Those of you who know me well know I am
always an advocate of testing, especially
in areas where patient safety is concerned.

This is one of the reasons I'm glad that the 
OpenVistA movement has started to build up
some momentum, because it means that we
can start to apply some industry wide 
processes to the creation of MUMPS and VistA 
based systems.

There is an article by Alan Cox
(of Linux Kernel Fame) about these issues at:

http://www.pingwales.co.uk/software/cox-on-better-software.html

The whole article is interesting, but I'd 
like to see if we can discuss the part
about Root Cause Analysis:

Root cause analysis: "I've got a friend who works on aeroplanes, and he has
the wonderful job of, when a piece of an aeroplane falls off, cracks, or
something before it was supposed to, they go to him and say 'why did it
happen?'. And it's then not a case of saying 'oh, this analysis is wrong',
it's saying 'how did this analysis come to be wrong? How did it make this
wrong decision? Where else have we made this decision?' People are starting
to do this with software."

"The OpenBSD Project started doing it with security in particular, and found
it very effective. Every time somebody found a mistake, they'd take the
entire software base for these systems - bear in mind, working in the open
source world you have a lot of source code, so it's much easier - and you
look, with the aid of automated search tools, for every other occurrence of
the same problem, in all your software. Because if someone's made a mistake
once, we know lots of other people will have made the mistake. 

"All of this sort of analysis then leads back to things like, what tools
didn't we use? Are our interfaces wrong? And because you're able to actually
start digging in and get data, you can start to understand not only the 'oh,
it's failed, I'll fix it', sort of the car mechanic approach to software
maintenance, but actually the need do the kinds of things that should be
done and which go on elsewhere, where you say 'Why did this fail? Where else
have we got this? Where else will it fail? What should I do proactively? How
do I change the software component involved so it can't happen again, or so
that it blows up on the programmer when they make the mistake, not blows up
on the user when they run the software?". 



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