Exploring the contributing factors to workarounds to the hospital information system in Malaysian hospitals

Objectives The objective of this study was to identify the factors influencing workarounds to the Hospital Information System (HIS) in Malaysian government hospitals. Methods Semi‐structured interviews were conducted among 31 medical doctors in three Malaysian government hospitals on the implementat...

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Bibliographic Details
Published in:Journal of evaluation in clinical practice 2020-10, Vol.26 (5), p.1416-1424
Main Authors: Salahuddin, Lizawati, Ismail, Zuraini, Abd Ghani, Mohd Khanapi, Mohd Aboobaider, Burhanuddin, Hasan Basari, Abd Samad
Format: Article
Language:English
Subjects:
Health informatics
hospital information system
Hospitals
Information systems
Information technology
patient safety
Qualitative research
Usability
workarounds
Workloads
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Summary:Objectives The objective of this study was to identify the factors influencing workarounds to the Hospital Information System (HIS) in Malaysian government hospitals. Methods Semi‐structured interviews were conducted among 31 medical doctors in three Malaysian government hospitals on the implementation of the Total Hospital Information System (THIS) between March and May 2015. A thematic qualitative analysis was performed on the resultant data to deduce the relevant themes. Results Five themes emerged as the factors influencing workarounds to the HIS: (a) typing skills, (b) system usability, (c) computer resources, (d) workload, and (e) time. Conclusions This study provided the key factors as to why doctors were involved in workarounds during the implementation of the HIS. It is important to understand these factors in order to help mitigate work practices that can pose a threat to patient safety.
ISSN:1356-1294
1365-2753
DOI:10.1111/jep.13326