Retrospective Sociotechnical Analysis of Computer-Related Events in Oncology Care

Computerized systems are integral to oncology care but can inadvertently introduce risks such as workflow disruptions, communication breakdowns, and treatment errors. This study analyzed voluntarily reported safety events involving computers at an oncology care center to identify contributing sociotechnical factors. Using the Sittig and Singh Sociotechnical Model, reviewers categorized 76 events, most frequently identifying the dimensions of people, and workflow and communication, as prominent contributors. Medication-related issues and outpatient chemotherapy events were common, with 23% of events carrying severe harm potential. Findings emphasize the importance of addressing non-technical factors in technology implementation to mitigate risks and enhance care quality.