4 ms·

Lol, reminds me of of the large EMR platform I used to work on that (until very recently) could not handle the "fall back" DST event (thanks to local date encod

Lol, reminds me of of the large EMR platform I used to work on that (until very recently) could not handle the "fall back" DST event (thanks to local date encoding in very parts of the system).... So the recommended 'fix' for hospitals was to just turn it off (their entire electronic health record) for the duration of the DST changeover... I personally believe that a non-trivial amount of people die due to DST and similar time related bugs...

mark-r 5y ago
DST has long overstayed its usefulness. I wonder why it's so hard to get rid of?
curiousllama 5y ago
Oh, EMR systems kill patients all the time. Like, I’m not convinced “turn it off” isn’t an improvement.
- mr_toad 5y ago
  Poor record keeping practices in general have been linked to killing patients. Especially ones involving medication errors. It’s not like paper systems were perfect or even demonstrably better.
- game_the0ry 5y ago
  I hesitate to find it amusing that healthcare software is so busted that we laugh off the negative, fatal consequences.
  - tata71 5y ago
    No, the commenter isn't laughing or joking. They're that bad.
    - thfuran 5y ago
      Not having one at all is also bad.
      - throwawayboise 5y ago
        How so? "First, do no harm" is the foundation of medicine.
        wereHamster 5y ago
        Not of software engineering though.
        dragonwriter 5y ago
        > How so? Empirically, it's associated with a higher rate of medical errors, which is a big part of the drive for electronic records.
        patmorgan23 5y ago
        Paper medical records systems cause errors/deaths for several similar reasons that electronic medical record systems. EMR's with all their faults are probably a net positive.
  - alisonkisk 5y ago
riahi 5y ago
From personal experience, this is Epic.
- belter 5y ago
  For anybody who missed this very insightful comment :-) see the "Criticisms and controversies" section: https://en.wikipedia.org/wiki/Epic_Systems#Product_and_market https://en.wikipedia.org/wiki/Epic_Systems#Product_and_marke...
- tuukkah 5y ago
  Yes. Epic was deployed in Helsinki in 2021, and you bet it miscalculates the administration of recurring medications during DST changes, which nurses then need to correct manually.
tharkun__ 5y ago
Same for SAP. Seems like it's still 'best practice' to do so: http://www.sapbasis1solution.com/how-to-prepare-sap-system-for-daylight-saving-time-change/ http://www.sapbasis1solution.com/how-to-prepare-sap-system-f... During this time of one hour “Fall Back” on the clock, as is our Basis team best practice (SAP Note #7417, #102088 and others) we intend to gracefully shut down all Production applications prior to 2:00 AM, at which time the “fall back” happens that will revert back clock time by one hour. We would then wait for clock time to advance past the “new” 2:00 AM Local time. And start from 2:05 AM EST will bring up applications.

mark-r 5y ago

DST has long overstayed its usefulness. I wonder why it's so hard to get rid of?

curiousllama 5y ago

Oh, EMR systems kill patients all the time. Like, I’m not convinced “turn it off” isn’t an improvement.

mr_toad 5y ago
Poor record keeping practices in general have been linked to killing patients. Especially ones involving medication errors. It’s not like paper systems were perfect or even demonstrably better.
game_the0ry 5y ago
I hesitate to find it amusing that healthcare software is so busted that we laugh off the negative, fatal consequences.
- tata71 5y ago
  No, the commenter isn't laughing or joking. They're that bad.
  - thfuran 5y ago
    Not having one at all is also bad.
    - throwawayboise 5y ago
      How so? "First, do no harm" is the foundation of medicine.
      - wereHamster 5y ago
        Not of software engineering though.
      - dragonwriter 5y ago
        > How so? Empirically, it's associated with a higher rate of medical errors, which is a big part of the drive for electronic records.
      - patmorgan23 5y ago
        Paper medical records systems cause errors/deaths for several similar reasons that electronic medical record systems. EMR's with all their faults are probably a net positive.
- alisonkisk 5y ago

riahi 5y ago

From personal experience, this is Epic.

belter 5y ago
For anybody who missed this very insightful comment :-) see the "Criticisms and controversies" section: https://en.wikipedia.org/wiki/Epic_Systems#Product_and_market https://en.wikipedia.org/wiki/Epic_Systems#Product_and_marke...
tuukkah 5y ago
Yes. Epic was deployed in Helsinki in 2021, and you bet it miscalculates the administration of recurring medications during DST changes, which nurses then need to correct manually.

tharkun__ 5y ago

Same for SAP. Seems like it's still 'best practice' to do so: http://www.sapbasis1solution.com/how-to-prepare-sap-system-for-daylight-saving-time-change/ http://www.sapbasis1solution.com/how-to-prepare-sap-system-f... During this time of one hour “Fall Back” on the clock, as is our Basis team best practice (SAP Note #7417, #102088 and others) we intend to gracefully shut down all Production applications prior to 2:00 AM, at which time the “fall back” happens that will revert back clock time by one hour. We would then wait for clock time to advance past the “new” 2:00 AM Local time. And start from 2:05 AM EST will bring up applications.