The dependence of health care services on technology for the delivery of it services has grown continuously over time. Some are more than others, but there is no medical or surgical program that can deliver its service without the use of technology.   It is therefore important that technology management programs are implemented to ensure that patient care services are delivered with maximum safety and optimal quality. The Institute Of Medicine (http://www.iom.edu/?id=12736) in its 2001 report Crossing the Quality Chasm: A New Health System for the 21st Century made an urgent call for fundamental change to close the quality gap and recommended a redesign of the American health care system. It offers a set of performance expectations for the 21st century health care system, a set of 10 new rules to guide patient-clinician relationships, a suggested organizing framework to better align incentives inherent in payment and accountability with improvement in quality, and key steps to promote evidence-based practice and strengthen clinical information systems.  Analyzing health care organizations as complex systems, this report also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change. It defines quality as the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge. “There are opportunities and challenges to harnessing the power of systems?\engineering tools, information technologies, devices and knowledge?\systems to achieve major improvements in management to advance quality, efficiency, safety, and/or customer centeredness of twenty?\first century health care systems. There is need for proven processes, products, and competent people to address key dimensions in current healthcare functions.”


　　Safety defined as the freedom from danger, risk or accidental injury, or specifically the delivery of health care services without accidental patient injury. In order to provide the tools and the environment for safe and high quality service we must manage the technology with proven strategy. One such example can be taken from the aviation industry where lessons learned and process improvements are integrated into their maintenance operations.

　　Failure mode and effect analysis (FMEA) examination is an integral part of bench marking that quantifies parameters of the technology management performance and of best practice model that measures gaps and identifies opportunities for improvement.  Technology manager competencies require understanding of how to select technology that can solve operational and clinical issues as well as of the impact of the implementation of such technology on the safety and quality of their institution's services. Technology includes medical devices, information systems and administration system and tools. Technology management that does not integrate all of these categories into cohesive and jointly managed program will fall short of public expectations for safety and quality services.