Analysis of the quality and security of electronic medical records in supporting sustainable healthcare decision-making
DOI:
https://doi.org/10.35335/midwifery.v14i4.2459Keywords:
Data Quality, Electronic Medical Records, Information Security, Sustainable Healthcare Decision-MakingAbstract
Electronic Medical Records (EMRs) are important sources of information for healthcare delivery and decision-making. This study analyzed EMR quality and security in supporting sustainable healthcare decision-making. An evaluative qualitative design involved nine informants from medical records, healthcare, and IT personnel at two hospitals in Makassar. Data were collected through interviews, observations, and document reviews and analyzed thematically. EMR quality was assessed through completeness, accuracy, consistency, and timeliness, while security covered confidentiality, integrity, access control, authentication, and data protection. Findings showed improved information access, medical history retrieval, and service efficiency. However, incomplete documentation reflected user discipline, while workload and system disruptions delayed data entry. Accuracy was relatively adequate, but consistency across units required improvement. Medical records personnel emphasized completeness and consistency, healthcare professionals highlighted accessibility and workload-related delays, while IT personnel emphasized access control, authentication, backup, and recovery. Reliable decision-making therefore depends on integrating data quality, user compliance, and information security.
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Adelia, P. A., & Inge, D. (2026). Pro Health Jurnal Ilmiah Kesehatan Literature Review: Analisis Dampak Kebijakan Privasi Terhadap Pengelolaan Rekam Medis Elektronik di Rumah Sakit. In Disetujui Juli.
Adrian, H., Purnami, C. T., & Suryoputro, A. (2023). Analysis of Electronic Medical Record’s Documentation In Health Care Facilities: A Literature Review. Media Publikasi Promosi Kesehatan Indonesia, 6(11), 2086–2095. https://doi.org/10.56338/mppki.v6i11.4307
Agung, L. P., & Ayuningtyas, D. (2026). Kesiapan rumah sakit dalam penerapan tanda tangan elektronik pada sistem rekam medis elektronik: scoping review. Journal of Health Research Science, 6(01), 98–107. https://doi.org/10.34305/ek34k440
Anggraeni, W. I., Deasy Rosmala Dewi, Nanda Aula Rumana, & Muniroh. (2022). Literature Review: Tinjauan Aspek Keamanan Dan Kerahasiaan Rekam Medis Di Ruang Filing. SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat, 1(2), 137–150. https://doi.org/10.55123/sehatmas.v1i2.99
Arfiandita, R., & Wijaya, W. (2024). Identifying Data Security Risks from Using Weak Passwords by SIMRS Users: Systematic Literature Review. In Jurnal Rekam Medis dan Informasi Kesehatan (Vol. 5, Number 1).
Arsyam, H., Sulaiman, L., & Setiawan, S. (2024). Dampak Pemanfaatan Elektronik Rekam Medis di Fasilitas Kesehatan: Pendekatan Sistematik Literatur Review. Bioscientist : Jurnal Ilmiah Biologi, 12(2), 2049. https://doi.org/10.33394/bioscientist.v12i2.12800
Azizah, N., Avianta, S., Putra, D. H., Satrya, B. A., & Fuad Iqbal, M. (2025). Analysis of Artificial Intelligence Implementation in the Indonesian Healthcare Sector: A Literature Review. 5, 1199–1210. https://doi.org/10.57152/malcom.v5i4.2229
Darmiani, S., Yuda Pratama, B., Maulani, J., Islamy, B., Hidayat, T. A., & Paramarta, V. (2024). Tantangan Integrasi Rekam Medis Elektronik dengan Sistem Manajemen Rumah Sakit: Dampak pada Keamanan Data dan Efisiensi Biaya Operasional-A Systematic Review. 4. http://sosains.greenvest.co.id
Delvita, D., Vebi Eka Utama Fakultas Gizi dan Manajemen Informasi Kesehatan, A., Muhammadiyah Palangkaraya Jalan Anggrek, U., Kereng Bangkirai, K., Sebangau, K., Palangka Raya, K., & Tengah, K. (2026). Analysis of Medical Records Management Systems in Improving the Quality of Health Services: Systematic Literature Review. 9(4), 666–672. https://doi.org/10.32832/pro
Demlinur Putri, R., Mulyanti, D., PHH Mustofa No, J., & Barat, J. (2023). Tantangan SIMRS dalam Penerapan Rekam Medis Elektronik Berdasarkan Permenkes 24 Tahun 2022: Literature Review. Jurnal Medika Nusantara, 1(1).
Eva, N., Karina, R., Mutiara, S., & Rohmat Saedudin, R. (2024). Analisis Jaminan Kualitas Sistem Keamanan Siber pada Sistem Informasi : sebuah Studi Literatur. Teknik Dan Teknologi Terapan, 1(2), 76–89.
Fauzi, A., Nur Aprilla, I., Fauziyyah, N., & Fazriyanti Bachtiar, N. (2025). Implementasi Multi-Faktor Authentication, Single Sign-on dan Role-Based Access Control dalam Keamanan Sistem Informasi (Studi Literature Review). 2(1). https://doi.org/10.63217/fibonacci.v2i1.256
Ferdyastari, N., Fatria, I., Maulina, L., & Warasti, N. S. (2025). TRANSFORMASI DIGITAL DOKUMENTASI FISIOTERAPI MELALUI REKAM MEDIS ELEKTRONIK: LITERATURE REVIEW. https://journal.ymci.my.id/index.php/ijhri/index
Iftitah, M., Laila, K., Surya, M., Pribadi, W., Ariyanto, S., Yunita, N., Nanda, S., Rahayu, T., Kesa, W., Pujanggi, A., Sutha, W., & Ariyanto, O. S. (2026). Faktor Penghambat Pelaksanaan Rekam Medis Elektronik di Rumah Sakit: Narrative Review. https://doi.org/10.33560/jmiki.v12i1.645
Jaelani Rusdi, A., & Rengganis Ularan, R. A. (2023). TINJAUAN LITERATUR ANALISIS YURIDIS MANAJEMEN KERAHASIAAN REKAM MEDIS ELEKTRONIK.
Mardiyana, I., Hariyanti, E., Arrasyid, N. N., Handayani, A. T., Suryadewi, K. S., Akhlaqulkarimah, F., & Pramiyas, H. (2023). Penerapan Kerangka Kerja Keamanan Informasi di Rumah Sakit: Tinjauan Literatur Sistematis. 12(2).
Meilani, A. H., Nugraheni, S. W., & Suprawita, B. (2025). ANALISIS IMPLEMENTASI REKAM MEDIS ELEKTRONIK TERHADAP MUTU PELAYANAN RAWAT JALAN DI RSUD IBU FATMAWATI SOEKARNO KOTA SURAKARTA. Infokes: Jurnal Ilmiah Rekam Medis Dan Informatika Kesehatan, 15(2), 158–164. https://doi.org/10.47701/4b9q1c44
Munawwarah Munawwarah, Sinta Novratilova, Tri Respati Utaminingsih, Sursiyah Sursiyah, Hanik Pratiwi Agustiana, Thessa Nur Auliya, & Zakiya Murni Setyawati. (2026). Tinjauan Literatur Tentang Peran Rekam Medis Elektronik dalam Peningkatan Mutu Pelayanan Kesehatan. Vitalitas Medis : Jurnal Kesehatan Dan Kedokteran, 3(3), 01–12. https://doi.org/10.62383/vimed.v3i3.3153
Nisfu, M. S. W., Reynata, A., Auzini Yasmine, D., & Maulana Putra Pratama, D. (2023). SYSTEMATIC LITERATURE REVIEW (SLR) : KEAMANAN DALAM SISTEM INFORMASI. 2(6). https://www.google.com/
Novida, D. R. (2025). Evolusi Sistem Informasi Akuntansi dalam Era Digital: Tinjauan Literatur tentang Tren, Tantangan, dan Peluang. Jurnal Minfo Polgan, 14(1), 77–85. https://doi.org/10.33395/jmp.v14i1.14628
Nugroho, Y. W., & Pramudita, F. A. (2024). The Role of Electronic Medical Records in Improving Efficiency, Quality of Health Services, and Safety of Patient Care: An Analysis of Systematic Literature Review. In Media Publikasi Promosi Kesehatan Indonesia (Vol. 7, Number 2, pp. 343–350). Muhammadiyah Palu University. https://doi.org/10.56338/mppki.v7i2.4867
Nur Jannah, S., Slamet, U., & Jaelani Rusdi, A. (2025). Literature Review: Keamanan Data Pasien Rekam Medis Elektronik Berdasarkan ISO27001 Di Fasilitas Kesehatan.
Nurhaliza, A. (2021). Analisis Sarana Dan Prasarana Pada Ruang Filing Terhadap Keamanan Berkas Rekam Medis Di Puskesmas Wadaslintang 1. In INFOKES (Vol. 11, Number 2).
Nurul, S., Anggrainy, S., & Aprelyani, S. (2022). FAKTOR-FAKTOR YANG MEMPENGARUHI KEAMANAN SISTEM INFORMASI: KEAMANAN INFORMASI, TEKNOLOGI INFORMASI DAN NETWORK (LITERATURE REVIEW SIM). 3(5). https://doi.org/10.31933/jemsi.v3i5
Nuzuhria, R. (2026). PENGARUH KUALITAS REKAM MEDIS ELEKTRONIK TERHADAP KINERJA PEGAWAI DAN KEPUASAN KERJA DENGAN KEPATUHAN SEBAGAI VARIABEL INTERVENING: LITERATURE REVIEW. In Journal of Public Health Science (JoPHS) (Vol. 3, Number 2).
Rahmah Dwi Asti, Nadiyah Rahma Dalimunthe, Ajib Atha Syah Putra, Meisa Putri Rangkuty, Findyani Siregar, Latifah syahrani, Adillah Maharani, & Dewi Agustina. (2025). Inovasi Manajemen Organisasi Kesehatan dalam Meningkatkan Mutu Layanan di Era Digital. Jurnal Kesehatan Amanah, 9(2), 354–360. https://doi.org/10.57214/jka.v9i2.974
Retna, N., & Marisa, J. M. (2025). PERAN TEKNOLOGI INFORMASI KESEHATAN DALAMPENINGKATAN KESELAMATAN PASIEN DAN PENGAMBILAN KEPUTUSAN KLINIS: KAJIAN LITERATUR.
Rizky, D., & Tiorentap, A. (2020). Manfaat Penerapan Rekam Medis Elektronik Di Negara Berkembang: Systematic Literature Review. In Health Information Management Journal ISSN (Vol. 8, Number 2).
Rusdian Ikawati, F., Ansyori, A., & Anggih Surya Permatasari, D. (2025). Literature Review: Analisis Keamanan Data Rekam Medis Elektronik di Fasilitas Kesehatan.
Yulisuyanti, E., & Soewito, B. (2023). Model Manajemen Risiko Sistem Informasi Untuk Sistem Informasi Manajemen Kepegawaian Information System of Risk Management Model for Personnel Management Information System. In Agustus (Vol. 22, Number 3).
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