• Lizawati Salahuddin, Zuraini Ismail, Mohd Khanapi Abd Ghani, Burhanuddin Mohd Aboobaider, and Abd Samad Hasan Basari.
• Centre for Advanced Computing Technology (C-ACT), Fakulti Teknologi Maklumat dan Komunikasi (FTMK), Universiti Teknikal Malaysia Melaka, Melaka, Malaysia.
• J Eval Clin Pract. 2020 Oct 1; 26 (5): 1416-1424.

ObjectivesThe objective of this study was to identify the factors influencing workarounds to the Hospital Information System (HIS) in Malaysian government hospitals.MethodsSemi-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.ResultsFive themes emerged as the factors influencing workarounds to the HIS: (a) typing skills, (b) system usability, (c) computer resources, (d) workload, and (e) time.ConclusionsThis 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.© 2019 John Wiley & Sons, Ltd.

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