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Real paper is probably as much about breaking from the "IT culture" as it's about the physical properties. E-ink display would probably help with power outage, but happily display BSOD in an incident like this.



Honestly if you were designing a system to be resilient to events like this one, the focus would be on distributed data and local communication. The exact sort of things that have become basically dirty words in this SaaS future we are in. Every PC in the building, including the ones tethered to equipment, is presently basically a dumb terminal, dependent on cloud servers like Epic, meaning WAN connection is a single point of failure (I assume that a hospital hopefully has a credible backup ISP though?) and same for the Epic servers.

If medical data were synced to the cloud but also stored on the endpoint devices and local servers, you’d have more redundancy. Obviously much more complexity to it but that’s what it would take. Epic as single source of truth means everyone is screwed when it is down. This is the trade off that’s been made.


> synced to the cloud but also stored on the endpoint devices and local servers

That's a recipe for a different kind of disaster. I actually used Google Keep some years ago for medical data at home — counted pills nightly, so mom could either ask me or check on her phone if she forgot to take one. Most of the time it worked fine, but the failure modes were fascinating. When it suddenly showed data from half a year ago, I gave up and switched to paper.




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