Overview of medical error in medical environment based health information system: a case study in UiTM health centre / Helmi Shahrul Johari

The rapid growth of information technology has been realized as a momentum to support decision makers to gain competitive business advantages. Today, the information technology has widely utilized and accepted by the clinical agencies who believe that it become as a support to assist in clinical practice process. It has assist clinicians to make optimal patient care decisions that relate with their clinical practice which later then affect patient care quality. However, it still becomes a challenge of health professional to enhance the healthcare service delivery and avoid potential error. The situation of medical error incidents occur at any stage of the medical process. Previous studies found that there were elements that contribute to medical errors after implementation the new system. These elements grouped accordingly into four dimensions/ factors named; individual, process, technology, and organization. Further, qualitative researches using case study, in-depth interview, observation and content analysis was used intended to discover the error for the medical informatics and guided by a conceptual model of medical informatics error. The interview method can track in-depth information around the topic and allow to probe and asked follow up questions for the specific area given. Observation attempts to describe and explain why the situation still exist, causes and create temporary solution due to implication of clinical information system. Content analysis provides an understanding of complex issue in medical process. The result from this studies found that all dimensions that contribute to medical errors in health information system are proven with its specific elements. This paper will focus to identify the situation of medical error after the implementation of Health Information Systems in UiTM Health Centre, Malaysia. Therefore, by understanding it, we can make sure the future developed technology will meet real users' needs, expectation and indirectly improve health service delivery.