[arethuza]

From what I've heard the fact that every single hospital insisted that it's requirements were special and that they could never standardize was one of the contributing factors in the great NHS systems disaster.

Of course, the other part was the the consultants doing the analysis were quite happy to work with this complexity as it meant more billable time for them - they had no incentives to make anything simpler.

NB I'm not implying that medics should be forced to standardize when it isn't relevant - getting the right level of standardization of processes is why implementing these kinds of systems is so difficult.