[edude03]

> but errors are almost always a skill issue

Sure but to compare it to tech, this is why we build tooling like linters and typed languages so that we don’t lose millions of dollars because we needed the average developer to implement a feature. I imagine in heath care it’s even more skewed because a SW eng can see the compiler output and make changes but the person entering the data isn’t (for example) the nurse that’s using the needles to be accounted for

[tomatocracy]

There are indeed tools like this available for Excel. And there are also whole practices within the big accountancy firms, and independent firms which focus on providing "audit" of Excel files like this, which are used commonly where there are financial firms involved in a project with big money at stake (lenders, financial investors, etc). But in my experience these tools and services aren't often used for the spreadsheets which are used for day to day corporate-type management (I would count government as part of that).