Comment on Some bad code just broke a billion Windows machines

• arunwadhwa@lemmy.world ⁨1⁩ ⁨month⁩ ago

  I’m not in the US, but my other medical peers who are mentioned that EPIC (the software most hospitals use to manage patient records) was not affected, but Dragon (the software by Nuance that we doctors use for dictation so we don’t have to type notes) was down. Someone I know complained that they had to “type notes like a medieval peasant.” But I’m glad that the critical infrastructure was up and running. At my former hospital, we used to always maintain physical records simultaneously for all our current inpatients that only the medical team responsible for those specific patients had access to just to be on the safe side.

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  • RunningInRVA@lemmy.world ⁨1⁩ ⁨month⁩ ago

    This is pretty much correct. I work in an Epic shop and we had about 150 servers to remediate and some number of workstations (I’m not sure how many). While Epic make not have been impacted, it is a highly integrated system and when things are failing around it then it can have an impact on care delivery. For example if a provider places a stat lab order in Epic, that lab order gets transmitted to an integration middleware which then routes it to the lab system. If the integration middleware or the lab system are down, then the provider has no idea the stat order went into a black hole.

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    • deranger@sh.itjust.works ⁨1⁩ ⁨month⁩ ago

      Our lab was absolutely fucked from multiple integrations going down. I’m a Cupid analyst and we weren’t really affected. What app do you work on?

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      • RunningInRVA@lemmy.world ⁨1⁩ ⁨month⁩ ago

        I’m an integration guy at my roots but I lead a variety of different teams at the moment. We use Corepoint as one of our interface engines and it shat the bed big time. We had to restore it from backup, which was nuts in my opinion. We had a variety of apps impacted.

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  • JeeBaiChow@lemmy.world ⁨1⁩ ⁨month⁩ ago

    That’s actually a very smart idea, keeping physical records of every inpatient. Wonder why the ai companies don’t do transcription of medical notes, instead of trying to add ai features to my washer/ dryer combo. Just seems like a very practical use of the tech

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    • deranger@sh.itjust.works ⁨1⁩ ⁨month⁩ ago

      Wonder why the ai companies don’t do transcription of medical notes

      They do, one of the things we’re working on implementing, much to my chagrin, is an AI thing where the doctor leaves their phone out during the visit. It listens to the patient and the doctor and generates a note.

      For me, as soon as I see a doctor have his phone out I’m telling him to put that shit away and I don’t consent to some app listening to what I’ve got to say.

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      • JeeBaiChow@lemmy.world ⁨1⁩ ⁨month⁩ ago

        I meant to transcribe handwritten patient notes to dogital after the patient is released. That way op can retain the physical records for inpatients to mitigate another crowdstrike situation, and still have searchable records long term. Recording a patient consultation sounds like a bad idea all round. They’d have to figure out how to read doctors handwriting though,bbut I gather most of the difficulty is due to the cryptic names they have for things.

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      • conciselyverbose@sh.itjust.works ⁨1⁩ ⁨month⁩ ago

        I doubt you can decline, any more than you can tell them not to use a notebook.

        It is subject to actually serious HIPAA regulations though.

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  • deranger@sh.itjust.works ⁨1⁩ ⁨month⁩ ago

    I’m an Epic analyst - while Epic was fine, many of our third party integrations shit the bed. Cardiology (where I work) was mostly unaffected aside from Omnicell being down, but the laboratory was massively fucked due to all the integrations they have. Multiple teams were quite busy, I just got to talk to them about it eventually.

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  • datendefekt@lemmy.ml ⁨1⁩ ⁨month⁩ ago

    “type notes like a medieval peasant.”

    Huh. I thought medieval peasants were usually illiterate? Even less computer literate?

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