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This talk addresses the impact of health IT systems on patient safety. In particular, how health IT systems intended to reduce medical error can introduce a new set of risks. Understanding why this is so is related to the need for better understanding of "human error", one that goes beyond simply blaming the users who are at the "sharp end" of the stick. In particular, health IT systems need to be good “team players”. One of the keys to making Health IT systems good team players is user-centered design (UCD). Another is ensuring that human factors are incorporated into safety risk management, as recommended by the FDA for medical devices.