I don't think nobody is saying that is migration is easy or risk free. Some of your complaints I think are more related to how has been done the transition in a particular facility than generally applicable.
About culture, it's true that most doctors just don't type (lot of them refuse to do it). That's why they use voice recognition software or handwrite. But the love to see lab results as soon as they are ready, or prescribing drugs trough a GUI instead of handwriting prescriptions(this saves lives).
Disasters, you are completely right. That's why its needed to develop policies for working "offline". It's not easy, but can be done.
Propietary data formats. That's why Hl7 and Dicom standards exist. They're a f*cking mess, but everyone sort of support them.
About culture, it's true that most doctors just don't type (lot of them refuse to do it). That's why they use voice recognition software or handwrite. But the love to see lab results as soon as they are ready, or prescribing drugs trough a GUI instead of handwriting prescriptions(this saves lives).
Disasters, you are completely right. That's why its needed to develop policies for working "offline". It's not easy, but can be done.
Propietary data formats. That's why Hl7 and Dicom standards exist. They're a f*cking mess, but everyone sort of support them.