Workarounds in the use of IS in healthcare: A case study of an electronic medication administration system

Healthcare information systems such as an Electronic Medication Administration System (EMAS) have the potential to enhance productivity, lower costs, and reduce medication errors. However, various issues have arisen from the use of these systems. A key issue relates to workarounds as a result of a misfit between the new information system (IS) implementation and existing work processes. However, there is a lack of understanding and studies on healthcare IS workarounds and their outcomes. This paper applies the theoretical perspectives of accommodation to misfit and IS evolution to understand the phenomenon through an in-depth case study of an EMAS implemented in a large public hospital. Based on the findings, it develops a process framework to explain how the benefits, issues, and workarounds inter-relate and determine the impacts of the system. The findings have implications for research and practice on workarounds in the use of healthcare IS.     

Studying users' computer security behavior: A health belief perspective

The damage due to computer security incidents is motivating organizations to adopt protective mechanisms. While technological controls are necessary, computer security also depends on individual's security behavior. It is thus important to investigate what influences a user to practice computer security. This study uses the Health Belief Model, adapted from the healthcare literature, to study users' computer security behavior. The model was validated using survey data from 134 employees. Results show that perceived susceptibility, perceived benefits, and self-efficacy are determinants of email related security behavior. Perceived severity moderates the effects of perceived benefits, general security orientation, cues to action, and self-efficacy on security behavior.