The strategic role of information systems in enhancing error reduction and user satisfaction: A mediation approach

This study investigates the direct and indirect effects of user perceptions on the successful implementation of the Electronic Medical Record (EMR) system at Tidar Hospital, with strategic, effective, competitive, and integrated factors serving as mediators. A quantitative design using Structural Equation Modeling (SEM) was applied to data from 227 respondents selected via disproportionate stratified random sampling from 522 active EMR users. Independent variables included task support, cost-effectiveness, maximum utilization, and service speed, while dependent variables covered Service Improvement, Error Reduction, Goal Achievement, and Patient Satisfaction. Data were collected through a structured Likert-scale questionnaire and analyzed using bootstrapping with 995 resamples. Results revealed significant direct effects of task support on Error Reduction (β = 0.213, p = 0.020) and maximum utilization on Goal Achievement (β = 0.237, p = 0.020), with service speed showing the strongest total effect on Service Improvement (β = 0.322, p < 0.001). A significant indirect effect emerged through the cost-effectiveness → strategic alignment → Service Improvement pathway (β = 0.132, p = 0.006). The cross-sectional design and internal focus limit generalizability. Future longitudinal studies should capture perception dynamics over time. Strengthening EMR’s strategic alignment through training, policy reinforcement, and performance evaluation can enhance efficiency, transparency, and patient-centered care, highlighting the vital mediating role of strategic factors in EMR success.