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A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO identified issues that could enhance compliance with the Kyoto Protocol or any climate change agreement, focusing on the: (1) clarity of the protocol's goals and procedures; (2) use of incentives that encourage compliance to supplement punitive measures to punish noncompliance; and (3) role of environmental and industry groups."
A chapter report issued by the Government Accountability Office with an abstract that begins "Since the events of September 11, 2001, the security of the nation's drinking water and wastewater infrastructure has received increased attention from Congress and the executive branch. Wastewater facilities in the United States provide essential services to residential, commercial, and industrial users by collecting and treating wastewater and discharging it into receiving waters. These facilities, however, may possess certain characteristics that terrorists could exploit either to impair the wastewater treatment process or to damage surrounding communities and infrastructure. GAO was asked to obtain experts' views on (1) the key security-related vulnerabilities affecting the nation's wastewater systems, (2) the activities the federal government should support to improve wastewater security, and (3) the criteria that should be used to determine how any federal funds are allocated to improve security, and the best methods to distribute these funds. GAO conducted a systematic, Web-based survey of 50 nationally recognized experts to seek consensus on these key wastewater security issues. EPA expressed general agreement with the report, citing its value as the agency works with its partners to better secure the nation's critical wastewater infrastructure."
This paper is the result of a research project started in 2005 at the Massachusetts Institute of Technology (Computer Science and Artificial Intelligence Laboratory) under the direction of Prof. Peter Szolovits (Head of the Clinical Decision Making Group) and completed at the European University Institute with the help of Prof. Giovanni Sartor. ; Today, hospitals are heavily computerized, but this process is still far from its ultimate goals and suffers from many deficiencies. Good quality software, correctly used, can improve health care under many different circumstances, e.g. good administrative software can improve the efficiency of health care delivery and can speed up the flow of patient information; good clinical software can greatly improve health care, helping physicians in their work (for instance by assisting them in their decisions); good software embedded in medical devices can improve the quality of life of patients. In fact, every subject involved in the health care field is likely to be a user of very complex software, sometimes even without noticing it. However, the more complex the software, the more susceptible it may be to errors that may cause malfunctions. Although many ethical, legal and technology-related issues have been raised over years of public discussion, there are few definitive answers to these difficult questions. Questions continue to arise due to a range of forces: from the perceived necessity of adopting more complex, versatile and probably more expensive systems, to the need to assign responsibility for the consequences of their malfunction. Finding certain answers in this field at the intersection of health, law and technology is always difficult: only a comprehensive analysis of all the interdisciplinary aspects can help to achieve this task. This paper aims to explore and clarify the legal issues related to computer software and expert systems in the medical field, taking into account United States legislation on the one hand, and more general and theoretical aspects on the other hand.
In: Alcohol and alcoholism: the international journal of the Medical Council on Alcoholism (MCA) and the journal of the European Society for Biomedical Research on Alcoholism (ESBRA), Volume 31, Issue 3, p. 297-303