Daniel Little
Electronic Health Record systems (EHRs) have been broadly implemented by hospitals and health systems around the country as a way of increasing the accuracy, availability, and timeliness of patient health status and treatment information. (These systems are also sometimes called "Digital Medical Records" (DMRs).) They are generally regarded as an important forward step in improving …
Continue reading "Electronic Health Records and medical mistakes"
Understanding Society has now reached its twelfth anniversary of continuous publication. This represents 1,271 posts, and over 1.3 million words. According to Google Blogspot statistics, the blog has gained over 11 million pageviews since 2010. Just over half of visitors came from the United States, Great Britain, and Canada, with the remainder spread out over …
Allan McDonald's Truth, Lies, and O-Rings: Inside the Space Shuttle Challenger Disaster (2009) has given me a somewhat different understanding of the Challenger launch disaster than I've gained from other sources, including Diane Vaughan's excellent book The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA. McDonald is a Morton Thiokol (MTI) insider who was present through …
Technologies and technology systems have deep and pervasive effects on the human beings who live within their reach. How do normative principles and principles of social and political justice apply to technology? Is there such a thing as "the ethics of technology"? There is a reasonably active literature on questions that sound a lot like …
Continue reading "Ethical principles for assessing new technologies"
Earlier posts have focused on the role of inadequate regulatory oversight as part of the tragedy of the Boeing 737 MAX (link, link). (Also of interest is an earlier discussion of the "quiet power" through which business achieves its goals in legislation and agency rules (link).) Reporting in the New York Times this week by …
I've been interested in the economic history of capitalism since the 1970s, and there are a few titles that stand out in my memory. There were the Marxist and neo-Marxist economic historians (Marx's Capital, E.P. Thompson, Eric Hobsbawm, Rodney Hilton, Robert Brenner, Charles Sabel); the debate over the nature of the industrial revolution (Deane and …
The discipline of experimental economics is now a familiar one. It is a field that attempts to probe and test the behavioral assumptions of the theory of economic rationality, microeconomics, and game theory. How do real human reasoners deliberate and act in classic circumstances of economic decision-making? John Kagel and Alvin Roth provide an excellent …
Continue reading "Experimental sociology of norms and decision-making"
It is of both intellectual and practical interest to understand how organizations function and how the actors within them choose the actions that they pursue. A common answer to these questions is to refer to the rules and incentives of the organization, and then to attempt to understand the actor's choices through the lens of …
We think of artifacts as being "functional" in a specific sense: their characteristics are well designed and adjusted for their "intended" use. Sometimes this is because of the explicit design process through which they were created, and sometimes it is the result of a long period of small adjustments by artisan-producers and users who recognize …
An increasingly pressing consequence of climate change is the rising threat of flood in coastal and riverine communities. And yet a combination of Federal and local policies have created land use incentives that have led to increasing development in flood plains since the major floods of the 1990s and 2000s (Mississippi River 1993, Hurricane Katrina …
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