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> institutional stupidity If you are a hospital, and you are shopping for an EMR to maximize revenue, is that a feature or is it a bug? Evil, yes, stupid, no.

pc86 4y ago
I've worked with many, many hospital IT departments as a consultant, contractor, and vendor. It's absolutely stupidity.
- Symmetry 4y ago
  From a doctor compaining about the difficulties faced by generic alternatives to EpiPens: If you know anything at all about doctors, you know that they have way too much institutional inertia to change from writing one word on a prescription pad to writing a totally different word on a prescription pad, especially if the second word is almost twice as long, and especially especially if it’s just to do something silly like save a patient money. I have an attending who, whenever we are dealing with anything other than a life-or-death matter, just dismisses it with “Nobody ever died from X”, and I can totally hear him saying “Nobody ever died from paying extra for an adrenaline injector”. So Adrenaclick continues to languish in obscurity. https://slatestarcodex.com/2016/08/29/reverse-voxsplaining-drugs-vs-chairs/ https://slatestarcodex.com/2016/08/29/reverse-voxsplaining-d...
  - pc86 4y ago
    I thought that most of the time pharmacists were empowered to substitute generics where comparable/available? I generally have a pretty high opinion of physicians, but they are incredibly overworked, and typically just lazy enough for this quote to be more true than we probably think it should, especially with e.g. 20 years of history writing a specific word for a specific diagnosis.
    - Symmetry 4y ago
      In this particular case EpiPens are protected from substitutions: https://abcnews.go.com/Health/epipen-users-options-generic-alternate-drugs/story?id=41667390 https://abcnews.go.com/Health/epipen-users-options-generic-a...
- Siira 4y ago
  Do you understand that you’re claiming that if the money flow was reversed, the IT departments wouldn’t fix this issue in, say, three years? Because I have seen many people, and they do the tasks asked of them. They are “stupid” on tasks not prioritized, but their employers are perfectly happy with that.

pc86 4y ago

I've worked with many, many hospital IT departments as a consultant, contractor, and vendor. It's absolutely stupidity.

Symmetry 4y ago
From a doctor compaining about the difficulties faced by generic alternatives to EpiPens: If you know anything at all about doctors, you know that they have way too much institutional inertia to change from writing one word on a prescription pad to writing a totally different word on a prescription pad, especially if the second word is almost twice as long, and especially especially if it’s just to do something silly like save a patient money. I have an attending who, whenever we are dealing with anything other than a life-or-death matter, just dismisses it with “Nobody ever died from X”, and I can totally hear him saying “Nobody ever died from paying extra for an adrenaline injector”. So Adrenaclick continues to languish in obscurity. https://slatestarcodex.com/2016/08/29/reverse-voxsplaining-drugs-vs-chairs/ https://slatestarcodex.com/2016/08/29/reverse-voxsplaining-d...
- pc86 4y ago
  I thought that most of the time pharmacists were empowered to substitute generics where comparable/available? I generally have a pretty high opinion of physicians, but they are incredibly overworked, and typically just lazy enough for this quote to be more true than we probably think it should, especially with e.g. 20 years of history writing a specific word for a specific diagnosis.
  - Symmetry 4y ago
    In this particular case EpiPens are protected from substitutions: https://abcnews.go.com/Health/epipen-users-options-generic-alternate-drugs/story?id=41667390 https://abcnews.go.com/Health/epipen-users-options-generic-a...
Siira 4y ago
Do you understand that you’re claiming that if the money flow was reversed, the IT departments wouldn’t fix this issue in, say, three years? Because I have seen many people, and they do the tasks asked of them. They are “stupid” on tasks not prioritized, but their employers are perfectly happy with that.