{"id":"https://openalex.org/W2789710592","doi":"https://doi.org/10.1177/1460458218759698","title":"Sociotechnical factors influencing unsafe use of hospital information systems: A qualitative study in Malaysian government hospitals","display_name":"Sociotechnical factors influencing unsafe use of hospital information systems: A qualitative study in Malaysian government hospitals","publication_year":2018,"publication_date":"2018-03-09","ids":{"openalex":"https://openalex.org/W2789710592","doi":"https://doi.org/10.1177/1460458218759698","mag":"2789710592","pmid":"https://pubmed.ncbi.nlm.nih.gov/29521162"},"language":"en","primary_location":{"id":"doi:10.1177/1460458218759698","is_oa":false,"landing_page_url":"https://doi.org/10.1177/1460458218759698","pdf_url":null,"source":{"id":"https://openalex.org/S201800618","display_name":"Health Informatics Journal","issn_l":"1460-4582","issn":["1460-4582","1741-2811"],"is_oa":false,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Informatics Journal","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5022308147","display_name":"Lizawati Salahuddin","orcid":"https://orcid.org/0000-0003-1283-286X"},"institutions":[{"id":"https://openalex.org/I32589535","display_name":"Technical University of Malaysia Malacca","ror":"https://ror.org/01xb6rs26","country_code":"MY","type":"education","lineage":["https://openalex.org/I32589535"]}],"countries":["MY"],"is_corresponding":true,"raw_author_name":"Lizawati Salahuddin","raw_affiliation_strings":["Universiti Teknikal Malaysia Melaka, Malaysia"],"raw_orcid":"https://orcid.org/0000-0003-1283-286X","affiliations":[{"raw_affiliation_string":"Universiti Teknikal Malaysia Melaka, Malaysia","institution_ids":["https://openalex.org/I32589535"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002776700","display_name":"Zuraini Ismail","orcid":"https://orcid.org/0000-0002-2425-1205"},"institutions":[{"id":"https://openalex.org/I4576418","display_name":"University of Technology Malaysia","ror":"https://ror.org/026w31v75","country_code":"MY","type":"education","lineage":["https://openalex.org/I4576418"]}],"countries":["MY"],"is_corresponding":false,"raw_author_name":"Zuraini Ismail","raw_affiliation_strings":["Universiti Teknologi Malaysia, Malaysia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Universiti Teknologi Malaysia, Malaysia","institution_ids":["https://openalex.org/I4576418"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5062857962","display_name":"Ummi Rabaah Hashim","orcid":"https://orcid.org/0000-0002-4105-2005"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ummi Rabaah Hashim","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5030061233","display_name":"Raja Rina Raja Ikram","orcid":"https://orcid.org/0000-0002-9845-5155"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Raja Rina Raja Ikram","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034063805","display_name":"Nor Haslinda Ismail","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Nor Haslinda Ismail","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5083406463","display_name":"Mohd Hariz Naim","orcid":"https://orcid.org/0000-0002-7415-8367"},"institutions":[{"id":"https://openalex.org/I32589535","display_name":"Technical University of Malaysia Malacca","ror":"https://ror.org/01xb6rs26","country_code":"MY","type":"education","lineage":["https://openalex.org/I32589535"]}],"countries":["MY"],"is_corresponding":false,"raw_author_name":"Mohd Hariz Naim @ Mohayat","raw_affiliation_strings":["Universiti Teknikal Malaysia Melaka, Malaysia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Universiti Teknikal Malaysia Melaka, Malaysia","institution_ids":["https://openalex.org/I32589535"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":6,"corresponding_author_ids":["https://openalex.org/A5022308147"],"corresponding_institution_ids":["https://openalex.org/I32589535"],"apc_list":{"value":1500,"currency":"USD","value_usd":1500},"apc_paid":null,"fwci":3.3971,"has_fulltext":false,"cited_by_count":17,"citation_normalized_percentile":{"value":0.92587209,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":91,"max":97},"biblio":{"volume":"25","issue":"4","first_page":"1358","last_page":"1372"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9988999962806702,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9988999962806702,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13248","display_name":"Healthcare Technology and Patient Monitoring","score":0.9797000288963318,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13690","display_name":"Quality and Safety in Healthcare","score":0.9796000123023987,"subfield":{"id":"https://openalex.org/subfields/3607","display_name":"Medical Laboratory Technology"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/sociotechnical-system","display_name":"Sociotechnical system","score":0.913459837436676},{"id":"https://openalex.org/keywords/thematic-analysis","display_name":"Thematic analysis","score":0.6436567902565002},{"id":"https://openalex.org/keywords/teamwork","display_name":"Teamwork","score":0.6332350969314575},{"id":"https://openalex.org/keywords/qualitative-research","display_name":"Qualitative research","score":0.5885866284370422},{"id":"https://openalex.org/keywords/information-system","display_name":"Information system","score":0.5463523864746094},{"id":"https://openalex.org/keywords/government","display_name":"Government (linguistics)","score":0.5269482731819153},{"id":"https://openalex.org/keywords/psychological-intervention","display_name":"Psychological intervention","score":0.4711771607398987},{"id":"https://openalex.org/keywords/patient-safety","display_name":"Patient safety","score":0.47080931067466736},{"id":"https://openalex.org/keywords/quality","display_name":"Quality (philosophy)","score":0.44513261318206787},{"id":"https://openalex.org/keywords/nursing","display_name":"Nursing","score":0.4143370985984802},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.4042726755142212},{"id":"https://openalex.org/keywords/knowledge-management","display_name":"Knowledge management","score":0.39556095004081726},{"id":"https://openalex.org/keywords/medical-emergency","display_name":"Medical emergency","score":0.3510746657848358},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.23898547887802124},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.16747832298278809},{"id":"https://openalex.org/keywords/engineering","display_name":"Engineering","score":0.1259024739265442}],"concepts":[{"id":"https://openalex.org/C127627568","wikidata":"https://www.wikidata.org/wiki/Q1639361","display_name":"Sociotechnical system","level":2,"score":0.913459837436676},{"id":"https://openalex.org/C74196892","wikidata":"https://www.wikidata.org/wiki/Q7781188","display_name":"Thematic analysis","level":3,"score":0.6436567902565002},{"id":"https://openalex.org/C111226992","wikidata":"https://www.wikidata.org/wiki/Q626225","display_name":"Teamwork","level":2,"score":0.6332350969314575},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.5885866284370422},{"id":"https://openalex.org/C180198813","wikidata":"https://www.wikidata.org/wiki/Q121182","display_name":"Information system","level":2,"score":0.5463523864746094},{"id":"https://openalex.org/C2778137410","wikidata":"https://www.wikidata.org/wiki/Q2732820","display_name":"Government (linguistics)","level":2,"score":0.5269482731819153},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.4711771607398987},{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.47080931067466736},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.44513261318206787},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.4143370985984802},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4042726755142212},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.39556095004081726},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.3510746657848358},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.23898547887802124},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.16747832298278809},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.1259024739265442},{"id":"https://openalex.org/C111472728","wikidata":"https://www.wikidata.org/wiki/Q9471","display_name":"Epistemology","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C41895202","wikidata":"https://www.wikidata.org/wiki/Q8162","display_name":"Linguistics","level":1,"score":0.0},{"id":"https://openalex.org/C119599485","wikidata":"https://www.wikidata.org/wiki/Q43035","display_name":"Electrical engineering","level":1,"score":0.0},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006751","descriptor_name":"Hospital Information Systems","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006751","descriptor_name":"Hospital Information Systems","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006751","descriptor_name":"Hospital Information Systems","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006779","descriptor_name":"Hospitals, Public","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006779","descriptor_name":"Hospitals, Public","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006779","descriptor_name":"Hospitals, Public","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007407","descriptor_name":"Interviews as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007407","descriptor_name":"Interviews as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007407","descriptor_name":"Interviews as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008296","descriptor_name":"Malaysia","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008296","descriptor_name":"Malaysia","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008296","descriptor_name":"Malaysia","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D036301","descriptor_name":"Qualitative Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D036301","descriptor_name":"Qualitative Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D036301","descriptor_name":"Qualitative Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D061214","descriptor_name":"Patient Safety","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D061214","descriptor_name":"Patient Safety","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D061214","descriptor_name":"Patient Safety","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1177/1460458218759698","is_oa":false,"landing_page_url":"https://doi.org/10.1177/1460458218759698","pdf_url":null,"source":{"id":"https://openalex.org/S201800618","display_name":"Health Informatics Journal","issn_l":"1460-4582","issn":["1460-4582","1741-2811"],"is_oa":false,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Informatics Journal","raw_type":"journal-article"},{"id":"pmid:29521162","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/29521162","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health informatics journal","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[],"awards":[{"id":"https://openalex.org/G622295885","display_name":null,"funder_award_id":"Q.130000.2538.11H82","funder_id":"https://openalex.org/F4320323300","funder_display_name":"Universiti Teknologi Malaysia"}],"funders":[{"id":"https://openalex.org/F4320323300","display_name":"Universiti Teknologi Malaysia","ror":"https://ror.org/026w31v75"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":33,"referenced_works":["https://openalex.org/W89569116","https://openalex.org/W1539265701","https://openalex.org/W1600350826","https://openalex.org/W1721421031","https://openalex.org/W1732218169","https://openalex.org/W1972439537","https://openalex.org/W1973135255","https://openalex.org/W1977488000","https://openalex.org/W1979290264","https://openalex.org/W1982007653","https://openalex.org/W1994832179","https://openalex.org/W2006934779","https://openalex.org/W2012442241","https://openalex.org/W2013253723","https://openalex.org/W2018184289","https://openalex.org/W2021774402","https://openalex.org/W2032296034","https://openalex.org/W2041386778","https://openalex.org/W2059454804","https://openalex.org/W2077178507","https://openalex.org/W2113690905","https://openalex.org/W2123116485","https://openalex.org/W2139258513","https://openalex.org/W2142940426","https://openalex.org/W2150290401","https://openalex.org/W2151326469","https://openalex.org/W2157459668","https://openalex.org/W2159267415","https://openalex.org/W2160382101","https://openalex.org/W2163767758","https://openalex.org/W2296720847","https://openalex.org/W2298896479","https://openalex.org/W2427452794"],"related_works":["https://openalex.org/W1980714815","https://openalex.org/W3133630643","https://openalex.org/W3028951248","https://openalex.org/W4386003529","https://openalex.org/W3208762825","https://openalex.org/W4283360562","https://openalex.org/W1549901037","https://openalex.org/W2895286352","https://openalex.org/W1863720831","https://openalex.org/W2091941803"],"abstract_inverted_index":{"The":[0],"objective":[1],"of":[2,12,60,70,98,110,121],"this":[3],"study":[4],"is":[5],"to":[6,53,118,128],"identify":[7],"factors":[8,66,94],"influencing":[9,67,95],"unsafe":[10,68,96],"use":[11,69,97,109],"hospital":[13,33,72,100,112,144],"information":[14,34,73,101,113,145],"systems":[15,35,136],"in":[16,26,141],"Malaysian":[17,28],"government":[18,29],"hospitals.":[19],"Semi-structured":[20],"interviews":[21],"with":[22],"31":[23],"medical":[24],"doctors":[25],"three":[27],"hospitals":[30],"implementing":[31],"total":[32,59],"were":[36],"conducted":[37],"between":[38],"March":[39],"and":[40,86,123,137],"May":[41],"2015.":[42],"A":[43,58],"thematic":[44],"qualitative":[45,90],"analysis":[46],"was":[47],"performed":[48],"on":[49],"the":[50,55,65,119,129],"resultant":[51],"data":[52],"deduce":[54],"relevant":[56],"themes.":[57],"five":[61],"themes":[62],"emerged":[63],"as":[64],"a":[71,99,111],"system:":[74],"(1)":[75],"knowledge,":[76],"(2)":[77],"system":[78,102,114,146],"quality,":[79],"(3)":[80],"task":[81],"stressor,":[82],"(4)":[83],"organization":[84],"resources,":[85],"(5)":[87],"teamwork.":[88],"These":[89],"findings":[91],"highlight":[92],"that":[93],"originate":[103],"from":[104],"multidimensional":[105],"sociotechnical":[106],"aspects.":[107],"Unsafe":[108],"could":[115],"possibly":[116],"lead":[117],"incidence":[120],"errors":[122],"thus":[124],"raises":[125],"safety":[126],"risks":[127],"patients.":[130],"Hence,":[131],"multiple":[132],"interventions":[133],"(e.g.":[134],"technology":[135],"teamwork)":[138],"are":[139],"required":[140],"shaping":[142],"high-quality":[143],"use.":[147]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":2},{"year":2022,"cited_by_count":4},{"year":2021,"cited_by_count":3},{"year":2020,"cited_by_count":3},{"year":2019,"cited_by_count":2}],"updated_date":"2026-05-21T06:26:12.895304","created_date":"2025-10-10T00:00:00"}