• Grant Fritchey (3/28/2008)


    Honestly, neither.

    What scares me is medical data. I was working for a software start-up that provided software to doctors. Not only did it store full patient history, but it had diagnostic software to help the doctor perform a quick diagnosis of the patients. It was a horror show of an app, built over a series of years on top of what was originally a Paradox database. One day, one of the nurses that worked with us said to me, "We're going to kill someone with this." And she meant it. I started looking for new work immmediately.

    Killing people scares me. Losing their money concerns me, but it doesn't scare me.

    Agreed. I've been involved in a series of these kinds of scenarios and it's pressure I'm just not comfortable with. It's scary stuff to have to handle. Credit can be repaired, but killing someone with bad data is a one-way ticket: there's no "replaying the transaction logs" for that. I've steered clear as much as possible from being involved in direct patient care systems.

    The turning point: I was once asked to be on an eval team for an RFID system to identify patients. The RFID badges were integrated into the order system, which would then send info machines around the patient. The problem was - the effective range of the badges was 1-2 feet, which worked great under normal circumstances; when the patient had a problem though, machines routinely get shoved out of the way...and often into the effective range of the OTHER patient in the room. So the machine starts prompting that the "orders"/dosage, etc... have changed.....The system ended up being scrapped at our hospital, and purportedly updated so that doesn't happen any moer, but still - that's a level of perfection I just plain don't want to have to live up to. I have a hard enough time sleeping, and that's with a clear conscience.

    As an aside - the kind of depth and breadth information you get on people in addition to all of their health info is astounding enough. Why bother going after just credit card info when you can get their payment info AND every piece of demographic info you'd ever need on them, their family members, the family's financial info....

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    Your lack of planning does not constitute an emergency on my part...unless you're my manager...or a director and above...or a really loud-spoken end-user..All right - what was my emergency again?