Iteration of Healthcare System digital structure => configuration => activities or processes => outcomes => more structures EHR decision support systems Technology in general is becoming safer over time => ideally, some form of high level safety is achieved. important: define a shared vocabulary between technologists and clinicians Technology-Induced Errors Though EHS can serve to reduce medical errors, it can work in increase errors as well. bias ignorance of environmental factors Error reporting + incident reporting Resolution get rid of each problem help establish well-configured systems which could promote safety patient simulation with clinician + technology to see how it fits into process of care what could that look like from a home health-care perspective