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Recommendation 6 The Secretary of HHS should specify the quality and risk management process requirements that health IT vendors must adopt, with a particular focus on human factors, safety culture, and usability. 50
Recommendation 7 The Secretary of HHS should establish a mechanism for both vendors and users to report health IT–related deaths, serious injuries, or unsafe conditions. a. Reporting of health IT–related adverse events should be mandatory for vendors. b. Reporting of health IT–related adverse events by users should be voluntary, confidential, and nonpunitive. c. Efforts to encourage reporting should be developed, such as removing the perceptual, cultural, contractual, legal, and logistical barriers to reporting. 51
Page 1 and 2: NPSF Professional Learning Series p
Page 3 and 4: Disclosure 3 NPSF Professional Lear
Page 5 and 6: NPSF Professional Learning Series p
Page 7 and 8: Committee membership GAIL L. WARDEN
Page 9 and 10: Committee process • 12 month stud
Page 11 and 12: Current state of health IT Magnitud
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
Page 21: 21 NPSF Professional Learning Serie
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
Page 34 and 35: Information Transfer and Clear Comm
Page 36 and 37: 36 NPSF Professional Learning Serie
Page 48 and 49: Recommendation 2 The Secretary of H
Page 52 and 53: The Patient Safety and Quality Impr
Page 54 and 55: Recommendation 8 The Secretary of H
Page 58 and 59: Recommendation 10 HHS, in collabora
Page 60 and 61: A Definition A multi-disciplinary/m
Page 68 and 69: “When technical systems have more
Page 70 and 71: Declining D Revenue, Competition…
Page 72 and 73: What’s the Payoff? • Lesser ris
Page 74 and 75: Mature Sciences can be applied towa

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