[analog31]

This is the "enterprise software problem," to wit: All enterprise software sucks because it's sold to administrators and not to users.

A friend of mine works for one of the EMR software companies, though he doesn't program any more. I've also experienced the adoption of large scale enterprise packages such as SAP and SharePoint.

As I understand it, the UI design is literally an afterthought, because it doesn't exist at the time of sale. The expectation is that somebody will adapt the software to the customer's processes by creating custom UI's, data base structures, and work flows. There is a mad scramble to throw this stuff together and make it work. I suspect there is simply no time to sit down with workers and respectfully find out how they do their jobs. And processes that worked because the employees didn't follow the procedure, suddenly stop working when coded into software.