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

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

#131

Post by karaterobot »

matheusmoreira wrote: post #102
zajio1am wrote: post #98

Earlier quoted context omitted.

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…

> No, the same argument most certainly cannot be made against useful patient safety tools like simple checklists.

The same things were said when checklists were introduced to surgeons.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5885453/

https://sciencebasedmedicine.org/checklists-and-culture-in-m...

https://hbr.org/2019/05/how-one-health-system-overcame-resis...

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

#132

Post by geoduck14 »

meandthewallaby wrote: post #93
PubliusMI wrote: post #89

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…

Yes. Oh Lord yes.

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

#133

Post by squeaky-clean »

matheusmoreira wrote: post #114
jakear wrote: post #108

Earlier quoted context omitted.

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

Can respond at will? Yeah, about that. I have no doubt the patients using the doctor messaging feature will expect a prompt if not immediate answer. The system is definitely imposing an unpredictable work schedule on doctors with no compensation. If you're expected to respond to patient messages, you can't go do something else with your life.

I'm sure there are folks who don't read disclaimers but that's on them. Before I can send any messages I get the disclaimer

> Please use this for non-urgent medical questions. Replies may take 2-3 business days. If you need immediate assistance, you will need to contact the practice.

> If this is a medical emergency, call 911.

> Please note, this is not a text message and should be used to ask questions directly related to your medical care. Some requests for medical advice may require an office visit.

I've only used it to send 2 messages but I think they were fair. One was telling my doctor that I had gotten a lab appointment for an exam they referred me for on a certain date. The second messages was today, I got some scan results back, my cardiologist commented things looked good, so I sent a message asking if I could start jogging again. I don't mind if he takes 5 days to respond or even says "we're not sure", but Id rather not wait for my next appointment in 3 months to ask that.

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

#134

Post by paulcole »

Yes. I worked for a company that converted a pay-once app to a free app with a paid subscription. In protest, one guy made his facebook profile pic our app’s icon but upside down.

Whole thing was a bit of a shitshow but we got through it and it makes a good story for job interviews.

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

#136

Post by djcannabiz »

quijoteuniv wrote: post #65
exDM69 wrote: post #44

Same software, different country: https://fi.m.wikipedia.org/wiki/Apotti_(potilastietoj%C3%A4r... It's been a very expensive disaster on the taxpayers' dime. Similar problems in UK and Denmark (links in Wikipedia).

This reminds me of the Monorail chapter in the Simpsons... https://en.wikipedia.org/wiki/Marge_vs._the_Monorail

oh my god you hit the nail on the head

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

#137

Post by bearjaws »

actually_a_dog wrote: post #103
quacked wrote: 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?

Bingo, Epic has probably the most in depth sales team, they know everything about your organization and YOU before even starting the call.

They will smooch, take to dinner, do whatever it takes to bribe the head of office staff. Then once they're in the door they convince you to hire 5-10 of their 'Epic Engineers' and charge you $500+ an hour for the honor.

Soon you discover that you can never really get rid of those engineers and need to hire your own on staff team... Which you probably could have done with literally any other EMR if you wanted to customize it.

2 years in the medical staff hate life and the front of house staff have costed their business 50-100M in fees.

Alberta found this out the hard way after spending 5 years and 450M+ on Epic. Roughly $100 per person in the province was required to get Epic 'running'. (I am not sure if its been rolled out to all of Alberta?)

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

#140

Post by xani_ »

dragonwriter wrote: post #124
xani_ wrote: post #119

Earlier quoted context omitted.

Quoted post unavailable.

> Also known as the longest description of stockholm syndrome known to man Periodic reminder that “Stockholm Sybdrome” was invented, with no clinical basis whatsoever, by someone responsible for a use of excessive violence by law enforcement as a means of leveraging cultural misogyny and public trust in credentials to deflect criticism of the violence they had counselled, so metaphorical references to it that don’t m…

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