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Re:Why Everyone Hates the Electronic Medical Record by danielvaughn on Tuesday January 30, 2024 @01:28AM (#39187002)
This was my experience trying to create technology in the real estate world. Realtors are the same way.
Re:Why Everyone Hates the Electronic Medical Record by Terr_ on Tuesday January 30, 2024 @02:06AM (#39187204)
Many of the most painful technical problems are actually three business problems in a trenchcoat.

Sometimes too many people are too invested in the crazed/idiosyncratic way of doing things... and unless the humans can be convinced to fundamentally change their process, adding software will only give you... well, craziness with a computer.

Re:Why Everyone Hates the Electronic Medical Record by jdietrich on Tuesday January 30, 2024 @04:57AM (#39188215)
>Many of the most painful technical problems are actually three business problems in a trenchcoat.

This is a superb line and I will be stealing it.

Re:Why Everyone Hates the Electronic Medical Record by Terr_ on Tuesday January 30, 2024 @06:12AM (#39188716)
"No! Not my pseudonymous Internet fame! Anything but that!"
Re:Why Everyone Hates the Electronic Medical Record by magicalhippo on Tuesday January 30, 2024 @07:41AM (#39189418)
We see this so often with customers. They'll insist on doing stuff in some bass-ackwards way.

We keep resisting though, and most of the time we get them to come around and thanking us later for the push-back and helping them evolve.

Re:Why Everyone Hates the Electronic Medical Record by PH95VuimJjqBqy on Tuesday January 30, 2024 @02:24PM (#39194447)
you know, sometimes those idiosyncratic ways have a reason for existing because they solve actual problems.

Technical people have a really bad habit of solving for theory rather than practice and they develop this attitude that those who are seemingly entering into odd behavior are just not as good or smart as them.

Re:Why Everyone Hates the Electronic Medical Record by Terr_ on Tuesday January 30, 2024 @02:52PM (#39194806)
> you know, sometimes those idiosyncratic ways have a reason for existing because they solve actual problems.

True, but "actual" is a rather low bar. I once worked at a company where a big internal enterprise app controlled a lot of operations, and saw that many of the layers of cruft in the app were because it became the preferred battleground of corporate dysfunction.

One example is that the sales team kept closing deals ('cuz commissions) which were difficult to fulfill, unprofitable, or cannibalized from other assets and activity.

This lead to repeated and increasingly obtuse layers of code for estimating gross-margins, showing values at different interfaces and steps and warning styles, managing and modeling gross-margin reporter/reportee connections and automated alerts and permissions systems where they system would block certain people while e-mailing other people for clicking approval boxes, etc.

Re:Why Everyone Hates the Electronic Medical Record by PH95VuimJjqBqy on Tuesday January 30, 2024 @03:08PM (#39195031)
your example is a software example, which automatically falls outside the purview of what I'm describing.

There's a doctor further up this chain who states they preferred paper.

Re:Why Everyone Hates the Electronic Medical Record by namdnay on Tuesday January 30, 2024 @08:36AM (#39189917)
It’s the reality for anyone doing “IT”, whatever the domain. Travel, banking, hospitals, police, social security etc ad nauseam
Re:Why Everyone Hates the Electronic Medical Record by bogwog on Tuesday January 30, 2024 @09:17AM (#39190341)
HN is (probably) read by mostly software development (-adjacent) people, and this thread is basically software developers blaming users for using their software wrong. Maybe that's true, but I think it's at least worth pointing out before someone mistakenly thinks this isn't an echo chamber.
Re:Why Everyone Hates the Electronic Medical Record by gedy on Tuesday January 30, 2024 @09:54AM (#39190761)
> this thread is basically software developers blaming users for using their software wrong

I wouldn't say that, most devs who've worked with product requirements and users have seen issues with users wanting something inefficient or illogical, basically because they don't like change and/or don't understand why they are doing something.

Re:Why Everyone Hates the Electronic Medical Record by cmiles74 on Tuesday January 30, 2024 @10:35AM (#39191293)
In my opinion, this is less about the field (health care, real estate, etc.) and more about automating someone's core role. Many people have learned to do a particular job a particular way: some things they have picked up through trial and error, others were handed down from a more senior co-worker. There are other steps that are taken because something else (regulatory requirements, etc.) require it or don't and have been misunderstood.

When we try to automate part of a person's work, we have to encourage the person to take a look at themselves and the way they do their work. This is not easy for people! A lot of times we're asking someone to admit that they don't actually know why something is done a particular way. Or we point out that they are doing the work of another person in another department. And, all the time, this person is worried that at the end they will be replaced by software and lose their job.

I think it's really hard to get to a place where everyone is comfortable enough to be frank about what they do, what the software might be able to do, and what makes sense.