Validating the HOPT-Fit Evaluation Framework for Health Information Systems via Case Studies

Health information systems (HIS) have been extensively adopted to reduce medication errors. Unfortunately, complex socio-technical issues in HIS can create new error risks, resulting in unintended patient harm. Rigorous evaluation can therefore provide insights to inform risk factors and mitigation measures. This paper presents the validation methods of a proposed human, organisation, process, and technology-fit (HOPT-fit) framework in multiple qualitative case study evaluations using observation, interview, and document analysis in Japanese and Malaysian clinical settings. Findings validated the HOPT-fit applicability in evaluating HIS effectiveness and safety's complex and dynamic nature.