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Related Experiment Videos

Sociotechnical safety risks in oncology: a framework-guided qualitative study.

Chantelle Recsky1, Michelle B Tam2, Arlyn Heywood2

  • 1School of Nursing, University of British Columbia, Vancouver, BC, V6T 1Z1, Canada.

JAMIA Open
|July 11, 2026
PubMed
Summary

Oncology nurses report technology safety events stem from workflow and documentation issues, not just technical failures. These recurring problems impact patients, care delivery, and healthcare workers.

Keywords:
health information technologyoncology nursingpatient safetyqualitative researchsociotechnical systems

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Area of Science:

  • Healthcare technology
  • Patient safety
  • Sociotechnical systems

Background:

  • Technology integration in oncology is increasing.
  • Understanding technology-related safety events is crucial for improving patient care.
  • Sociotechnical factors significantly influence healthcare technology performance.

Purpose of the Study:

  • To analyze oncology nurses' experiences with technology-related safety events.
  • To identify sociotechnical factors contributing to patient, workforce, and system harms.
  • To explore the broader impacts of these safety events.

Main Methods:

  • Qualitative descriptive study with 28 oncology nurses.
  • Semistructured interviews and focus groups.
  • Framework-guided analysis using WHO International Classification for Patient Safety and sociotechnical models.

Main Results:

  • Adverse events frequently involved clinical administration, documentation, and organizational processes.
  • Key sociotechnical factors included workflow complexity, communication issues, and usability problems.
  • Harms extended to system inefficiencies, care delays, and workforce well-being (e.g., moral distress).

Conclusions:

  • Technology-related safety events in oncology are recurring sociotechnical patterns, not isolated technical failures.
  • These events have interconnected impacts on patients, care processes, and the healthcare workforce.
  • Framework analysis of nurse narratives illuminates these complex relationships.