[From Bruce Nevin 2018.11.10.18:02ET]
Fred, this seems up your organizational alley:
https://www.newyorker.com/magazine/2018/11/12/why-doctors-hate-their-computers
Also ripe for some speculation about how the design of complex computer systems could be changed to work by negative feedback control of desired outcomes rather than demanding specified input to produce specified output.
As we used to say, âAinât technology grand.â?
Fred Nickols
Distance Consulting LLC
âAssistance at A Distanceâ?
www.nickols.us
Bruce:
As I ponder this article, some more “organizational” stuff falls out. First is the notion of “unintended consequences.” Physician burnout is a good example. Second, is the notion that physicians, perfect examples of “knowledge workers,” are being boxed in by technology and their so-called autonomy and latitude are being greatly restricted. Third is the age-old notion of the “march of progress” As computers take on more and more of the diagnostic work, I suspect many physicians will be replaced by medical workers who will do the grunt work, similar to the way paralegals now do the bulk of the legal grunt work. Ever-increasing specialization and ever more automation. One day, the computer will wake up and realize that it has to do all that work because there are human beings around and so it will start looking for ways to get rid of us so its life will be much easier.
Regards,
Fred Nickols
Managing Partner
Distance Consulting LLC
“Assistance at A Distance”