ArticleAfrican journal of emergency medicine : Revue africaine de la medecine d'urgence2017
Barriers and facilitators to Electronic Medical Records usage in the Emergency Centre at Komfo Anokye Teaching Hospital, Kumasi-Ghana.
Article in African journal of emergency medicine : Revue africaine de la medecine d'urgence, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Investigating Strategies for Sustaining Modern Health Information Systems for Enhanced Care Delivery in Fragile Resource-Constrained Settings Through Electronic Medical Record Implementation in Haiti: Qualitative Study.Online journal of public health informatics · 2026Article
- Enhancing forensic medicine consultation in hospitals: Addressing limitations in file-based forensic evaluations of firearm injuries and proposing early interdisciplinary examination practices.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025Observational
- Is mobile renewal enough? A qualitative study exploring stakeholders' perspectives on mobile phone-based add-ons for national health insurance uptake in Ghana.BMC public health · 2025Article
- Assessing the interdependency among effectiveness, satisfaction and efficient use of the Lightwave Health Information Management System (LHIMS) by health professionals in Ghana.BMC health services research · 2024Article
- Contextual Barriers to Implementing Open-Source Electronic Health Record Systems for Low- and Lower-Middle-Income Countries: Scoping Review.Journal of medical Internet research · 2024Article
- A qualitative study of the barriers and facilitators impacting the implementation of a quality improvement program for emergency departments: SurgeCon.BMC health services research · 2024Article
- Construction and application of an ICU nursing electronic medical record quality control system in a Chinese tertiary hospital: a prospective controlled trial.BMC nursing · 2024Article
- Implementation of an electronic health record system during global surgical outreach: A prospective evaluation of success and sustainability.World journal of surgery · 2024Article
- Satisfied or not satisfied? Electronic health records system implementation in Ghana: Health leaders' perspective.BMC medical informatics and decision making · 2022Article
- EMR adoption in Dhaka, Bangladesh: a template to index pediatric central nervous system tumor care and a review of preliminary neuro-oncologic observations.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2022Review
- Electronic medical record use and associated factors among healthcare professionals at public health facilities in Dire Dawa, eastern Ethiopia: A mixed-method study.Frontiers in digital health · 2022Article
- Implementation challenges and perception of care providers on Electronic Medical Records at St. Paul's and Ayder Hospitals, Ethiopia.BMC medical informatics and decision making · 2021Article
- Health information technology and hospital performance the role of health information quality in teaching hospitals.Heliyon · 2020Article
- Implementation of electronic medical records at an Emergency Medicine Department in Tanzania: The information technology perspective.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2019Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
introductionThe use of paper for record keeping (or a manual system) has been the order of the day in almost all health care facilities in resource poor countries. This system has presented numerous challenges, which the use of Electronic Medical Records (EMR) seeks to address. The objectives of the study were to identify the facilitators and barriers to EMR implementation in Komfo Anokye Teaching Hospital's (KATH) Emergency Centre (EC) and to identify lessons learned. These will help in implementation of EMR in ECs in similar settings.
methodsThis was a non-interventional, descriptive cross-sectional and purely qualitative study using a semi-structured interview guide for a study population of 24. The interviews were manually recorded and analysed thematically. EMR implementation was piloted in the EC. Some of the EC staff doubled as EMR personnel. An open source EMR was freely downloaded and customised to meet the needs of the EC. The EMR database created was a hybrid one comprising of digital bio-data of patients and scanned copies of their paper EC records.
resultsThe facilitators for utilising the system included providing training to staff, the availability of some logistics, and the commitment of staff. The project barriers were funding, full-time information technology expertise, and automatic data and power backups. It was observed that with the provision of adequate human and financial resources, the challenges were overcome and the adoption of the EMR improved. DISCUSSION: The EMR has been a partial success. The facilitators identified in this study, namely training, provision of logistics, and staff commitment represent foundations to work from. The barriers identified could be addressed with additional funding, provision of information technology expertise, and data and power back up. It is acknowledged that lack of funding could substantially limit EMR implementation.
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Registered trials
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