Insights · 20 articles · 5 topics
How this softwareactually gets built.
Notes from the people building hospital platforms, clinical AI and the integrations between them. Written for the engineers, clinicians and security teams who have to live with the result.
No thought-leadership theatre. What we decided, why, and what we would do differently.
Reading
Latest articles.
Newest first. Filter by what you work on.
EngineeringChoosing boring technology on purposeIn a domain where software outlives the team that wrote it, novelty is a liability with a delayed invoice. How we decide when something new is worth it, and the questions that usually settle it.EngineeringThe unglamorous release: shipping without a drama every timeAnyone can stop a release here. Why 'correct beats fast' is a process and not a slogan, and the review, migration and rollback habits that let a small team put clinical software live at a hospital and sleep afterwards.EngineeringSmall teams, real ownership: how enterprise product work runsThe same engineering that goes into our hospital platforms goes into enterprise product work: named owners, decisions written down, and a short line between the person who decides and the person who lives with it.EngineeringThe cost of a feature is not the buildEstimates cover the construction and ignore the decade of ownership that follows. What we try to count instead, and why the cheapest feature is frequently the one that was not built.
Stay in the loop
Get new writing when it lands.
Occasional, technical, and never a newsletter for the sake of one. We will only write when we have something worth your time.