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Ask HN: Have you ever heard of users demonstrating against software?

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101–110 of 194 posts

Re: Ask HN: Have you ever heard of users demonstrating against software?

#102

Earlier quoted context omitted.

> they resented features that controlled their time and their autonomy Of course. Nobody likes being controlled by software. The computer is supposed to obey us, not the other way around. Software controlling humans is a violation of basic human dignity.

Pretty much same argument could be said against checklists ('paper controlling humans is a violation of basic human dignity'), but it is a thing that consistently improves outcomes in medicine. In general, it is restricting autonomy in order to improve consistency and quality.

> Pretty much same argument could be said against checklists

No, the same argument most certainly cannot be made against useful patient safety tools like simple checklists. Not only are they useful, they are simple and integrate seamlessly with pretty much any workflow without obstructing them.

Meanwhile poorly designed software can go so far as to actively impede the work being done which I have no doubt is the case of the software described above and its micromanagement of nurse's work.

Re: Ask HN: Have you ever heard of users demonstrating against software?

#103
post #13

Secondary to the question, but I live right by the Epic campus and use the Epic MyChart platform to communicate with the University of Wisconsin health system. It is phenomenal as a patient; I can handle all billing, message any doctor I've seen, view test results as soon as they're uploaded, etc. Recently I saw the results of some bloodwork in the ER before the nurses had time to come and tell me about it. (The UI/U…

Medical staff don't like Epic because it's the kind of software that's sold to administrators, but used by providers. Guess who has the most sway in things like what features are included and how much effort gets invested into making the UX good?

Re: Ask HN: Have you ever heard of users demonstrating against software?

#104
post #13

Secondary to the question, but I live right by the Epic campus and use the Epic MyChart platform to communicate with the University of Wisconsin health system. It is phenomenal as a patient; I can handle all billing, message any doctor I've seen, view test results as soon as they're uploaded, etc. Recently I saw the results of some bloodwork in the ER before the nurses had time to come and tell me about it. (The UI/U…

Disclaimer: My Epic experience is around a decade old. I never saw a riot, but I definitely saw providers who hated Epic when it was installed. As in people literally screaming at the top of their lungs at IT nerds. I saw a few contributing factors: 1. Epic supports making all the technically-mandatory-but-not-mandatory-if-you're-in-a-hurry data actually mandatory, so providers have more typing and less ability to ju…

Interesting, because I think enforcing an opinionated workflow would be a similar mistake to enforcing mandatory requirements.

There should be some flexibility in both.

Re: Ask HN: Have you ever heard of users demonstrating against software?

#105

Earlier quoted context omitted.

>technically-mandatory-but-not-mandatory-if-you're-in-a-hurry :/

In my experience, the software development profession could spend a long, long time doing some self-reflection about this one. It's eloquently stated, and something a lot of developers could learn. Too many times, I've seen overly restrictive inputs cause users to hate and distrust the software. Ironically, overly restrictive inputs cause users to think that the software doesn't properly understand the domain, which…

I agree! But what would you put in the database? A NULL? A special fuck-it value?

Re: Ask HN: Have you ever heard of users demonstrating against software?

#107

Earlier quoted context omitted.

>technically-mandatory-but-not-mandatory-if-you're-in-a-hurry :/

In my experience, the software development profession could spend a long, long time doing some self-reflection about this one. It's eloquently stated, and something a lot of developers could learn. Too many times, I've seen overly restrictive inputs cause users to hate and distrust the software. Ironically, overly restrictive inputs cause users to think that the software doesn't properly understand the domain, which…

I highly doubt the developers have anything to do with this in this case. The people requiring the inputs are managers who are responding to regulators and insurers. They're not going to buy software that has a Fuck It Button that allows workers to skip data entry that could cost them money, time, or lawsuits.

Re: Ask HN: Have you ever heard of users demonstrating against software?

#108

Earlier quoted context omitted.

>message any doctor I've seen Doctors especially hate this part, since they don't get reimbursed for fielding these messages and (unlike scheduled appointments) there's no limit to how many there can be or how quickly they can come.

Yeah. These messaging services essentially place doctors on call at zero extra compensation.

“On call” has a precise, intuitive, definition that “receives messages and can respond to them at-will” does not fit.

Re: Ask HN: Have you ever heard of users demonstrating against software?

#109

Having worked in IT supporing doctors, nurses, scientists, and academics for the last 23 years, in all honesty, it doesn't matter what they would have chosen it would have resulting in a percentage of them complaining. Doctors like change that they control and understand, such as research leading to new treatments and improved patient outcomes. They do NOT like having their workflows challenged, though. They have ver…

> What doctors LIKE are the ones they get used to in their residency, fellowships, and first years in practice.

"Like" is too strong a word here. People simply get used to these terrible systems. They learn how to work around the annoyances. They come to tolerate them as facts of life that they have no control over.

Re: Ask HN: Have you ever heard of users demonstrating against software?

#110
The Australia Card. This was a unique identifier for residents of Australia, for which the legislation did not proceed after nationwide protests. Protests marches featured depictions of government ministers in Nazi Gestapo dress, a reference to a government minister's agreement with a question asking if Australians might choose to tattoo the number on their wrists.

The government refused to bend. The public reaction lead to sufficient numbers in the Senate to disallow the enabling regulations (the very body which has previously passed the bill).

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