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Epic systems is like gaint SAP. Shitty stuff forced on doctors, nurses, etc.



Enterprise software is often [a.] optimized for needs not in alignment with a diverse user population's needs, and [b.] written, configured and customized by different groups of people each with an incomplete understanding of the user populations needs. I think of the situation as that of the "Blind men and the elephant."

https://en.wikipedia.org/wiki/Blind_men_and_an_elephant


Plus "workflow" -- humans doing certain things in certain orders, entering them in a computer in a process which has components that also involve interacting with other software, non-software organizational systems, humans, and offline tasks -- is one of the hardest things to automate.

Because different people in different contexts will have different needs. Not just predilections. And not just because different individuals have idiosyncracies. But because they are inevitably doing _different kinds of work_ in _different organizational systems that are set up differently_, and you're trying to sell the same software to all of them, because it would not be cost effective to give each organization bespoke software. (And as we know, "customization" offers only limited escapes).

Not all "enterprise" software might be workflow-centered. But "ERP" systems like SAP are, and so are Electronic Health Records. In spades.




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