Junaid NiaziHost
Some time ago, my organization instituted a new interruptive alert to make sure several suspected diagnoses were captured, if appropriate.

And it was interrupting our regular workflows and interactions with the chart, distracting us from the care we were trying to deliver.

It may have been two to three extra clicks, but that multiplies out across a full slate of patients really quickly.

What stuck with me is that nobody who made that decision ever found out what it cost me.

Not because they didn't care, but because there was no mechanism for them to find out.

But it got me to stop thinking about this scenario as a people problem, and started thinking about it as a design problem.

And that got me to a thought experiment I have not been able to stop chewing on since.

I want to be really clear about that, because this is going to sound like a rant for the next several minutes, and it isn't one.

Some time ago, my organization instituted a new interruptive alert to make sure several suspected diagnoses were captured, if appropriate.

And it was interrupting our regular workflows and interactions with the chart, distracting us from the care we were trying to deliver.

It may have been two to three extra clicks, but that multiplies out across a full slate of patients really quickly.

What stuck with me is that nobody who made that decision ever found out what it cost me.

Not because they didn't care, but because there was no mechanism for them to find out.

But it got me to stop thinking about this scenario as a people problem, and started thinking about it as a design problem.

And that got me to a thought experiment I have not been able to stop chewing on since.

I want to be really clear about that, because this is going to sound like a rant for the next several minutes, and it isn't one.
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