> None of this is really surprising to me; any inadequate system seems to have a tendency to create its own shadow workflow that hides problems by working around them.
This reminds me strongly of Seeing Like A State. The formal system only appears to work because it's supported by an informal system devised by actual users.
The system is created according to a "map" or abstraction of the real hospital. But the map is always lacking in detail, may be skewed in various ways, and results in an unrealistic system.
This reminds me strongly of Seeing Like A State. The formal system only appears to work because it's supported by an informal system devised by actual users.
The system is created according to a "map" or abstraction of the real hospital. But the map is always lacking in detail, may be skewed in various ways, and results in an unrealistic system.