Development and validation of SafeHIT: An instrument to assess the self-reported safe use of health information technology

Background Implementing health information technology (HIT) may cause unintended consequences and safety risks when incorrectly designed and used. Yet, the tools to assess self-reported safe use of HIT are not well established. Objective This study aims to develop and validate SafeHIT, an instrument...

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Main Authors: Salahuddin, Lizawati, Ismail, Zuraini, Abdul Rahim, Fiza, Anawar, Syarulnaziah, Hashim, Ummi Rabaah
Format: Article
Published: Georg Thieme Verlag 2023
Subjects:
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author Salahuddin, Lizawati
Ismail, Zuraini
Abdul Rahim, Fiza
Anawar, Syarulnaziah
Hashim, Ummi Rabaah
author_facet Salahuddin, Lizawati
Ismail, Zuraini
Abdul Rahim, Fiza
Anawar, Syarulnaziah
Hashim, Ummi Rabaah
author_sort Salahuddin, Lizawati
collection ePrints
description Background Implementing health information technology (HIT) may cause unintended consequences and safety risks when incorrectly designed and used. Yet, the tools to assess self-reported safe use of HIT are not well established. Objective This study aims to develop and validate SafeHIT, an instrument to assess self-reported safe use of HIT among health care practitioners. Methods Systematic literature review and a semistructured interview with 31 experts were adopted to generate SafeHIT instrument items. In total, 450 physicians from various departments at three Malaysian public hospitals participated in the questionnaire survey to validate SafeHIT. Exploratory factor analysis and confirmatory factor analysis (CFA) were undertaken to explore the items that best represent a specific construct and to confirm the reliability and validity of the SafeHIT, respectively. Results The final SafeHIT consisted of 14 constructs and 58 items in total. The result of the CFA confirmed that all constructs demonstrated adequate convergent and discriminant validity. Conclusion A reliable and valid theoretically underpinned measure of determinants of safe HIT use behavior has been developed. Understanding external factors that influence safe HIT use is useful for developing targeted interventions that favor the quality and safety of health care.
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spelling utm.eprints-1050542024-04-02T06:42:59Z http://eprints.utm.my/105054/ Development and validation of SafeHIT: An instrument to assess the self-reported safe use of health information technology Salahuddin, Lizawati Ismail, Zuraini Abdul Rahim, Fiza Anawar, Syarulnaziah Hashim, Ummi Rabaah T Technology (General) Background Implementing health information technology (HIT) may cause unintended consequences and safety risks when incorrectly designed and used. Yet, the tools to assess self-reported safe use of HIT are not well established. Objective This study aims to develop and validate SafeHIT, an instrument to assess self-reported safe use of HIT among health care practitioners. Methods Systematic literature review and a semistructured interview with 31 experts were adopted to generate SafeHIT instrument items. In total, 450 physicians from various departments at three Malaysian public hospitals participated in the questionnaire survey to validate SafeHIT. Exploratory factor analysis and confirmatory factor analysis (CFA) were undertaken to explore the items that best represent a specific construct and to confirm the reliability and validity of the SafeHIT, respectively. Results The final SafeHIT consisted of 14 constructs and 58 items in total. The result of the CFA confirmed that all constructs demonstrated adequate convergent and discriminant validity. Conclusion A reliable and valid theoretically underpinned measure of determinants of safe HIT use behavior has been developed. Understanding external factors that influence safe HIT use is useful for developing targeted interventions that favor the quality and safety of health care. Georg Thieme Verlag 2023 Article PeerReviewed Salahuddin, Lizawati and Ismail, Zuraini and Abdul Rahim, Fiza and Anawar, Syarulnaziah and Hashim, Ummi Rabaah (2023) Development and validation of SafeHIT: An instrument to assess the self-reported safe use of health information technology. Applied Clinical Informatics, 14 (4). pp. 693-704. ISSN 1869-0327 http://dx.doi.org/10.1055/s-0043-1771394 DOI : 10.1055/s-0043-1771394
spellingShingle T Technology (General)
Salahuddin, Lizawati
Ismail, Zuraini
Abdul Rahim, Fiza
Anawar, Syarulnaziah
Hashim, Ummi Rabaah
Development and validation of SafeHIT: An instrument to assess the self-reported safe use of health information technology
title Development and validation of SafeHIT: An instrument to assess the self-reported safe use of health information technology
title_full Development and validation of SafeHIT: An instrument to assess the self-reported safe use of health information technology
title_fullStr Development and validation of SafeHIT: An instrument to assess the self-reported safe use of health information technology
title_full_unstemmed Development and validation of SafeHIT: An instrument to assess the self-reported safe use of health information technology
title_short Development and validation of SafeHIT: An instrument to assess the self-reported safe use of health information technology
title_sort development and validation of safehit an instrument to assess the self reported safe use of health information technology
topic T Technology (General)
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