TY  - JOUR
T1  - PRevention of patient harm—reply
AU  - Pronovost PJ, Bo-Linn GW
Y1  - 2012/12/19
N1  - 10.1001/jama.2012.68802
JO  - JAMA
SP  - 2458
EP  - 2459
VL  - 308
IS  - 23
N2  - 
In Reply: We agree with Dr Starr and colleagues that health care must take a systems approach that also includes organizational social systems to reduce harm. Health care occurs within organizations delivered by diverse people and teams who are influenced by powerful social norms, incentives, and culture. Our work draws upon these important theories and methods.1- 2 Yet health care is not a pure organizational social system. It is a sociotechnical system in which patients, families, and staff interact and use an ever-expanding number of technologies, many of which are poorly designed and do not serve patients or clinicians well.

SN  - 0098-7484
M3  - doi: 10.1001/jama.2012.68802
UR  - http://dx.doi.org/10.1001/jama.2012.68802
ER  -