For the record, I wouldn't usually use Brendas as a collective noun like this, it feels a bit wrong, but my aim was to make sense in context of the above comment.
14,659 karma · joined July 25, 2012
And now if one of the Brendas wants to change their process slightly, add some more info, they can't just do it anymore. They have to have a three way discussion with the other Brenda, the automation guy and maybe a few managers. It will take months. So then its likely better for Brenda to just go back to using her spreadsheet again, and then you've got an automated process that no longer meets peoples needs and will be a faff to update.
- How to ignore the latest platform/library/thing everyone is talking about on HN
CSCI 3120: Novelty Driven Development
- How to stay interested in your job by using the latest platform/library/thing everyone is talking about on HN even if it isn't actually necessary
NB: CSCI 3120 cannot be taken at the same time as CSCI 3240
PSYC 4870: Meeting Techniques
- mentioning problems before, during or after meetings - different techniques for different manager types
- small talk conventions in different cultures
- camera on or camera off - the modern split in corporate habits
PSYC 5630: Accepting Organisational Friction
- how to motivate yourself to write documentation that no-one will ever read
- managers are people too - understanding what makes someone think they want to be a manager
- Everything Will Take A Long Time And No-one Will Remember What Got Decided - working in large organisartions
- Cake and Stare - how to handle a leaving do
An automated alert popped up warning that the doctors should consider Sepsis. That alert essentially then blocked progress, and the doctors ended up (essentially) ticking the 'not sepsis' box so that they could get on with their (reasonable) next step which was either ordering an x-ray or starting antibiotics. Then somehow after that, sepsis did not get re-considered.
https://archive.is/tJePt#selection-1465.0-1491.52
It was Banerjee’s task to document Sam’s care, and as he began to do so, a pop-up appeared on his computer screen. Sam’s fever and heart rate had triggered an automated warning for sepsis, a potentially life-threatening condition in which the immune system has a dangerous reaction to an infection. It requires speedy intervention. To help the hospital comply with state-mandated sepsis regulations, the pop-up provides a checklist of tests and orders used to identify and treat sepsis.
Agyare had instructed Banerjee to hydrate Sam right away but to wait for the results of Sam’s lab work before ordering a chest X-ray or the strong antibiotics used to treat sepsis.
But Banerjee, a novice, got stuck. He couldn’t figure out how to navigate the template to make some but not all of the auto-populated orders. “This was my first patient that triggered the sepsis pathway,” he explained, in testimony. So he asked Connor Welsh, a third-year resident, for help.
At 8:50 p.m., Welsh showed Banerjee how. From his own computer, he clicked into a field on Sam’s chart to assert that sepsis was not likely: “Based on my evaluation,” the automated note said, “this patient does not meet clinical criteria for bacterial sepsis.” And then Welsh recorded what Banerjee said Agyare had said earlier: “Likely viral syndrome. Workup pending.” Welsh’s name appears on the note, but in his deposition he said he never interacted with Sam. Senior residents often help junior ones in this way, he said. “I signed this note based on the discussion with the provider, Dr. Banerjee, based on his evaluation and the medical management of Mr. Terblanche,” he testified.
...
Sam’s chart is 51 pages long, a catalog of billing codes and abbreviations, check-boxes and shorthand, updates and addenda. The record of the second visit contains numerous contradictions: Sam’s heart rate was documented at 126, yet Banerjee clicked the box “normal.” In one place it says Sam didn’t have a cough, while in another it says he did. The signatures of doctors who testified they never saw Sam — including one who was not in the hospital that night — accompany notes. Vital signs were ordered and not taken, as was an EKG.
edit: ah ok yes it does: https://en.wikipedia.org/wiki/Multi-armed_bandit
Yes but that calibration is also the secret to happiness.
Its interesting that they seem to be saying they dont know the full details of how their customers are using Azure, due to privacy commitments.
How many of those people actually follow through and do X is a very different question.
Sync problems are harder than just 'use a CRDT'.
What counts as 'consistent' depends on the domain and the exact thing that is being modelled.
Xanadu is just not a realistic model for how collaborative text works in practice, the admin of tracing everything back to everything else would extinguish any useability