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

Salahuddin L 1 , Ismail Z 2 , Abd Ghani MK 1 , Mohd Aboobaider B 1 , Hasan Basari AS 1

Affiliations 

  • 1 Centre for Advanced Computing Technology (C-ACT), Fakulti Teknologi Maklumat dan Komunikasi (FTMK), Universiti Teknikal Malaysia Melaka, Melaka, Malaysia
  • 2 Advanced Informatics Department, Razak Faculty of Technology and Informatics, Universiti Teknologi Malaysia Kuala Lumpur, Kuala Lumpur, Malaysia
J Eval Clin Pract, 2020 Oct;26(5):1416-1424.
PMID: 31863517 DOI: 10.1111/jep.13326

Abstract

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.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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