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Antecedents Of Safe Use Of Hospital Information Systems Based On Sociotechnical Perspective

Hospital Information System (HIS) could potentially improve the quality of healthcare services and patient safety. Nevertheless, there is a number of growing evidence that show HIS can pose risk to patient safety when it is poorly designed, implemented, or adopted. Most of the preventive solutions h...

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Main Author: Salahuddin, Lizawati
Format: Thesis
Language:English
Published: UTeM 2016
Subjects:
T Technology (General)
Online Access:http://eprints.utem.edu.my/id/eprint/18828/1/Antecedents%20Of%20Safe%20Use%20Of%20Hospital%20Information%20Systems%20Based%20On%20Sociotechnical%20Perspective%2024%20Pages.pdf
http://eprints.utem.edu.my/id/eprint/18828/
http://library.utem.edu.my:8000/elmu/index.jsp?module=webopac-d&action=fullDisplayRetriever.jsp&szMaterialNo=0000102294
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spelling my.utem.eprints.188282017-07-31T00:54:13Z http://eprints.utem.edu.my/id/eprint/18828/ Antecedents Of Safe Use Of Hospital Information Systems Based On Sociotechnical Perspective Salahuddin, Lizawati T Technology (General) Hospital Information System (HIS) could potentially improve the quality of healthcare services and patient safety. Nevertheless, there is a number of growing evidence that show HIS can pose risk to patient safety when it is poorly designed, implemented, or adopted. Most of the preventive solutions have been focusing on improving the software design. Conversely, patient safety is not merely dependent upon HIS, but also influenced by its interactions with users, other technologies, and environment. Therefore, this research proposes a conceptual model for a safe use of HIS by considering the sociotechnical aspect. Exploratory mixed methods methodology was employed. The first phase involved qualitative exploration of the safe use of HIS and its antecedents. Interview transcripts from 31 medical doctors at three Malaysian government hospitals implementing Total Hospital Information System (THIS) were collected. A quantitative data collection followed as the second phase to evaluate the research model. A total of 450 medical doctors from the three hospitals participated in the questionnaire survey. Structural Equation Modelling (SEM) was used for quantitative data analysis. The findings showed that knowledge, system quality, and team work has a significant direct effect on vigilance, while task stressor has a significant direct effect on procedure compliance. Teamwork emerged as the most important factor in determining the safe use of HIS. In addition, vigilance has a significant direct effect on both patient safety and patient care quality, whereas procedure compliance has significant direct effect on patient safety. Besides that, vigilance mediates the effect of knowledge, system quality, and teamwork on patient care quality. Procedure compliance mediates the effect of task stressor on patient safety. The model has portrayed predictive capability and predictive relevance, implying that the model could effectively explain the safe use of HIS and its outcomes. Hence, this research concludes that healthcare organisations and practitioners should give attention to the sociotechnical aspect of the safe use of HIS antecedents in reducing error, as well as increasing the quality of patient care. UTeM 2016 Thesis NonPeerReviewed text en http://eprints.utem.edu.my/id/eprint/18828/1/Antecedents%20Of%20Safe%20Use%20Of%20Hospital%20Information%20Systems%20Based%20On%20Sociotechnical%20Perspective%2024%20Pages.pdf Salahuddin, Lizawati (2016) Antecedents Of Safe Use Of Hospital Information Systems Based On Sociotechnical Perspective. PhD thesis, Universiti Teknikal Malaysia Melaka. http://library.utem.edu.my:8000/elmu/index.jsp?module=webopac-d&action=fullDisplayRetriever.jsp&szMaterialNo=0000102294 HF5351.M34 2016
institution Universiti Teknikal Malaysia Melaka
building UTEM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Teknikal Malaysia Melaka
content_source UTEM Institutional Repository
url_provider http://eprints.utem.edu.my/
language English
topic T Technology (General)
spellingShingle T Technology (General)
Salahuddin, Lizawati
Antecedents Of Safe Use Of Hospital Information Systems Based On Sociotechnical Perspective
description Hospital Information System (HIS) could potentially improve the quality of healthcare services and patient safety. Nevertheless, there is a number of growing evidence that show HIS can pose risk to patient safety when it is poorly designed, implemented, or adopted. Most of the preventive solutions have been focusing on improving the software design. Conversely, patient safety is not merely dependent upon HIS, but also influenced by its interactions with users, other technologies, and environment. Therefore, this research proposes a conceptual model for a safe use of HIS by considering the sociotechnical aspect. Exploratory mixed methods methodology was employed. The first phase involved qualitative exploration of the safe use of HIS and its antecedents. Interview transcripts from 31 medical doctors at three Malaysian government hospitals implementing Total Hospital Information System (THIS) were collected. A quantitative data collection followed as the second phase to evaluate the research model. A total of 450 medical doctors from the three hospitals participated in the questionnaire survey. Structural Equation Modelling (SEM) was used for quantitative data analysis. The findings showed that knowledge, system quality, and team work has a significant direct effect on vigilance, while task stressor has a significant direct effect on procedure compliance. Teamwork emerged as the most important factor in determining the safe use of HIS. In addition, vigilance has a significant direct effect on both patient safety and patient care quality, whereas procedure compliance has significant direct effect on patient safety. Besides that, vigilance mediates the effect of knowledge, system quality, and teamwork on patient care quality. Procedure compliance mediates the effect of task stressor on patient safety. The model has portrayed predictive capability and predictive relevance, implying that the model could effectively explain the safe use of HIS and its outcomes. Hence, this research concludes that healthcare organisations and practitioners should give attention to the sociotechnical aspect of the safe use of HIS antecedents in reducing error, as well as increasing the quality of patient care.
format Thesis
author Salahuddin, Lizawati
author_facet Salahuddin, Lizawati
author_sort Salahuddin, Lizawati
title Antecedents Of Safe Use Of Hospital Information Systems Based On Sociotechnical Perspective
title_short Antecedents Of Safe Use Of Hospital Information Systems Based On Sociotechnical Perspective
title_full Antecedents Of Safe Use Of Hospital Information Systems Based On Sociotechnical Perspective
title_fullStr Antecedents Of Safe Use Of Hospital Information Systems Based On Sociotechnical Perspective
title_full_unstemmed Antecedents Of Safe Use Of Hospital Information Systems Based On Sociotechnical Perspective
title_sort antecedents of safe use of hospital information systems based on sociotechnical perspective
publisher UTeM
publishDate 2016
url http://eprints.utem.edu.my/id/eprint/18828/1/Antecedents%20Of%20Safe%20Use%20Of%20Hospital%20Information%20Systems%20Based%20On%20Sociotechnical%20Perspective%2024%20Pages.pdf
http://eprints.utem.edu.my/id/eprint/18828/
http://library.utem.edu.my:8000/elmu/index.jsp?module=webopac-d&action=fullDisplayRetriever.jsp&szMaterialNo=0000102294
_version_ 1665905721793839104
score 13.211869

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