Studi Kualitatif tentang Ketahanan Sistem Rekam Medis Elektronik selama Situasi Krisis dan Bencana
DOI:
https://doi.org/10.56359/igj.v3i1.651Keywords:
Rekam Medis Elektronik, Ketahanan Bencana, Sistem Informasi Kesehatan, Tanggap Krisis Rumah SakitAbstract
Tujuan Penelitian ini mengeksplorasi pengalaman dan strategi personel rumah sakit dalam mempertahankan fungsionalitas PUSDALOPS selama situasi krisis di RSIA Adina, sebuah rumah sakit bersalin di Jawa Tengah, Indonesia.
Metode: Pendekatan interpretatif kualitatif digunakan, yang melibatkan wawancara mendalam dengan tujuh informan, termasuk personil TI, manajer SIMRS, dan petugas rekam medis. Analisis tematik dilakukan dengan menggunakan kerangka kerja Braun dan Clarke, dengan fokus pada pola adaptasi dan improvisasi yang muncul selama gangguan sistem.
Hasil: Tiga tema muncul: (1) Pondasi yang Rapuh-menyoroti ketergantungan pada listrik dan infrastruktur jaringan; (2) Ketahanan Manusia-menggarisbawahi strategi solusi kreatif oleh staf; dan (3) Titik Buta Kelembagaan-mencerminkan ketiadaan SOP dan simulasi untuk kegagalan ESDM. Temuan-temuan ini menunjukkan bahwa ketahanan energi terbarukan merupakan hasil gabungan dari elemen teknologi dan manusia.
Kesimpulan: Sistem ESDM di lingkungan yang rawan krisis membutuhkan strategi terintegrasi yang tidak hanya mencakup kesiapan teknis tetapi juga kebijakan organisasi dan kemampuan beradaptasi manusia. Berinvestasi dalam kesiapan kelembagaan, sistem yang mampu beroperasi di luar jaringan, dan koordinasi lintas-peran sangat penting untuk meningkatkan kesinambungan ESDM di bawah tekanan.
Downloads
References
Adane, K., Abiy, R., & Desta, A. (2019). Electronic medical record system implementation: The case of Wolaita Sodo University Hospital. BMC Medical Informatics and Decision Making, 19(1), 173. https://doi.org/10.1186/s12911-019-0886-z
Berkes, F., & Folke, C. (1998). Linking social and ecological systems: Management practices and social mechanisms for building resilience. Cambridge University Press.
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa
Clarke, M. A., Belden, J. L., Kim, M. S., & Ash, J. S. (2022). Workarounds to Electronic Health Record System Problems in Emergency Departments. Applied Clinical Informatics, 13(1), 130–138. https://doi.org/10.1055/s-0042-1742382
Creswell, J. W., & Poth, C. N. (2018). Qualitative inquiry and research design: Choosing among five approaches (4th ed.). SAGE Publications.
Dewi, R. A., Sutrisna, D., & Kartikawati, S. (2021). Analisis gangguan sistem informasi manajemen rumah sakit terhadap pelayanan. Jurnal Informasi Kesehatan Indonesia, 9(2), 97–105.
Fruhling, A. L., & Lee, A. E. (2020). Health information systems resilience: A review of the literature. Journal of Biomedical Informatics, 107, 103456. https://doi.org/10.1016/j.jbi.2020.103456
Ganesh, B., et al. (2022). Evaluating hospital EMR infrastructure for disaster resilience: A systems approach. BMC Medical Informatics and Decision Making, 22, 287. https://doi.org/10.1186/s12911-022-01964-2
Kim, Y., Park, S., & Yoo, S. (2019). Disaster-tolerant cloud-based EMR architecture: Lessons from a hospital outage. Health Informatics Journal, 25(3), 925–936. https://doi.org/10.1177/1460458217736730
Kohli, R., & Tan, S. S. L. (2016). Electronic health records: How can IS researchers contribute to transforming healthcare? MIS Quarterly, 40(3), 553–573. https://doi.org/10.25300/MISQ/2016/40.3.01
Luna, D., Almerares, A., Mayan, J. C., & Otero, C. (2020). Health informatics in developing countries: Going beyond pilot practices to sustainable implementations. International Journal of Medical Informatics, 129, 76–84. https://doi.org/10.1016/j.ijmedinf.2019.05.015
Mukred, M., et al. (2021). Framework for critical electronic health record system adoption in disaster-prone regions. Sustainability, 13(3), 1142. https://doi.org/10.3390/su13031142
Oliveira, T., Thomas, M., & Espadanal, M. (2020). Adoption of EMR systems in hospitals: A contingency perspective. Health Policy and Technology, 9(2), 100–110. https://doi.org/10.1016/j.hlpt.2020.03.002
Otero, C., Luna, D., Marcelo, A., & Salinas, R. (2018). Risk management of EMR failure: Policies and strategies. Journal of Health Informatics in Developing Countries, 12(2), 1–12.
Setiawan, A., Wahyuni, I., & Siahaan, R. (2020). National roadmap of SIMRS development in Indonesia: A policy perspective. Jurnal Kesehatan Masyarakat Nasional, 14(1), 17–25. https://doi.org/10.21109/kesmas.v14i1.3069
Thorne, S. (2016). Interpretive description: Qualitative research for applied practice (2nd ed.). Routledge.
Topp, S. M., Chipukuma, J. M., Hanefeld, J., & Witter, S. (2018). Understanding the everyday resilience of health systems: The case of informal health provider integration in Zambia. Health Policy and Planning, 33(3), 256–264. https://doi.org/10.1093/heapol/czx188
Zheng, K., et al. (2021). Socio-technical barriers and facilitators in digital resilience during COVID-19: An EMR usability study. JMIR Medical Informatics, 9(6), e25158. https://doi.org/10.2196/25158
Ahmed, A., & Demeke, W. (2022). EMR readiness and disaster planning in African public hospitals. African Journal of Health Informatics, 11(4), 202–210.
Alami, H., Lehoux, P., & Gagnon, M. P. (2019). The challenge of interoperable EMR systems in crisis management. Journal of the American Medical Informatics Association, 26(6), 457–466. https://doi.org/10.1093/jamia/ocz051
Barasa, E., Mbau, R., & Gilson, L. (2017). Health system resilience: What are we talking about? A scoping review. BMJ Global Health, 2(4), e000758. https://doi.org/10.1136/bmjgh-2017-000758
Boonstra, A., Versluis, A., & Vos, J. F. J. (2014). Implementing electronic health records in hospitals: A systematic literature review. BMC Health Services Research, 14, 370. https://doi.org/10.1186/1472-6963-14-370
Chan, K. S., et al. (2020). Health information technology and hospital performance during Hurricane Harvey. Journal of General Internal Medicine, 35(9), 2554–2561. https://doi.org/10.1007/s11606-020-05794-7
Faruk, A. A., & Mutalemwa, D. K. (2020). Evaluating data recovery protocols of EMRs under stress in Tanzanian hospitals. Health Information Management Journal, 49(2), 116–122.
Fridell, M., Edwin, S., AbouZahr, C., & de Savigny, D. (2020). Health information systems in low and middle-income countries: A review of challenges and strategies. Global Health Action, 13(1), 1791476. https://doi.org/10.1080/16549716.2020.1791476
Greenhalgh, T., Wherton, J., Papoutsi, C., Lynch, J., & Hughes, G. (2017). Beyond adoption: A new framework for theorizing and evaluating nonadoption, abandonment, and challenges to the scale-up, spread, and sustainability of health and care technologies. Journal of Medical Internet Research, 19(11), e367. https://doi.org/10.2196/jmir.8775
Grossman, C., et al. (2019). Challenges in sustaining EMR functionality during emergency evacuations. Disaster Medicine and Public Health Preparedness, 13(5–6), 932–937.
Han, J., & Lee, J. (2020). Cloud-based disaster recovery for hospital information systems: Opportunities and barriers. Journal of Health Information Technology, 25(1), 13–20.
Jardine, C. G., & Binns, H. (2018). Rebuilding trust after health IT failure: Lessons from a Canadian hospital. International Journal of Medical Informatics, 119, 65–72.
Katuu, S. (2021). The role of digital health information systems in resilience-building in African health systems. BMC Medical Informatics and Decision Making, 21(1), 17. https://doi.org/10.1186/s12911-021-01664-1
Lee, C. H., & Park, Y. T. (2021). Critical infrastructure for hospital EMR disaster recovery: Lessons from recent disruptions. Health Systems and Policy Research, 8(3), 134–141.
Mahmoud, M., Nugraha, A., & Djalante, R. (2018). Emergency medical data access during system failures: Bridging paper and digital. Health Informatics Journal, 24(2), 184–192.
Martínez-Pérez, B., & de la Torre-Díez, I. (2016). Privacy and security in EMR systems: Analysis of current challenges. Journal of Medical Systems, 40(12), 285.
Mensah, G. A., & Schneider, M. C. (2021). National eHealth strategies and hospital-level resilience: A cross-country synthesis. International Journal of Health Planning and Management, 36(1), 5–21.
Nugroho, A., & Rahardjo, T. (2023). Adaptasi petugas SIMRS terhadap gangguan teknis selama bencana. Jurnal Sistem Informasi Kesehatan, 14(1), 33–44.
Patterson, E. S., & Wears, R. L. (2019). Resilience in the face of uncertainty: Learning from the front lines of hospital information technology. BMJ Quality & Safety, 28(5), 389–395.
Rodriguez, L., Rojas, M., & Singh, H. (2020). Emergency mode in EMR design: An overlooked necessity. International Journal of Medical Informatics, 141, 104218. https://doi.org/10.1016/j.ijmedinf.2020.104218
Sittig, D. F., & Singh, H. (2020). A socio-technical approach to EMR downtime preparedness. Healthcare, 8(3), 100451.
Sulaiman, A. H., Hadi, N. U., & Ismail, A. (2021). Exploring organizational learning in hospital IT departments following EMR failures. Health Services Management Research, 34(1), 38–45.
Tao, D., Wang, T., & Fang, X. (2017). Emergency response effectiveness and IT infrastructure maturity: Evidence from hospitals in East Asia. Information & Management, 54(6), 712–721.
Cahyawati, R. D., Marisa, D. E., Sumarni, S., Sazilli, D., & Mahendra, M. (2024). Nursing Care for Ny'S with Impaired Sense of Security and Comfort Acute Pain Associated with Physical Injury Agents Post-Section Caesarea. Al Makki Health Informatics Journal, 2(4), 232-239.
Wardana, A. H., Kurniawan, R., Nurapandi, A., Suhanda, S., & Noviati, E. (2025). Case Study: Nursing Care for a Patient with Coronary Artery Disease (CAD) Using Benson Relaxation Technique to Reduce Pain. JURNAL VNUS (Vocational Nursing Sciences), 7(1), 19-25.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Suci Hidayati Gusri, Mugihartadi

This work is licensed under a Creative Commons Attribution 4.0 International License.