It's bad now, and it's going to get worse in the very near future. There is still a window of opportunity to tamp it down, but that window is closing. We really have to act now. - Thomas Frieden
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Hawaii - Systemic IT Failure - Decision Makers Hog-Tied
1. NEUTRAL ZONE
A volume of space not claimed by any political power
Created as bufer zones and borders
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CASE IN POINT
455 cases...only 4210 tests...AND this is only a PARTIAL count due to ANOTHER failure in
DOH's reporting system. 13 additional deaths reported today
We are being led down an unsustainable & devastating path to catastrophe that is completely
avoidable.
HOPE and INACTION are NOT effective STRATEGIES
#hawaiicovid19 #ActNow
George White – Politics in Hawaii – Facebook, September 1, 2021
<https://www.facebook.com/georgeorrwhite>
2. INFORMATION AND COMMUNICATIONS SYSTEMS
INFORMATION AND COMMUNICATIONS SYSTEMS
THE BACKBONE OF THE HEALTH CARE DELIVERY SYSTEM
THE BACKBONE OF THE HEALTH CARE DELIVERY SYSTEM
BUILDING A BETTER DELIVERY SYSTEM
BUILDING A BETTER DELIVERY SYSTEM
National Center for Biotechnology Information (NCBI)
National Center for Biotechnology Information (NCBI)
U.S. National Library of Medicine
U.S. National Library of Medicine
<https://www.ncbi.nlm.nih.gov/books/NBK22862/>
[Extract]
SOFTWARE DEPENDABILITY
In systems in which software is an element in the critical path, a variety of serious problems
have plagued organizations, including lack of dependability and/or usability, the high cost of
system failure, high maintenance requirements, and difficulties in updating systems. Because
software-intensive systems perform valuable functions, the consequences of failure are
generally serious. For example, developers may assemble modules, each apparently
dependable, but, when they are integrated, problems and weaknesses emerge. Usability
failures are also an issue. For example, if there are too many steps in a program for a user to
follow or if a program is too complicated, various “work arounds” will be developed, and
patient safety or some other critical parameter may be compromised.
In some cases, the initial software-intensive system may be dependable, but changes in
use over time may lead to changes in the software that lead, in turn, to unnoticed side
effects that can introduce weaknesses in the system. Another type of failure can occur when
cost overruns in the development process prevent the project from ever reaching the
commercialization stage. In some instances, noncritical software that interacts directly or
indirectly with critical functions introduces failures and weaknesses (NRC, 2004; Rae et al.,
2003). As these and other forms of software-system failure show, investments in clinical
information systems must be complemented by investments in research on software
dependability.
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