There is truth in what you say about shortcomings in processes, ownership, and design in health IT, but it is buried in an avalanche of your self righteousness. As with all complex endeavors, it is a team of folks who are going to be successful. I’d suggest a remedial course in teamwork and humility.

S Silverstein wrote:

Doctors, after all, are laggard slouches who goof off in high school, college and medical school, internship, residency and fellowship, and practice, and merely faciliate provisin of care; while righteous enablers of healthcare such as faith healers, C-level executives and IT personnel serve as the true pillars of virtue holding up our society and ensuring the highest life expectancies for humans in recorded history.

Part of the reason may be that the software should interact with the clinician. The software ought to add value directly to the situation.

Methods such as Computer Physician Order Entry (CPOE) ought to be giving back to the physician appropriate information (and not to a scribe.)

This news is welcomed. The truth about the self-referral and deception and the burying of HIT adverse events within the HIT industry and partnered hospitals will be an eye opener, on the magnitude of the Walter Reed stories. As I circulate, the patients suffering complications can not wait.

Dr. CCCC Yah, one cause is the lack of knowledge of healthcare, human computer interaction, medical terminology, evaluation study methods and a bunch of other areas that could help the IT community design and implement better healthIT in the service of its primary audience, clinicians.

I sometimes wonder if this is due to laziness, because reputable courses in those areas are available everywhere. Instead of sitting on their a**es, IT people in healthcare should be studying up.

Those who are, should be saluted.

Instead, the common tactic seems to be to blame the outcome of the knowledge gap on the users. It’s like blaming pilots for mishaps caused by instrument panels designed by Elmer Fudd.