiles
- Sigit Nur Aziz, S.KM. – Universitas Islam Bandung
- Rivaldi Ramadhan, S.M. – Universitas Islam Bandung
- Dr. Ima Amaliah, S.E., M.Si. – Universitas Islam Bandung
- Dr. Nunung Nurhayati, S.E., M.Si. – Universitas Islam Bandung
Research Source
Aziz, S. N., Ramadhan, R., Amaliah, I., & Nurhayati, N. (2026). Analysis of the Success of Electronic Medical Record Implementation Based on the Change Management Approach at Pamanukan Medical Center Hospital. International Journal of Management Analytics, Vol. 4 No. 1, pp. 13–20.
DOI: 10.59890/ijma.v4i1.286
Link Journal : https://dmimultitechpublisher.my.id/index.php/ijma
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