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Key findings • Health IT can improve patient safety in some areas such as medication safety; however, there are significant gaps in the literature regarding how health IT impacts patient safety overall • Safer implementation and use begins with viewing health IT as part of a larger sociotechnical system • All stakeholders need to work together to improve patient safety 10
Current state of health IT Magnitude of harm and impact of health IT on patient safety is not well known because: •Heterogeneous nature of health IT products •Diverse impact on different clinical environments and workflow •Legal barriers and vendor contracts •Inadequate and limited evidence in the literature 11
Page 1 and 2: NPSF Professional Learning Series p
Page 3 and 4: Disclosure 3 NPSF Professional Lear
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Page 7 and 8: Committee membership GAIL L. WARDEN
Page 9: Committee process • 12 month stud
Page 13 and 14: US Government Study 13 NPSF Profess
Page 15 and 16: Sample for National Incidence Study
Page 17 and 18: Is safety improving in the US? Land
Page 19 and 20: Adverse Events by Category Harm Cat
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Page 26 and 27: Safety as a system property • Saf
Page 28 and 29: Patient engagement tools • Health
Page 30 and 31: Recommendations: Summary Current ma
Page 32 and 33: Recommendation 1 (continued) b. The
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Page 48 and 49: Recommendation 2 The Secretary of H
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Page 58 and 59: Recommendation 10 HHS, in collabora
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A Definition A multi-disciplinary/m
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“When technical systems have more
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Declining D Revenue, Competition…
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What’s the Payoff? • Lesser ris
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Mature Sciences can be applied towa
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