Observations—What Committee Members Saw

Consequences—Why the Observations Matter

Opportunities for Action—What We Can Do About Ita

Category 6. Change in a Sociotechnical System


Most systems are partially or poorly or incompletely integrated into practice

  • Inconsistent use and work-arounds increase error

  • Benefits are significantly less than anticipated

  • Reduced investment

  • Focus on the desired outcomes instead of the technology (S/R)


Innovation requires locally adaptable systems but interoperability and evidence-based medicine require more standardization

  • Limited innovation and standardization

  • Management that encourages initiation of improvements by health professionals (S)

  • Technology and processes that allow local innovation and flexibility but foster collaboration and learning at a national scale (R)

aR, solutions still to be discovered (research); S, solutions known today but not implemented (short term).

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