Journal of Management Research and Review (JMRR) · Research article · Open access
Compliance Paradox in Complex Organizations: Evidence from Medication Errors Healthcare Management in Healthcare Systems
Anita Linda Yohana Pratasik, Agus Supandi Soegoto, Joubert Barens Maramis, Hendra Novie Tawas
30 April 2026 · Vol. 2, Issue 4, pp. 207-214
DOI: 10.65150/EP-jmrr/V2E4/2026-08
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What is this article about?
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.
Article at a glance
- Published
- 30 April 2026
- Volume / issue / pages
- Vol. 2, Issue 4, pp. 207-214
- ISSN
- 3051-3588 (online) · 3051-357X (print)
- Licence
- CC BY 4.0 — free to read and reuse with attribution
- Peer review
- Double-blind, at least two independent reviewers
- Publisher
- EP Journals Group
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
Cite this article
Anita Linda Yohana Pratasik, Agus Supandi Soegoto, Joubert Barens Maramis, & Hendra Novie Tawas (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{Anita2026,
title = {Compliance Paradox in Complex Organizations: Evidence from Medication Errors Healthcare Management in Healthcare Systems},
author = {Anita Linda Yohana Pratasik and Agus Supandi Soegoto and Joubert Barens Maramis and Hendra Novie Tawas},
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}
}Questions about this article
Who wrote this article?
Anita Linda Yohana Pratasik, Agus Supandi Soegoto, Joubert Barens Maramis, Hendra Novie Tawas.
Where and when was it published?
In Journal of Management Research and Review, Volume 2, Issue 4, pages 207-214, published by EP Journals Group on 30 April 2026.
Is this article free to read?
Yes. It is open access under a Creative Commons Attribution 4.0 (CC BY 4.0) licence, so anyone can read, share and reuse it with attribution.
What is the DOI of this article?
10.65150/EP-jmrr/V2E4/2026-08 (https://doi.org/10.65150/EP-jmrr/V2E4/2026-08).
How do I cite this article?
APA: Anita Linda Yohana Pratasik, Agus Supandi Soegoto, Joubert Barens Maramis, & Hendra Novie Tawas (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
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