CHALLENGES AND WORKLOAD BURDEN AMONG QUALITY PERSONNEL DURING ELECTRONIC MEDICAL RECORDS (EMR) IMPLEMENTATION IN PRIVATE TERTIARY CARE HOSPITALS OF TELANGANA
DOI:
https://doi.org/10.69980/2590kb07Keywords:
Electronic Medical Records, Healthcare Digital Transformation, Quality Personnel, Workload Burden, Hospital Management, Change ManagementAbstract
Electronic Medical Records (EMRs) are increasingly introduced in hospitals to improve documentation, operational efficiency, quality monitoring, and accreditation compliance. However, their implementation creates organisational and managerial challenges, particularly for quality personnel responsible for documentation review, audit preparedness, compliance monitoring, and coordination between clinical and information technology teams. Guided by the Technology Organisation Environment (TOE) framework, this study examined technological issues, organisational support, training adequacy, workload burden, and compliance-related pressures during EMR implementation in private tertiary care hospitals in Telangana. A cross-sectional descriptive study was conducted among 75 quality personnel using a structured questionnaire, and data were analysed through frequency and percentage distribution. The findings revealed that 85.3% of respondents reported increased work responsibilities, while 85.3% identified inadequate training as a major implementation challenge. Increased documentation workload was reported by 70.7%, and 56.0% experienced higher audit and compliance monitoring activities. Staff resistance and technical issues were reported by 42.7% and 40.0%, respectively. The study concludes that effective EMR implementation requires structured training, workload planning, leadership involvement, technical support, workflow redesign, and change management to improve quality outcomes.
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