Journal of Management Research and Review (JMRR)

Compliance Paradox in Complex Organizations: Evidence from Medication Errors Healthcare Management in Healthcare Systems

Pratasik, Anita Linda Yohana, Soegoto, Agus Supandi, Maramis, Joubert Barens, Tawas, Hendra Novie

30 April 2026 · Vol. 2, Issue 4, pp. 207-214

DOI: 10.65150/EP-jmrr/V2E4/2026-08

Abstract

Medication errors remain a persistent challenge in healthcare systems despite various efforts to improve procedural compliance. This study aims to analyze the relationship between compliance behavior and medication errors by integrating socio-technical perspectives and the moderating role of system of complexity. Data were collected from 260 healthcare professionals in Manado, North Sulawesi, Indonesia and analyzed using the Partial Least Squares Structural Equation Modeling (PLS-SEM) approach to test direct, mediation, and moderation relationships among variables. The results show that socio-technical factors have a positive and significant effect on compliance behavior and a negative effect on medication errors. Furthermore, compliance behavior was found to have a negative effect on medication errors and acted as partial mediator in this relationship. However, system complexity significantly weakened the negative effect of compliance behavior on medication errors, indicating that increased compliance does not always lead to decrease in errors under complex system conditions. These findings reveal a phenomenon of compliance paradox, where procedural compliance become less effective in environments with high complexity. This study contributes to the development of socio-technical perspective and provides practical implications regarding the importance of system simplification and cognitive load reduction to enhance patient safety.

Keywords: Medication error, compliance behavior, system complexity, compliance paradox, PLS-SEM

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Pratasik, Anita Linda Yohana, Soegoto, Agus Supandi, Maramis, Joubert Barens, Tawas, & Hendra Novie (2026). Compliance Paradox in Complex Organizations: Evidence from Medication Errors Healthcare Management in Healthcare Systems. Journal of Management Research and Review, 2(4), 207-214. https://doi.org/10.65150/EP-jmrr/V2E4/2026-08

@article{Pratasik2026,
  title   = {Compliance Paradox in Complex Organizations: Evidence from Medication Errors Healthcare Management in Healthcare Systems},
  author  = {Pratasik and Anita Linda Yohana and Soegoto and Agus Supandi and Maramis and Joubert Barens and Tawas and Hendra Novie},
  journal = {Journal of Management Research and Review},
  year    = {2026},
  volume  = {2},
  number  = {4},
  pages   = {207-214},
  doi     = {10.65150/EP-jmrr/V2E4/2026-08},
  url     = {https://doi.org/10.65150/EP-jmrr/V2E4/2026-08}
}

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