To the Editor: In their Commentary, Dr Koppel and Mr Kreda1 made clear the problems associated with applying the customs and traditions of business software contracting and sales (where “hold harmless” and “keep defects secret” clauses are commonplace) to health care information technology (HIT) as if they are the same. I believe that ignoring their differences has likely created an epidemic of violations of hospital governing body responsibilities and Joint Commission standards for health care organization leadership.
Silverstein S. Health Care Information Technology, Hospital Responsibilities, and Joint Commission Standards. JAMA. 2009;302(4):382-383. doi:10.1001/jama.2009.1041