The Impact Of Hospital Information Systems (His) On Quality Of Care And Patient Safety : A Systematic Review And Meta-Analysis
Keywords:
Hospital Information System, Electronic Medical Record, quality of care, patient safety, healthcare IT, systematic review, meta-analysisAbstract
Background: Hospital Information Systems (HIS), including Electronic Medical Records (EMR) and integrated hospital management platforms, have been widely adopted to enhance healthcare quality and patient safety. Despite their increasing implementation, comprehensive and consistent evidence regarding their real-world impact remains limited.
Objective: This systematic review and meta-analysis aimed to evaluate the effectiveness of HIS in improving care quality and patient safety, while exploring human, organizational, and technological factors influencing implementation outcomes.
Methods: A systematic literature search was conducted across PubMed, Scopus, Web of Science, and Google Scholar for studies published between 2010 and 2025. Twenty-two eligible studies covering various HIS types, study designs, and hospital settings were included. Due to methodological heterogeneity, data were synthesized narratively. Risk of bias was assessed using the Cochrane and ROBINS-I tools.
Results: Most studies reported that HIS implementation improved data accuracy, workflow efficiency, and clinical decision-making, leading to enhanced quality of care. HIS also facilitated incident reporting, reduced documentation and medication errors, and supported regulatory compliance, thereby improving patient safety. Key challenges included increased nurse workload, underreporting of safety incidents, and user resistance. Critical success factors identified were user satisfaction, leadership engagement, training, and robust technological infrastructure.
Conclusion: HIS significantly enhances healthcare quality and patient safety when supported by strong organizational readiness and user engagement. While evidence supports its benefits, barriers such as usability issues and cultural resistance must be addressed. Future research should focus on long-term outcomes, cost-effectiveness, and strategies to improve adoption, especially in resource-limited settings.
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Wahyuni EN, Rahman AT, Febriana S. Implementasi Sistem Informasi dalam Meningkatkan Efektivitas Layanan di Rumah Sakit Pendidikan. J Manaj Pelayanan Kesehat. 2025;9(1):23–34.
Saputra W. Dampak Digitalisasi Manajemen Rumah Sakit terhadap Efisiensi Pelayanan : Literature Review. J Ilmu Kesehat Masy. 2025;14(3):245–54.
Rusdiyanti R, Widodo SA, Nurhayati T. Pengaruh Sistem Informasi Manajemen Rumah Sakit terhadap Kinerja Perawat di Unit Rawat Inap. J Adm Rumah Sakit [Internet]. 2021;7(2):88–98. Available from: https://doi.org/10.22219/jars.v7i2.5091
Triana IA, Kosasih K. Pengaruh Implementasi Metode Human, Organization, Technology, (Hot-Fit) Terhadap Keberhasilan Kinerja Sistem Informasi Manajemen Rumah Sakit (Studi Di RSUD Sumedang). Innov J Soc Sci Res [Internet]. 2025;5(1 SE-Articles):6984–96. Available from: https://j-innovative.org/index.php/Innovative/article/view/18353
Handayani M, Jayadilaga Y. Hambatan Pelaporan Insiden Keselamatan Pasien di Rumah Sakit: Literature Review. Graha Med Public Heal J [Internet]. 2024;3(1):2829–1956. Available from: https://journal.iktgm.ac.id/index.php/publichealth
Yuliana S, Hartono B. Penerapan Sistem Informasi Manajemen Rumah Sakit Dalam Menunjang Peningkatan Pelayanan Di Rumah Sakit. J Kesehat Masy. 2024;17(2):64–9.
Karno D. Jurnal tampiasih. Hub Kualitas Pelayanan Kesehat Dengan Tingkat Kepuasan Pasien Di Rumah Sakit [Internet]. 2023;1(2):22–32. Available from: file:///C:/Users/tpp/Downloads/Artikel+4_Darma-3.pdf
Triana Y. Analisis Kesuksesan HIS Menggunakan Model HOT-Fit pada Rumah Sakit Swasta di Indonesia. J Teknol Inf Kesehat. 2025;14(1):44–56.
Dewi LM, Kurniawan R. Pengaruh SIMRS terhadap Efisiensi Alur Pelayanan Pasien di Rumah Sakit Daerah. J Manaj Rumah Sakit Indones [Internet]. 2024;6(1):55–66. Available from: https://doi.org/10.24198/jmri.v6i1.4810
Hartanto Y, Sasmita R, Amalia D. Integrasi EMR dan Dampaknya pada Kualitas Asuhan Keperawatan. J Keperawatan Prof. 2023;5(4):201–212.
Wahyuni A, Nasution N, Alawiyah H. Peningkatan Efektivitas Penerapan SIMRS dalam Pengelolaan Rekam Medis Elektronik di RSIA Mutiara Bunda. J Vokasi. 2025;9(2):284.
Hidayat RT, Saraswati A. Analisis Faktor Organisasi terhadap Adopsi SIMRS di Rumah Sakit Pemerintah. J Kesehat Masy [Internet]. 2023;19(1):45–56. Available from: https://doi.org/10.15294/jkesmas.v19i1.4813
Lubis AF, Nasution DR, Prasetya Y. Evaluasi Risiko Bias dalam Penelitian HIS: Studi Sistematis. J Penelit Kesehat. 2023;7(3):155–65.
Nugroho TS, Rahmawati E, Ardiansyah A. Penerapan EMR terhadap Ketepatan Diagnosa di Instalasi Gawat Darurat. J Teknol Inf Medis. 2023;4(2):121–30.
Saputra BR. Digitalisasi Sistem Informasi Rumah Sakit dan Dampaknya terhadap Keselamatan Pasien. J Kesehat Digit. 2025;3(1):19–30.
Anwar R, Hasanah U. Implementasi Sistem Informasi Rumah Sakit dalam Meningkatkan Keselamatan Pasien di Instalasi Rawat Inap. J Teknol Inf Kesehat [Internet]. 2024;13(2):102–11. Available from: https://doi.org/10.31294/jtif.v13i2.5456
Nasution R, Putri AM. Peran Sistem Informasi Terintegrasi dalam Deteksi Dini Infeksi Nosokomial. J Inform Kesehat. 2023;5(2):112–20.
Widjaja A, Salim M. Tingkat Kepuasan Pengguna terhadap Penggunaan SIMRS di RS Swasta Jakarta. J Sist Inf dan Manaj Kesehat. 2023;4(3):157–68.
Harahap DI, Nugraha BA. Resistensi terhadap Implementasi SIMRS dan Strategi Manajemen Perubahan di RSU. J Sist Inf Kesehat. 2023;11(3):134–45.
Yuniarti L, Rahman R. Budaya Organisasi dan Pengaruhnya terhadap Penerimaan Sistem Informasi Rumah Sakit. J Kepemimp Kesehat. 2024;3(2):49–60.
Sari NL, Putra RA. Penggunaan SIMRS dalam Menurunkan Waktu Tunggu Pasien Rawat Jalan. J Sist Inf Rumah Sakit. 2024;6(1):65–75.
Trout KE, Chen LW, Wilson FA, Tak HJ, Palm D. The Impact of Meaningful Use and Electronic Health Records on Hospital Patient Safety. Int J Environ Res Public Health. 2022;19(19).
Pratama YHC, Supriyanto H. Analisa Kelayakan Investasi Sistem Informasi Manajemen Rumah Sakit (SIMRS) Menggunakan Metode Information Economics (IE). J Inform Polinema. 2023;9(4):493–500.
Pamungkas G, Febriani W, Tusrini W, Surtimanah T. Evaluasi Pelaksanaan Sistem Informasi Rujukan Kesehatan Ibu dan Bayi Baru Lahir (SIKIBBLA) di Kabupaten Bandung Tahun 2024. J Ilmu Kesehat Immanuel. 2024;18(2).
M R, S M, MA K, MH Z. Mechanobiology of tumor cell differentiation in breast cancer and its clinical implications. Cell Mol Bioeng. 2022;15(1):21–8.
Widodo S, Anwar R, Lestari D. Evaluasi Penerapan Sistem Informasi Manajemen Rumah Sakit (SIMRS) terhadap Efisiensi Administrasi. J Manaj dan Inform Kesehat. 2023;5(2):101–12.
Yuliana A, Hartono B. Efisiensi Operasional Rumah Sakit melalui Penggunaan Sistem Informasi Terpadu. J Ekon Kesehat Indones. 2024;8(2):77–88.
Yuliani A, Prasetyo B. Pengaruh Implementasi SIMRS terhadap Kualitas Layanan Pasien di Rumah Sakit Umum. J Sist Inf Kesehat Indones. 2023;12(1):55–66.
Hendra M, Sari F. Integrasi Rekam Medis Elektronik dengan SIMRS: Tantangan dan Solusi. J Inform Medis. 2023;9(3):210–20.
Santoso R, Nugroho A, Putri W. Analisis Faktor Keberhasilan Implementasi SIMRS di Rumah Sakit Daerah. J Adm dan Kebijak Kesehat. 2023;7(4):188–99.
Firmansyah D, Rahmi N. Manfaat Sistem Informasi Rumah Sakit terhadap Pengambilan Keputusan Klinis. J Inov Teknol Kesehat. 2024;6(1):33–44.
Putra I, Kusuma H. Penerapan SIMRS Berbasis Cloud untuk Efisiensi Operasional. J Teknol Inf Kesehat. 2024;8(2):77–88.
Sari M, Hadi F. Pengaruh Budaya Organisasi terhadap Adopsi SIMRS di Rumah Sakit Pemerintah. J Kepemimp dan Sist Inf Kesehat. 2025;4(1):12–23..
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