Lecture, University of Lille (7 December 1854)

1. Louis Pasteur 1822-1895 Dans les champs de l'observation le hasard ne favorise que les esprits préparés. Lecture, University of Lille (7 December 1854) Office of the National Coordinator for Health Information Technology

2. ONC Perspective on Safety:A Moment Between Reason & Risk David R. Hunt, MD, FACS Medical Director, Health IT Adoption & Patient Safety ONC, Office of the Chief Medical Officer

3. David R. Hunt, MD, FACS • I have no relevant financial relationships with the manufacturer(s) of any commercial product(s) and/or provider(s) of commercial services discussed in this activity • I do not intend to discuss an unapproved/investigative use of a commercial product/device

4. Goals: • Use Health IT to Make All Care Safer • Improve the Safety and Safe Use of Health IT

5. “Doubt is uncomfortable, but certainty is ridiculous… From the depth of our profound ignorance, let us do our best;…” -- Voltaire Letter to Frederick William, Prince of Prussia Ferney, November 28, 1770

6. perspective n. [L. propspectus – view]: 1 a. representing the spatial relation of objects as they might appear to the eye b. adjusting the apparent sources of sound into a natural and integrated whole 2 a. the interrelation in which a subject or its parts are mentally viewed b. the capacity to view things in their true relations or relative importance 3 a. a visible scene; esp: one giving a distinctive impression of distance Office of the National Coordinator for Health Information Technology

7. perspective Office of the National Coordinator for Health Information Technology

8. perspective Office of the National Coordinator for Health Information Technology

9. William Osler, M.D. (1849 – 1919) “In no profession does culture count for so much as in medicine…” AEQUANIMITAS Farewell Address University of Penn., 1889

10. safe·ty: n. (sāf’tē), [L. salvus ] : the quality or condition of being free from harm, injury, or loss

11. Patient Safety: the condition or act of freeing patients from the risk of harm, injury, or loss inherent from their interaction with the health care delivery system independent of the risk of harm, injury, or loss imposed from their particular disease process

12. IOM Health IT & Patient Safety Report • Commissioned by ONC • 10 Recommendations • Published Nov. 2011 • ONC Patient Safety Plan represents a response to these recommendations

13. Institute of Medicine, 2003 Patient Safety: Achieving a New Standard for Care: November 2003

14. Claudius Galen(129 – 217) “Primum non nocere.”

15. Hippocrates of Kos (ca. 460 BC – ca. 370 BC) “As to diseases make a habit of two things - to help, or at least, to do no harm.” Epidemics I

16. Quality = Help Safety = Do no harm

17. Goals Health IT to Make Care Safer Improve the Safe Use of Health IT

18. Addresses the role of health IT within HHS’s commitment to patient safety. • Responds to ONC sponsored IOM Report • Builds upon existing authorities • Seeks to strengthen patient safety efforts across government programs and the private sector

19. ONC Patient Safety Action & Surveillance Plan • Learning: Increasing the quantity and quality of data and knowledge about health IT safety • Improving: Targeting resources and corrective actions to improve health IT safety and patient safety • Leading: Promoting a culture of safety related to health IT

20. ONC Patient Safety Action & Surveillance Plan • Learning: Increasing the quantity and quality of data and knowledge about health IT safety • Improving: Targeting resources and corrective actions to improve health IT safety and patient safety • Leading: Promoting a culture of safety related to health IT

21. Learning • Make it easier for clinicians to report patient safety events • Engage health IT vendors to embrace their shared responsibility • Provide support to Patient Safety Organizations (PSOs) • Incorporate health IT safety in post-market surveillance of through ONC-Authorized Certification Bodies (ONC-ACBs). • Align CMS health and safety standards • Collect data on health IT safety events • Monitor health IT adverse event reports Office of the National Coordinator for Health Information Technology

22. ONC Patient Safety Action & Surveillance Plan • Learning: Increasing the quantity and quality of data and knowledge about health IT safety • Improving: Targeting resources and corrective actions to improve health IT safety and patient safety • Leading: Promoting a culture of safety related to health IT

23. Improving • Use Meaningful Use to improve patient safety • Incorporate safety into certification • Support research and development of testing, user tools, and best practices related to health IT safety and its safe use. • Incorporate health IT safety into medical education • Investigate and take corrective action, when necessary. Office of the National Coordinator for Health Information Technology

24. ONC Patient Safety Action & Surveillance Plan • Learning: Increasing the quantity and quality of data and knowledge about health IT safety • Improving: Targeting resources and corrective actions to improve health IT safety and patient safety • Leading: Promoting a culture of safety related to health IT

25. Leading • Develop health IT safety priority areas • Publish a report on a strategy and recommendations • Establish an ONC Safety Program • Encourage state governments to incorporate health IT into their patient safety oversight programs. • Encourage private sector leadership and shared responsibility for health IT patient safety. Office of the National Coordinator for Health Information Technology

26. James Reason “We cannot change the human condition, but we can change the conditions under which humans work.” Human error: models and management BMJ 2000; 320: 768-70

27. William Osler, M.D. (1849 – 1919) “The average physician wastes fifty to sixty per cent of his time in going from place to place or in the repetition of uninstructive details of practice.” THE EARLY LIFE OF SIR WILLIAM OSLER. Bulletin No. Ix of The International Association Of Medical Museums And Journal Of Technical Methods. Montreal: Privately Printed, 1926:143

28. Louis Pasteur 1822-1895 In the field of observation, chance favors the prepared mind. Dans les champs de l'observation le hasard ne favorise que les esprits préparés. Lecture, University of Lille (7 December 1854) Office of the National Coordinator for Health Information Technology

29. mo·ment (mōיmənt) • n. [ME. < L. momentum, movement, impulse, brief space of time, importance < movimentum < movere, to MOVE] 1. an indefinitely brief period of time 2. a definite point in time 3. a brief time of being important 4. importance; consequence 5. Mech. the tendency to cause motion about a point or axis

30. Archimedes of Syracuse (287 - 212 BC) 100 10 5. Mech. the tendency to cause motion about a point or axis

31. Archimedes of Syracuse (287 - 212 BC) “Give me where to stand and I will move the world.” Δός μοι πᾶ στῶ καὶ τὰν γᾶν κινάσω Pappus of Alexandria, Synagoge, Book VIII, c. AD 340.

32. Thank You Contact Information davidr.hunt@hhs.gov www.healthit.gov