Abstract: Health information technology is widely accepted to increase patient
safety and reduce medical errors. The widespread implementation makes evident
that health information technology has become of a complex sociotechnical
system that is health care. Design and implementation may result in a failure;
even health information technology can lead to adverse events instead of
mitigating them. In this chapter seeks to outline the complexity of health
information technology as a part of a sociotechnical systems, describes two
failures at different organizational levels and presents a model how risks can
occur. Unfortunately there is a mainly anecdotal knowledge about health
information technology failure and potential adverse effects. Therefore the
author suggests how as a first step proper and mandatory reporting can lead to
better knowledge of failures of health information technology as part of a
sociotechnical system and improve deployment in the coming years.
Keywords: Health informatics, patient safety, information systems