The integration of electronic medical records (EMRs) promises streamlined workflows and improved patient care. However, the reality of EMR implementation often falls short of expectations, especially in resource-constrained settings. A recent case study examines the rocky road experienced by Yekatit 12 Hospital Medical College in Ethiopia as it grappled with its new EMR system. The findings highlight critical gaps in planning, training, and support, underscoring the need for a more nuanced approach to digital health adoption.
Clinical Key Takeaways
Study Snapshot
- High Error Rates:The EMR system suffered from frequent errors, leading to inaccurate patient data and potentially compromising patient safety.
- Inadequate Training:Insufficient training for healthcare providers resulted in poor system utilization and increased frustration among staff.
- Workflow Disruption:The new EMR system disrupted existing workflows, leading to decreased efficiency and longer patient wait times.
Yekatit 12 Hospital Medical College, a bustling academic institution in Addis Ababa, embarked on its EMR journey with high hopes. The vision was clear: to modernize healthcare delivery, improve data management, and enhance patient outcomes. However, the transition proved to be far more complex than anticipated. The study details a cascade of challenges, from technical glitches and data migration woes to user resistance and workflow disruptions.
Implementation Challenges
One of the primary hurdles was the lack of adequate training. Many healthcare providers, unfamiliar with the new system, struggled to navigate its interface and input data accurately. "The system was supposed to make our lives easier, but it ended up adding more work," one physician lamented, according to the study. This sentiment was echoed by nurses and other staff members, who felt overwhelmed by the steep learning curve.
Data migration posed another significant challenge. Transferring patient records from paper-based systems to the EMR proved to be a laborious and error-prone process. Incomplete or inaccurate data not only hindered clinical decision-making but also eroded trust in the new system. Moreover, the EMR system itself was plagued by technical issues, including slow response times, frequent crashes, and software bugs. These glitches further exacerbated user frustration and undermined confidence in the technology.
Lessons Learned
Despite the setbacks, the Yekatit 12 Hospital experience offers valuable lessons for other healthcare institutions considering EMR implementation. The authors suggest that successful adoption requires a holistic approach that addresses not only technical aspects but also human factors. This includes providing comprehensive training programs tailored to different user groups, engaging stakeholders in the planning process, and establishing robust support mechanisms to address user concerns and technical issues.
Moreover, the study underscores the importance of careful planning and preparation. Before implementing an EMR system, healthcare institutions should conduct a thorough assessment of their existing infrastructure, workflows, and user needs. They should also develop a detailed implementation plan that outlines clear goals, timelines, and resource allocation. By taking these steps, healthcare institutions can increase their chances of a smooth and successful EMR transition.
For frontline staff, this case study highlights the critical need for user-centered design in health information technology. Systems must be intuitive and support existing workflows to truly improve efficiency and reduce the burden on clinicians. The experience of Yekatit 12 Hospital underscores the importance of investing in comprehensive training and ongoing support to ensure that healthcare providers are comfortable and confident using new technologies.
LSF-3038699938 | December 2025

Keywords
How to cite this article
Lopes W. Electronic medical record implementation challenges a yekatit 12 hospital case study. The Life Science Feed. Published February 13, 2026. Updated February 13, 2026. Accessed February 13, 2026. https://thelifesciencefeed.com/healthcare-sys-and-biz/value-based-health-care/case/electronic-medical-record-implementation-challenges-a-yekatit-12-hospital-case-study.
Copyright and license
© 2026 The Life Science Feed. All rights reserved. Unless otherwise indicated, all content is the property of The Life Science Feed and may not be reproduced, distributed, or transmitted in any form or by any means without prior written permission.
Fact-Checking & AI Transparency
This content was produced with the assistance of AI technology and has been rigorously reviewed and verified by our human editorial team to ensure accuracy and clinical relevance.
References
- Tilahun B, Mekonnen A, & al. Assessment of implementation challenges of electronic medical record in Yekatit 12 hospital medical college. PLoS One. 2024;19(1):e0296471.
- Braa J, Macome E, Da Costa D, Mavimbe JC, Nhampossa JL, Manjate RM, et al. A socio-technical perspective on the development and implementation of health information systems in developing countries: reflections from Mozambique. Electron J Inform Syst Develop Ctries. 2007;29(3):1-18.
- WHO. eHealth. World Health Organization. Accessed March 8, 2024. https://www.who.int/ehealth/about/en/




