4 ms·

I've spent a lot of time working as an academic in / out of hospitals. There's a big difference between an academic research centre (where you have, comparative

I've spent a lot of time working as an academic in / out of hospitals. There's a big difference between an academic research centre (where you have, comparatively speaking, a lot of time to sit and think) and the "coal face" of clinical medicine (where the opposite is true). Literally every high-level doctor I have ever worked with: – Knows the passwords of their juniors and shares their password with them – Has a lot of mutual bottom-covering going on – Finds hospital computers intolerably slow, incredibly locked down, and designed by "muppets" who don't have to use them – Keeps the issued smart-card for accessing patient records required as part of a 2FA scheme to themselves on their lanyard because they're all functionally identical – Keeps their "badges" of lanyards mostly on their neck but occasionally asked for mine / borrowed mine to open random doors All of this comes from precisely the mindset of putting patient care above security theatre. They all share passwords all the time because, well, it's hard to type on a keyboard and order a drug or a kit if you're in the middle of doing a transoesophageal echo, say, yet it's incredibly apparent that it's needed quickly. We all get yelled at periodically never to do this. If I was the person with the cardiac complaint, I'd much rather get my drugs quickly. A lot of the examples in the article ring very, very true. Most places I have worked let every doctor look up the medical records of every patient, but keep an audit of who does so (and occasionally make a fuss if someone does something inappropriate). I did once have an awful conversation with hospital security refusing me access to the door I was on the secure side of, when I was in scrubs and had a human liver on a perfusion rig (along with colleagues), however, as it was after hours and my badge hadn't been given permissions to open the door in the middle of the night, and needed to get something on the other side of it. That was "fun". (We wedged the door open when they were gone).

Xeamek 3y ago
Imagine that your embarrassingly slow software literally costs people's health (and maybe even lives in the long run). But we will still pretend like everything is fine, because "the DEveLopEr eXPeRiEncE", and "jUsT buY beTTeR hArDWaRe". And sure, hospital issued PCs aren't fast, but if they are anything from past decades, they still have processors running billions operations per second. And such managing software isn't something demanding either. The fact that it takes any thing longer then your IO bounded critical path is pathetic. It's just tragic how little we actually care today for end user experience, despite all the pretending.
- expertentipp 3y ago
  > It's just tragic how little we actually care today for end user experience, despite all the pretending. Most modern frameworks, languages, and concepts are developed and owned by ad companies. Then we take these and build critical stuff with it. Then they use it as a leverage to expand into industries where their stuff is used. There are some UX folks here and there but they're more happy to work on something "engaging" and "addicting".
- hulitu 3y ago
  This is not only in healthcare. This is everywhere. Although computers are much faster, we need to wait for them more. And although i run 2d programs 99,99 % of the time, developers optimize for 3d. Although they are not able to draw a 3d button, the whole screen is drawn on a surface.
matheusmoreira 3y ago
I have an orthopedist friend. She shared her credentials with one of her residents so he could write down the patient charts. Apparently residents are subhuman doctors in the hospital she worked at because they didn't get accounts to log into the system. The staff was used to sharing their own credentials with them so they could get work done. It was a routine everyday thing. Then one day a patient died after surgery. Hospital got sued. They pulled up the charts as evidence. Whose name was in there? Hers. She had to legally prove beyond all doubt that she was physically not there in that hospital at the time the event happened and had to explain to a judge that sharing of credentials was routinely done in that hospital.

Xeamek 3y ago

Imagine that your embarrassingly slow software literally costs people's health (and maybe even lives in the long run). But we will still pretend like everything is fine, because "the DEveLopEr eXPeRiEncE", and "jUsT buY beTTeR hArDWaRe". And sure, hospital issued PCs aren't fast, but if they are anything from past decades, they still have processors running billions operations per second. And such managing software isn't something demanding either. The fact that it takes any thing longer then your IO bounded critical path is pathetic. It's just tragic how little we actually care today for end user experience, despite all the pretending.

expertentipp 3y ago
> It's just tragic how little we actually care today for end user experience, despite all the pretending. Most modern frameworks, languages, and concepts are developed and owned by ad companies. Then we take these and build critical stuff with it. Then they use it as a leverage to expand into industries where their stuff is used. There are some UX folks here and there but they're more happy to work on something "engaging" and "addicting".
hulitu 3y ago
This is not only in healthcare. This is everywhere. Although computers are much faster, we need to wait for them more. And although i run 2d programs 99,99 % of the time, developers optimize for 3d. Although they are not able to draw a 3d button, the whole screen is drawn on a surface.

matheusmoreira 3y ago

I have an orthopedist friend. She shared her credentials with one of her residents so he could write down the patient charts. Apparently residents are subhuman doctors in the hospital she worked at because they didn't get accounts to log into the system. The staff was used to sharing their own credentials with them so they could get work done. It was a routine everyday thing. Then one day a patient died after surgery. Hospital got sued. They pulled up the charts as evidence. Whose name was in there? Hers. She had to legally prove beyond all doubt that she was physically not there in that hospital at the time the event happened and had to explain to a judge that sharing of credentials was routinely done in that hospital.