A Systematic Literature Review on Safe Health Information Technology Use Behaviour

Abstract

The implementation of health information technology (IT) is one of the strategy to improve patient safety due to medical errors. Nevertheless, inappropriate use of health IT may have serious consequences to the quality of care and patient safety. Most of the previous studies have been focused on the sociotechnical factors contributed to health IT related errors. Little focus has been given on the use behavior that influence the safety of health IT adoption. In order to address this gap, this study investigates the use behavior that influence the safety of health IT adoption. Systematic literature review was conducted to identify articles pertinent to safety of health IT. Science Direct, Medline, EMBASE, and CINAHL database were searched for reviews relevance articles. A total of 23 full articles were reviewed to extract use behavior that influence the safety of health IT adoption. Workarounds, adhere to procedure, vigilant action, and copy and paste behavior were discerned as the significance use behavior that influence health IT safety adoption. This study may be of significance in providing useful information on how to safely practice health IT adoption.

Healthcare practitioner behaviours that influence unsafe use of hospital information systems

“…The unsafe behaviours include carelessness, workarounds, noncompliance to procedure, and copy and paste habit. The themes are consistent to the systematic literature review carried out by Salahuddin et al 6 It is important to note that vigilance is able to prevent mistake while using HIS. Wrongs in patient's record, data entry, selection from dropdown menus, and file uploads were the most commonly reported mistakes that led to clinical errors such as assigning the wrong dose and wrong instructions.…”

“…Moreover, the results from the system’s literature review and interviews with medical doctors showed that knowledge, system quality, information quality, service quality, training, organization resources, teamwork, task-related stressor, physical layout, and noise as the sociotechnical factors influencing the safe use of HIT. 6,7 However, little is known about the specific nature of healthcare practitioner behaviours affecting unsafe use of HIS in clinical settings. Hence, this study addresses the question: How do healthcare practitioners use HIS that pose risk to patient safety and quality of care?…”

Sociotechnical factors influencing unsafe use of hospital information systems: A qualitative study in Malaysian government hospitals

“…A semi-structured interview guide was designed to manage the discussion with the medical doctors (Appendix 1). The research model described in section ‘Theoretical framework’ and the findings from a systematic literature review conducted in the previous study 23 were used to guide and structure the qualitative data collection and data analysis. The interview questions contained neutral and open-ended questions to avoid eliciting socially desirable responses.…”