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A Systematic Literature Review on Antecedents of Workarounds related to Information Systems in Hospitals

Christoph Buck1, Eileen Doctor2, Torsten Eymann3, and Eduardo J. Simoes4
1Queensland University of Technology, School of Management, Brisbane, Australia; 2University of Bayreuth, FIM Research Center, Bayreuth, Germany; 3University of Bayreuth,
Lehrstuhl für Wirtschaftsinformatik, Bayreuth, Germany; 4University of Missouri, School of Medicine, Department of Health Management and Informatics, Columbia, USA

The use of digital technology in the healthcare sector, and in hospitals in particular, has an impact on daily routine and on the quality of patient care. In dynamic organizations like hospitals, where urgent needs have to be met, employees develop workarounds for different reasons, which in turn can have a negative impact on the quality of patient care. While the existing literature focusses mainly on the consequences of IT mismatch to work practices in hospitals and classifications thereof, a holistic understanding of the underlying reasons for workers’ deviating behavior is missing. This article begins to close this research gap with a systematic literature review on antecedents of workarounds. The analysis provides a valuable contribution for both research and practice, as measuring root causes for behavior enables organizations to understand and develop control mechanisms.

Schlüsselwörter: Systematic Literature Review, Workarounds, Hospital, Information Systems, Healthcare System

1. Eberhard, S., et al.: Expansion or compression of multimorbidity? International journal of public health 62, 679–686 (2017)
2. van Baal, P., Morton, A., Meltzer, D., Brouwer, W.: Future unrelated medical costs need to be considered in cost effectiveness analysis. The European Journal of Health Economics (2018)
3. Buck, H., Kistler, E., Mendius, H.G.: Demographic change in the world of work. Fraunhofer - Gesellschaft zur Förderung der angewandten Forschung e.V, Stuttgart (2002)
4. Weissman, J.S., Rothschild, J.M., Bendavid, E., Sprivulis, P., et al.: Hospital workload and adverse events. Medical care 45, 448–455 (2007)
5. Hufnagl, C., Doctor, E., Behrens, L., Buck, C., Eymann, T.: Digitisation along the Patient Pathway in Hospitals. Research Papers - ECIS 2019 Proceedings (2019)
6. Georgantzas, N.C., Katsamakas, E.G.: Information systems research with system dynamics. System Dynamics Review 24, 247–264 (2008)
7. Halbesleben, J.R.B., Wakefield, D.S., Wakefield, B.J.: Work-arounds in health care settings: Literature review and research agenda. Health care management review 33, 2–12 (2008)
8. Halbesleben, J.R.B., Savage, G.T., Wakefield, D.S., Wakefield, B.J.: Rework and workarounds in nurse medication administration process. Health care management review 35, 124–133 (2010)
9. Agrawal, A.: Medication errors: prevention using information technology systems. British journal of clinical pharmacology 67, 681–686 (2009)
10. Beglaryan, M., Petrosyan, V., Bunker, E.: Development of a tripolar model of technology acceptance. International journal of medical informatics 102, 50–61 (2017)
11. Rathert, C., Williams, E.S., Lawrence, E.R., Halbesleben, J.R.B.: Emotional exhaustion and workarounds in acute care. International journal of nursing studies 49, 969–977 (2012)
12. Eason, K., Waterson, P.: Fitness for purpose when there are many different purposes: Who are electronic patient records for? Health informatics journal 20, 189–198 (2014)
13. Tucker, A.L., Edmondson, A.C.: Why Hospitals Don't Learn from Failures: Organizational and Psychological Dynamics That Inhibit System Change. California Management Review 45, 55–72 (2003)
14. Price, M.R., Williams, T.C.: When Doing Wrong Feels So Right: Normalization of Deviance. Journal of patient safety 14, 1–2 (2018)
15. Blijleven, V., Koelemeijer, K., Jaspers, M.: SEWA: A framework for sociotechnical analysis of electronic health record system workarounds. International journal of medical informatics 125, 71–78 (2019)
16. Kriegel, J.: Krankenhauslogistik. Gabler Verlag, Wiesbaden (2012)
17. Dobrzykowski, D.D., McFadden, K.L., Vonderembse, M.A.: Examining pathways to safety and financial performance in hospitals. Journal of operations management 42/43 (2016)
18. Womack, J.P., Jones, D.T.: Auf dem Weg zum perfekten Unternehmen. Lean thinking. Campus-Verl., Frankfurt (1997)
19. Brunner, F.J.: Japanische Erfolgskonzepte. Hanser, München (2008)
20. Meffert, H., Bruhn, M.: Dienstleistungsmarketing. Gabler Verlag, Wiesbaden (2009)
21. Rubbio, I., Bruccoleri, M., Pietrosi, A., Ragonese, B.: Digital health technology enhances resilient behaviour. International Journal of Operations & Production Management 39, 594–627 (2019)
22. Reijers, H.A., Russell, N., van der Geer, S., Krekels, G.A.M.: Workflow for Healthcare: A Methodology for Realizing Flexible Medical Treatment Processes. In: van der Aalst, W., Mylopoulos, J., Sadeh, N.M., Shaw, M.J., et al. (eds.) Business Process Management Workshops, 43, pp. 593–604. Springer (2010)
23. Rohner, P.: Achieving impact with clinical process management in hospitals: an inspiring case. Business Process Mgmt Journal 18, 600–624 (2012)
24. Döring, A., Paul, F.: The German healthcare system. The EPMA Journal 1, 535– 547 (2010)
25. Johnston, M.J., King, D., Arora, S., Cooper, K.: Requirements of a new communication technology for handover and the escalation of patient care. Journal of evaluation in clinical practice 20, 486–497 (2014)
26. Gimpel, H., Hosseini, S., Huber, R., Probst, L., et al.: Structuring Digital Transformation: A Framework of Action Fields and its Application at ZEISS. Journal of Information Technology Theory and Application 19, 31–54 (2019)
27. Buntin, M.B., Burke, M.F., Hoaglin, M.C., Blumenthal, D.: The benefits of health information technology. Health affairs (Project Hope) 30, 464–471 (2011)
28. McCullough, J.S., Casey, M., Moscovice, I., Prasad, S.: The effect of health information technology on quality in U.S. hospitals. Health affairs (Project Hope) 29, 647–654 (2010)
29. Saluvan, M., Ozonoff, A.: Functionality of hospital information systems: results from a survey of quality directors at Turkish hospitals. BMC medical informatics and decision making 18, 6 (2018)
30. Koppel, R., Wetterneck, T., Telles, J.L., Karsh, B.-T.: Workarounds to barcode medication administration systems. Journal of the American Medical Informatics Association : JAMIA 15, 408–423 (2008)
31. Kobayashi, M., Fussell, S.R., Xiao, Y., Seagull, F.J.: Work coordination, workflow, and workarounds in a medical context. In: van der Veer, G. (ed.) CHI '05 Extended Abstracts on Human Factors in Computing Systems, p. 1561. New York, NY (2005)
32. Eikey, E.V., Murphy, A.R., Reddy, M.C., Xu, H.: Designing for privacy management in hospitals: Understanding the gap between user activities and IT staff’s understandings. International journal of medical informatics 84, 1065– 1075 (2015)
33. Flanagan, M.E., Saleem, J.J., Millitello, L.G., Russ, A.L., et al.: Paper- and computer-based workarounds to electronic health record use at three benchmark institutions. Journal of the American Medical Informatics Association 20, e59- e66 (2013)
34. The Improvisation Effect: A Case Study of User Improvisation and Its Effects on Information System Evolution. In: ICIS 2008 Proceedings, 209 (2008)
35. Varpio, L., Kuziemsky, C., MacDonald, C., King, W.J.: The helpful or hindering effects of in-hospital patient monitor alarms on nurses: a qualitative analysis. Computers, informatics, nursing : CIN 30, 210–217 (2012)
36. Hakimzada, A.F., Green, R.A., Sayan, O.R., Zhang, J., Patel, V.L.: The nature and occurrence of registration errors in the emergency department. International journal of medical informatics 77, 169–175 (2008)
37. Barrett, A.K.: Technological appropriations as workarounds. Information Technology & People 31, 368–387 (2018)
38. Tucker, A.L.: The Impact of Workaround Difficulty on Frontline Employees' Response to Operational Failures. Management Science 62, 1124–1144 (2016)
39. Tate, M., Furtmueller, E., Evermann, J., Bandara, W.: Introduction to the Special Issue: The Literature Review in Information Systems. Communications of the Association for Information Systems 37, 103–111
40. Watson, R.T.: Beyond being Systematic in Literature Reviews in IS. Journal of Information Technology 30, 185–187 (2015)
41. Okoli, C.: A Guide to Conducting a Standalone Systematic Literature Review. Communications of the Association for Information Systems (2015)
42. Zupanc, G.K.H.: Impact beyond the impact factor. Journal of comparative physiology 200, 113–116 (2014)
43. Niazkhani, Z., Pirnejad, H., van der Sijs, H., Aarts, J.: Evaluating the medication process in the context of CPOE use. International journal of medical informatics 80, 490–506 (2011)
44. Novak, L.L., Holden, R.J., Anders, S.H., Hong, J.Y., Karsh, B.-T.: Using a sociotechnical framework to understand adaptations in health IT implementation. International journal of medical informatics 82, e331-e344 (2013)
45. Saleem, J., Russ, A., Neddo, A., Blades, P., et al.: Paper persistence, workarounds, and communication breakdowns in computerized consultation management. International journal of medical informatics 80, 466–479 (2011)
46. Stevenson, J.E., Israelsson, J., Nilsson, G., Petersson, G., et al.: Vital sign documentation in electronic records: The development of workarounds. Health informatics journal 24, 206–215 (2018)
47. Yang, Z., Ng, B.-Y., Kankanhalli, A., Luen Yip, J.W.: Workarounds in the use of IS in healthcare: A case study of an electronic medication administration system. International Journal of Human-Computer Studies 70, 43–65 (2012)
48. Westphal, J., Lancaster, R., Park, D.: Work-Arounds Observed by Fourth-Year Nursing Students. Western journal of nursing research 36, 1002–1018 (2014)
49. Abdekhoda, M., Ahmadi, M., Gohari, M., et al.: The effects of organizational contextual factors on physicians' attitude toward adoption of Electronic Medical Records. Journal of biomedical informatics 53, 174–179 (2015)
50. Lin, C., Lin, I.-C., Roan, J.: Barriers to physicians' adoption of healthcare information technology. Journal of medical systems 36, 1965–1977 (2012)
51. Brown, C., Mulcaster, H., Triffit, K., Sittig, D., et al.: A systematic review of the types and causes of prescribing errors generated from using computerized provider order entry systems in primary and secondary care. Journal of the American Medical Informatics Association 24, 432–440 (2017)
52. Bhattacherjee, A., Davis, C.J., Connolly, A.J., Hikmet, N.: User response to mandatory IT use: a coping theory perspective. European Journal of Information Systems 27, 395–414 (2018)
53. Mamykina, L., Vawdrey, D.K., Stetson, P.D., Kai Zheng, Hripcsak, G.: Clinical documentation: composition or synthesis? Journal of the American Medical Informatics Association 19, 1025–1031 (2012)
54. Webster, J., Watson, R.: Analyzing the Past to Prepare for the Future: Writing a Literature Review. MIS Quarterly 26, xiii–xxiii (2002)