A friend of mine used to be a QA at a prominent children's hospital. The departmental interoperation was terrible[1], and every department used its own software

A friend of mine used to be a QA at a prominent children's hospital. The departmental interoperation was terrible[1], and every department used its own software. There was no hope of unifying the software, because every head of department had their own preferred software (often because of vendor kickbacks), and the hospital CEO was more interested in PR than managing. So any time an interdepartmental solution would be proposed at the heads-of-department meetings, any given head of department would nix it with "if we use that software, children will die". Of course everyone knows that was a lie, but that head of department was the final authority for it. [1] A different friend was trying to get his son in for an appointment. The relevant department asked him to fax some forms to get the appointment; the phone was not enough and email wasn't an option. Fax! Forms were faxed... they asked them to be refaxed all in one stream! Faxed all together... they asked for the forms to be faxed in a particular order! At this point, he went to another hospital.