AI Scribes Are a Very Expensive Bandage
Bolting a language model onto a broken interface treats the symptom and entrenches the disease. If the fix for your software is more software that talks to your software, the original design failed.
If Aviation Regulated Software Like Healthcare Does, Planes Would Fall Out of the Sky
EHR usability defects cause real patient harm, yet vendors have historically shielded themselves from scrutiny through contract clauses and weak reporting requirements. We tolerate a safety culture in health IT that would be criminal anywhere else.
Nobody Who Chooses the System Has to Use It
Procurement is run by people who will never write a note in it, judged on criteria that never include clinician time. Until the buyer feels the pain, the product will not improve.
Doctors Are Now the Most Expensive Data Entry Clerks in the Building
We took the highest-paid, scarcest labour in healthcare and gave it a keyboard task. Then we called the resulting exhaustion "burnout" and offered resilience training.
Patients Are the Least-Served Users of Their Own Records
Portals offer fragmented results, unreadable jargon and no ability to correct errors. The person the record is supposedly about is the one with the least power over it.