Perot System markets an HIS and all they've got is "green screen".  They
seem to sell quite a few of them.  My cousin's wife (an installation
spec and application trainer) travels all over.  It's all Marketing
 

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of
Joseph Dal Molin
Sent: Thursday, September 16, 2004 7:30 AM
To: [EMAIL PROTECTED]
Subject: To GUI or not to GUI? (was)RE: [Hardhats-members] How to
accessScreenMan

Reply follows:

On Thu, 2004-09-16 at 10:17, Marc Aylesworth wrote:
> There is truth to what is said but is effiecency tied to patient care.
> Accuracy sure is but if the people at the front desk take a few extra 
> seconds checking someone in does not really affect the quaility of 
> care the patient is receiving.

[jdm] Ultimately it does because with higher efficiency more resources
can be focused on patient care

>  The interface should be the choice of the user not the programmer it 
> has to be familiar, easy to change mistakes, and easy to use. GUI's a 
> prvelant to almost all applications and operating systems and is 
> familiar to most users.

[jdm] I agree the user should ultimately have the choice...
unfortunately most solutions make the choice for them and secondly there
is little to go by in making informed choices...that is the rationale
behind the need for evidence based evaluation of software...at least
IMHO.

Cheers

Joseph

> 
> 
> Thank you,
>  
> Marc Aylesworth
> Health Specialist Technician
> Oneida Indian Nation
> 223 Genesee Street
> Oneida, New York 13421
> (315) 829-8909
>  
> 
> 
> This electronic transmission is intended only for the use of the 
> individual  or entity to which it is addressed and may contain 
> information that is privileged, confidential or exempt from disclosure

> under applicable law.
> 
> If the reader of this message is not the intended recipient, you are 
> hereby notified that any dissemination, distribution, or copying of 
> this communication  is strictly prohibited.  You are also requested to

> please notify the sender immediately by e-mail and delete the original

> message.
> 
> -----Original Message-----
> From: [EMAIL PROTECTED]
> [mailto:[EMAIL PROTECTED] On Behalf Of 
> Joseph Dal Molin
> Sent: Thursday, September 16, 2004 9:56 AM
> To: [EMAIL PROTECTED]
> Subject: Re: [Hardhats-members] How to access ScreenMan
> 
> Richard,
> 
> Thank you for your thoughtful reply... having been a pilot myself I 
> can relate to your examples all too well.
> 
> I believe that we have been on a trajectory of "new is better" for so 
> long in the IT industry that this cultural bias has become a reflex 
> reaction. It is this same mind set which has attached the pejorative 
> label of "legacy" to M for example and with it writing off VistA as an

> old clunker.
> 
> What is missing is a measure of the human opportunity cost of the 
> impact of thinking this way... NASA won't fly the shuttle for years 
> without solving an O-ring problem or the insulation problem...yet 
> hospitals in North America are crashing plane loads of people a month 
> because they have poorly integrated or inadequate IT solutions. I 
> suppose if IT decision makers' lives were tied to the quality of their

> choices things would change dramatically....couldn't resist that
zinger.
> 
> The key ingredient IMHO that is missing is scientific, evidence based 
> evaluation of the impact on health outcomes of IT solutions. We do 
> clinical trials for drugs...it is high time we did that for software 
> solutions and raised the bar of acceptability.
> 
> ....my apologies if this seemed like a rant to some.
> 
> Joseph
> 
> 
> On Thu, 2004-09-16 at 09:26, Richard G. DAVIS wrote:
> > Joseph:
> > 
> > Your comment raises an issue I have considered for a long, long
time.
> 
> > As a Human Engineer, I know that the vast body of research already 
> > in place would support the view that, for specific types of 
> > tasks--REGISTRATION being one example, the classical
'roll-and-scroll'
> 
> > of DHCP (now VistA) is significantly superior to 'GUI' styles of
> display.
> > 
> > I once prepared a major research proposal for the DVA in the late 
> > 1980's that was intended to bring some empirical evidence out on 
> > this
> issue.
> > However, I set the work aside after I decided that the cultural 
> > atmosphere surrounding this matter would not allow the results of 
> > such
> work to prevail.
> > 
> > People "like" the GUI style of display, and accept the GUI as 
> > superior
> 
> > on the face of it.  In my own experience I have often observed that 
> > people don't "like" work place arrangements that are superior from a

> > performance or productivity point of view.
> > 
> > In the late 50's I did a study that provided evidence of the 
> > overwhelming superiority of "thermometer" style of display for 
> > aircraft engine instruments when compared to the classical "clock"
> style of instruments.
> > Pilots, the cultural judges of such things, repeatedly rejected 
> > "thermometer" displays.  Even today, when cockpits use "glass"
> > technology for engine instruments, the clock style is still used 
> > more
> often.
> > 
> > It is the overwhelming momentum of of cultural bias, lubricated with

> > a
> 
> > measure of technological ignorance, that keeps the GUI style in play

> > where it is just plain wrong headed to use.
> > 
> > Joseph, I doubt that you will ever see the kind of Industrial and
> Human
> > Engineering studies done that your comment suggests.   ....but, one
> can
> > hope.   :-)
> > 
> > Mind you, there are definitely work situations in using computers 
> > where the GUI is definitely the superior style to use.  As there are

> > cases in which the GUI style in not only inferior, but can even be 
> > adverse to the point of being criminal.  Health care systems are 
> > especially vulnerable to this possibility.
> > 
> > Regards,
> > 
> > Richard.
> > 
> 
> 
> 
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