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America Braces For Daylight Saving Time - And Missing Medical Records (usatoday.com)

"One hundred years after Congress passed the first daylight saving legislation, more and more people are doubting the wisdom of changing the clocks," writes PBS, noting that it actually makes Americans use more electricity and consume more gasoline.

"If you can find anyone who supports this, they're probably just trolling you," writes Inc magazine's contributor editor, adding "Literally everyone hates it... It's almost impossible to find anyone who still supports this insane, anachronistic idea, which is leftover from a German coal conservation idea during World War I, and our heck-we'll-try-anything panic during the energy crisis of the 1970s." In fact, one study found that while consumer spending increases a bit at the start of daylight savings, it drops a full 3.5 percent in the wrong direction when it ends. (Which will happen tonight in most U.S. states at 2:00 a.m.)

And now USA Today points out that hospital software "still can't handle daylight saving time: Epic Systems, one of the most popular electronic health records software systems used by hospitals, can delete records or require cumbersome workarounds when clocks are set back for an hour -- prompting many hospitals to opt for paper records for part of the night shift. And it happens every year... Dr. Steven Stack, a past president of the American Medical Association, called the glitches "perplexing" and "unacceptable," considering that hospitals spend millions of dollars on these systems, and Apple and Google seem to have dealt with seasonal time changes long ago...

Carol Hawthorne-Johnson, an intensive care unit nurse in California, said her hospital doesn't shut down the Epic system during the fall time change. But she's come to expect that the vital signs she enters into the system from 1 a.m. to 2 a.m. Sunday will be deleted when the clock falls back to 1 a.m. One hour's worth of electronic record-keeping "is gone," she said. Hospital staff have learned to deal with it by taking extra chart notes by hand... Many hospitals use Cerner, another major electronic medical records company. Those hospitals plan for Cerner to be down during the time change, too.

21 of 368 comments (clear)

  1. Just sick of this by Anonymous Coward · · Score: 5, Funny

    The absolute worst part of DST is the stupid semiannual bitchfest on Slashdot.

    1. Re:Just sick of this by Zontar+The+Mindless · · Score: 3, Insightful

      WTF?

      BTW, DST sucks just as bad in Europe.

      --
      Il n'y a pas de Planet B.
    2. Re:Just sick of this by Z00L00K · · Score: 3, Insightful

      DST changes are just a headache, but when you run a computer system then you shall always make sure that timestamps are stored in a "neutral" way by using UTC. What's presented to the user is just a presentation issue in the UI. That's why when coding I always use things like the Unix timestamp or something similar and use a 64 bit integer to be safe. A resolution of milliseconds is usually good enough for the majority of systems.

      --
      If builders built buildings the way programmers wrote programs, then the first woodpecker would destroy civilization.
    3. Re:Just sick of this by Anonymous Coward · · Score: 3, Informative

      DST changes are just a headache, but when you run a computer system then you shall always make sure that timestamps are stored in a "neutral" way by using UTC. What's presented to the user is just a presentation issue in the UI.

      That is more or less a given. The problem is dealing with user input.
      If you are going to record when something was entered then that is fine, there is no reason for the user to input it.
      The complicated part is when you want to input that something happened or should happen at a time that occurs twice.
      Was it during the first or second time that those times occurred?
      Also, the presentation isn't "just a presentation issue".
      "Doctor said we should administer medication every other hour" means that it is necessary to be able to indicate which of the two same hours it was last administered on.

      The problem is easy to solve, but if it is solved differently in every system then every new person will misunderstand it and get it wrong.
      If we are going to keep DST it isn't sufficient to have a standard for how to write those time. The standard also has to be well known.

      Computers are just a red herring in this case, you need to solve it on a pen and paper based system first.
      Updating the GUI is done in 10 minutes after that unless you have to redesign the entire thing to make room.

  2. UTC people by plopez · · Score: 5, Insightful

    I don't know how many times as a programmer, QA, team lead, sysadmin, and manager I had to pound the concept of Universal Time Coordinates into programmers heads. As well as ntp. Both are critical in real life applications. This is one of many reasons I have come to look upon most programmers with disdain and disgust.

    --
    putting the 'B' in LGBTQ+
    1. Re: UTC people by Darinbob · · Score: 5, Insightful

      A: "Why are you in charge of the design?"
      B: "Because I'm a medical records expert!"
      A: "Do you understand time zones, DST, and all their implications?"
      B: "It's just time, how hard can it be? I'm sure all the junior programmers working on it understand that stuff."

    2. Re: UTC people by DNS-and-BIND · · Score: 5, Informative

      And as a result it gets light at 430am in the summer. You're not even up at 6am and it is full daylight outside.

      --
      Shutting down free speech with violence isn't fighting fascism. It IS fascism!
    3. Re:UTC people by Solandri · · Score: 4, Informative

      The problem here is that medical software is generally old. Programmers naively expect everyone to update software constantly, which is not feasible when the updates are expensive and require additional training

      It's not an update problem. I help maintain the computers and software for several doctors. HIPAA required all hospitals and private practices to switch to electronic medical records by 2013. That deadline and more recent requirements being phased in (ICD-10 - standardized codes for reasons for a medical visit - was required a couple years back) means all medical software is relatively new or updated recently. Any doctor using software more than about 2 years old (for ICD-10) is operating illegally.

      The fact that the programmers writing this software are using local time instead of UTC is sheer ignorance, laziness, or incompetence. Another scenario I can think of where local time is a problem is if a patient visits their doctor on the east coast, then immediately flies to the west coast and is hospitalized. The west coast hospital will request the electronic records from the doctor on the east coast. Because it takes some time for the doctor's staff to enter and finalize the data from the patient's visit, due to the different time zones some of the data the west coast hospital receives will be timestamped in the future if the software uses local time.

  3. Re:Here's some fun by blindseer · · Score: 5, Funny

    Give someone some LSD tonight and then change the clocks.

    I do that every weekend, what makes this weekend any different?

    --
    I am armed because I am free. I am free because I am armed.
  4. Keep it on daylight saving forever please. by antdude · · Score: 5, Insightful

    I love the later sunsets at the evenings. ;)

    --
    Ant(Dude) @ Quality Foraged Links (AQFL.net) & The Ant Farm (antfarm.ma.cx / antfarm.home.dhs.org).
    1. Re:Keep it on daylight saving forever please. by sjames · · Score: 3, Insightful

      OK, so you get up an hour early, go to work an hour early, and find the door locked. Then you finally get in, get ready to leave an hour early, and for some reason the PHB objects, so POOF, there goes your sunset, you'll be driving home well into twilight.

  5. Re: this again... by eclectro · · Score: 3, Insightful

    And every year we have the vociferous few who will defend their supposed god given right to force everyone into being a nation of clock fiddlers.

    Sadly, almost every year about a couple of weeks before DST ends there is some news story about kids being killed walking to school in the dark - because the car driver could not see them on the dark road.

    I am quite sure that there are hundreds of people who have died as a result of supposed daylight savings time. This story mentions just one of the problems that could lead to delays with acessing much needed medical records in a timely manner.

    Imagine if there would need to be an airline full of people that would be rammed into the ground when the law was written so we all could be forced to fiddle with our clocks. Do you think that the law instituting it would pass then?? Because we've probably lost more lives than that to the ignoble DST since it was passed back in the '70s. It's time to stop listening to the loudmouths and stop
    having to put up with their forced stupidity.

    --
    Take the cheese to sickbay, the doctor should see it as soon as possible - B'Elanna Torres, "Learning Curve"
  6. the historic, and current reason, for DST by nimbius · · Score: 3, Insightful

    americans: we need to get rid of DST

    commerce: jesus christ are you crazy? we use DST for all sorts of marketing voodoo, especially cinemas and evening activities! you might buy less stuff!

    americans: not likely. we buy everything online anyway.

    commerce: b-but! think of the farmers! they need more time to harvest crops and this time switch gives them more daylight! without DST youll starve the whole country!

    farmer: [casually turns the headlights on in the tractor]

    --
    Good people go to bed earlier.
  7. Re:this again... by Zontar+The+Mindless · · Score: 4, Informative

    All the same problems happen if you change timezones when you move.

    Um, no. When you move, you're in a different place. I know that's a challenging notion for someone who lives in Mom's basement, but please do try.

    When we we go off DST here, you go from sunset at 5PM one day to sunset at 4PM the next. It is quite unsettling.

    --
    Il n'y a pas de Planet B.
  8. UTC represented as an epoch number by raymorris · · Score: 3, Insightful

    UTC is certainly the right time zone to use where you, for some reason, need to store a human-readable string that represents a time. Most of the time relared problems and bugs aren't solved by storing times as UTC, though.

    The thing is, you can't get your time calculations right when using year-month-day hour-minute-second format. Almost every professional implementation has had bad bugs. Even if you DID get it bug free, we'd break it after you ship it because we change the rules from time to time.

    How many seconds are in a minute?
    It's not always sixty seconds.

    What time comes after 23:59 59, in UTC.
    If you said midnight, as a programmer, you're wrong (sometimes it's 23:59:60 UTC, such as on December 31, 2016).

    The way to store times as as an integer since the epoch. Unix, Linux etc set the epoch at January 1, 1970. The current Unix epoch time is therefore 1541311061. (That's how many seconds have elapsed since the epoch). Any recent choice of epoch is fine, unless your concerned about times centuries ago.

    When you try to store an manipulate times as strings, you end up with crap like time going backwards, which breaks all kinds of things.

    The only sort-of exception is I wouldn't yell at you for using the temporal types in a well-established relational database like MySQL and MS SQL. They do have bugs, and storing it as a number is more accurate, but the Mysql date handling isn't atrocious.

  9. Re: As far as I know by peppepz · · Score: 5, Insightful

    It is more complicated than it seems. In the EU, northern countries (who seem to be the ones who actually care) want DST to be always off, while southern countries want it to be always on. So after the switch we might end up with "horizontal timezones" where previously we had no timezone difference at all, and this way incompetent programmers who store dates as strings will cause damage all year round instead of twice a year. In the US it might not be much of a problem because people are already used to different timezones.

  10. Re:"Literally everyone hates it... " by Kaenneth · · Score: 3, Insightful

    *or* they could just change when school starts.

  11. Is it really that difficult? by ukoda · · Score: 5, Funny

    Am I the only one who finds it amusing that America can defend the use of Imperial measurements and yet is it daylights savings that is too hard?

    Yea, sorry, mark down as flame bait if you must, but I still find this funny.

  12. Re:Any software... by arcade · · Score: 5, Interesting

    The problem with Leap seconds is that they are really, really problematic under unix. Unixtime literally doesn't have leap seconds. There are hacks and workarounds, but only that.

    There are only two real solutions:

    1. Get rid of the concept of leap seconds. The earth's rotation will slowly drift out of sync with astronomical time - but only with about a minute per century. Let someone deal with a leap hour in 6000 years time. Having all of society deal with astronomers who don't want to keep track of this on their own is just silly.

    2. Redefine unixtime to include leapseconds. Change the POSIX standard and all other relevant standards to have unix run on TAI instead of UTC. Keep an /etc/leapseconds where all leapseconds are inserted. Let the system time conversion libraries deal with the conversions authoratatively.

    And don't get me started on the hackish fugliness of leap second smearing. Ye gods is that an ugly hack.

    --
    "Rune Kristian Viken" - http://www.nwo.no - arca
  13. Re:Here we go again,...... by bill_mcgonigle · · Score: 3, Interesting

    Yeah, see, it's such a bad idea that even a /. headline doesn't get it right.

    Also, go work for a company that starts work 1 hour sooner in the summertime. Somehow, Home Depot manages to change their hours twice a year, unrelated to the government calendar, and everybody gets by just fine.

    --
    My God, it's Full of Source!
    OUTSIDE_IP=$(dig +short my.ip @outsideip.net)
  14. Han Solo in carbonite by Latent+Heat · · Score: 4, Funny

    The "word on the street" is that Epic Systems has a high level of employee turnover, in part because of burnout of the persons involved, in part because the company's approach to firing people being that of the Queen of Hearts from Alice in Wonderland ("Off with his head!").

    I have been told by people who have been out to their Verona, WI campus that there is a wall, where employees reaching their 2-year employment anniversary record their hand prints in plaster. I guess a 2 year anniversary is a big milestone if you work there.

    My question is, are those hand prints on the outside pushing in, or are do they appear from the inside of the wall pushing out?