TE
TechEcho
Home24h TopNewestBestAskShowJobs
GitHubTwitter
Home

TechEcho

A tech news platform built with Next.js, providing global tech news and discussions.

GitHubTwitter

Home

HomeNewestBestAskShowJobs

Resources

HackerNews APIOriginal HackerNewsNext.js

© 2025 TechEcho. All rights reserved.

InQuickER: See the ER doc in 15 minutes or less, or your ER visit is free

102 pointsby tkileyalmost 16 years ago

22 comments

iamelgringoalmost 16 years ago
So, I've been an ER nurse for the last 15 years. I run the Hackers and Founders Silicon Valley meetup, and I love to support startup ideas. It's extremely rare that I don't support a startup idea or give it a fair shake.<p>This is a <i>spectacularly bad idea</i>. I can unequivocally say without a doubt that if you pursue this service, someone will die.<p>Why? Because I've seen it happen.<p>Part of my job as an ER nurse is to triage patients that come in. Triage involves sorting through the dozens of patients that come in every night, and decide who can wait and who cannot because they have a life threatening emergency. People having symptoms of a heart attack move to the front of the line. People who ate a bad taco and have the shits get seen on a space available basis. That's the gig. I sort patients: sort_by_acuity([bad taco, bad taco, bad taco, heart attack, runny nose, cough, gun shot wound, ear infection, headache, headache, headache, stroke, headache]).<p>I've been doing this job for 15 years, and I have seen plenty of triage mistakes that can change people's lives for ever. I've made a few myself. You care for thousands of patients a year, you're going to drop a ball every now and then. But, I have a lot of experience doing this, and I have a lot of knowledge and very good instincts on when someone is very ill. Patients do not have that knowledge and I would never trust your customers to make that decision when life and death is on the line.<p>This is why ER's are almost universally abysmal at judging how long it's going to take to be seen by the doctor. The same team that is taking care of your earache at 3am or helping you get stitches after you cut your finger on your computer case, is the same team that can crack your chest open and do open heart massage on you after a thug sticks a knife in your heart. We take care of bladder infections and dying babies, sometimes right next door to each other at the same time. ER's are built for safety, not speed or even convenience. The fact that in the US, they are primarily the only type of physician that can be seen 24/7 without an appointment is an unfortunate effect of our health care system. But, we have to care for the sickest patients first, and you can never predict when the next ambulance is going to roll through the door. So, ER's suck at estimating wait times. But, you will, eventually see a doctor.<p>Now, I understand that you have a disclaimer that says that people should call 911 for Emergencies, and that they will not use your service for life threatening emergencies. I don't think that's not going to keep you from getting sued when Uncle Bob dies of his massive heart attack that he though was a bad burrito and put his name on your waiting list. That's also not going to help you sleep at night thinking about how you might have prevented Uncle Bob's death.<p>I'm not trying to flame you. I'm really not trying to be nasty. I'm just trying to communicate what a big, big, huge mistake I believe this application is. Please, shut it down.
评论 #630166 未加载
cscottalmost 16 years ago
Talk about contributing to the public health problem in our ERs.<p>Emergency medicine in the US is in a horrible state. Overcrowding is one of the primary reasons. See: <a href="http://www.ama-assn.org/amednews/2009/01/19/prsb0119.htm" rel="nofollow">http://www.ama-assn.org/amednews/2009/01/19/prsb0119.htm</a><p>One of the primary reasons for the large influx of patients is the diversion of primary care visits into the ER for non-urgent matters. A booking system that encourages non-urgent care visits to the ER as opposed to other urgent care options does nothing to help this.<p>As other commenters have mentioned, the problem with overcrowded ERs from a patient perspective where they have a potentially emergent case is NOT in the middle of the night - it's during the day, where other options (including primary care and urgent care facilities) are available.<p>Emergency medicine should not be treated in the same convenience form-factor as other consumable goods, and applying this approach is socially irresponsible in the big picture.
评论 #629289 未加载
tkileyalmost 16 years ago
This is my startup. 100% bootstrapped and ramen profitable. Questions and comments encouraged. Thanks for checking it out!
评论 #629516 未加载
评论 #629280 未加载
评论 #629101 未加载
stevenbedrickalmost 16 years ago
Great idea! Which EHR/scheduling systems do you currently interoperate with? EmStat, Epic, etc. Alternatively, if you're not directly hooking into the ER's systems:<p>A) What sort of workflow do you use to exchange scheduling and appointment data between your site and the ER?<p>and<p>B) Is it the same for each participating hospital? If not, how are you planning on scaling your operation to include more than four hospitals? I'm genuinely curious, having done some work on ER workflow analysis and modeling. I think this is a great idea, but can envision some pretty significant workflow issues on your horizon depending on how you've got stuff set up currently.
评论 #629080 未加载
评论 #629104 未加载
invisiblealmost 16 years ago
Just for a note as to my experience, there should be a "relinquish" or "Cancel" when setting up an appointment. I clicked next step and it booked my time temporarily. Ten minutes later it'll be open, but if you're releasing this you're going to want to allow us curious folks to cancel out.
评论 #630266 未加载
Adrenalistalmost 16 years ago
Sounds like a neat idea. You obviously have to get hospital permission/buy-in before this idea could really take off. This is a similar idea to OpenTable, the dining reservation system. Perhaps you could do (or already have done) some research to find out how that company has succeeded/failed and apply those lessons to your efforts. Online based reservation systems are a great idea, but seems like a lot of leg work is required to get it really rolling. Classic chicken/egg problem here with early adopters.<p>1. Add some auto-suggest features to the 'add a hospital' form.<p>2. Use an IP address/geolocation service to guess where I'm located and pre-populate the state for the form.<p>3. I tried to add my local hospital, and received a very ugly error message:<p>====<p>Internal Error<p>There was an error processing your request. The system administrator has been notified of the problem, it will be fixed as soon as possible. Please try again later. TELEPHONE SUPPORT<p>For telephone assistance, call our on-duty support technician at (770)-597-9185.<p>====
评论 #629038 未加载
Feynmanalmost 16 years ago
Nifty idea -- I work for a Hospital with California's largest ER, and several ERs in other hospitals owned by the same company. Unfortunately, I'm having a hard time seeing something like this working in our environment (for a variety of reasons). However, I CAN see how this could be killer for small Urgent Care clinics. I can't tell you how many times I'd love to just go on a website and see what the wait times are for all my local urgent cares -- and then reserve/travel to the one I can get in quickest. Nice idea, clean design... really cool. Best of luck with it.
absconditusalmost 16 years ago
If you can afford to wait do you actually have an emergency? There are many other options, including clinics in drugstores, which don't burden emergency departments.
评论 #629041 未加载
评论 #629044 未加载
评论 #629047 未加载
tptacekalmost 16 years ago
A killer idea. Every friend of mine that has had kids echoes my experience, which is that you end up going to the ER way more than you expect to --- your primary care pediatrician sends you there any time the answer to an "is it serious" phone call is "maybe".<p>If this scales, it will let me pick which of 4 local ER's I'm going to go to based on wait time. I'd pay $50 a visit for that. I'd subscribe to a service like this simply in anticipation of needing it eventually.<p>Good luck.
matt1almost 16 years ago
What an ambitious, innovative idea--nice work.<p>I don't understand (even after looking at the How it Works page) is how it works. Since you can't predict what types of injuries that are going to come in that are more critical than yours, how can you gaurantee an appointment time?
评论 #629123 未加载
danwalmost 16 years ago
I'm not sure I comprehend this. Isn't it the role of the emergency services to prioritise your visit? If you're critical you'll get seen, otherwise you wait.<p>If you're capable of shopping around for the best appointment time then shouldn't you be seeing a GP instead?
评论 #629182 未加载
jacoblylesalmost 16 years ago
Awesome, meaningful, useful startup. Congratulations. I hope you are successful and expand to my area. My friend spent 4 hours in the ER on his birthday to get some stitches. This would have been a huge help.
delanoalmost 16 years ago
This is a great service but it seems unfortunate that it has to exist at all.<p>The health system in Canada isn't ideal (or the Netherlands where I am now) but having to check emergency room wait times has never even occurred to me.
评论 #629255 未加载
评论 #629309 未加载
JimmyLalmost 16 years ago
What this service does, if I'm reading this right, is bypass the stage where you talk to a triage nurse - you're triaged based on what you report is wrong with you, as opposed to what a nurse sees is wrong with you.<p>Do you have any mechanisms in place for two-way communication between the hospital and the people booking appointments? Specifically, I'm thinking about situations where a series of individually minor symptoms may collectively indicate something major is going on, but that a layman wouldn't know.<p>Like let's say that I go on your site and see that I can get an appointment at an ER in three hours, so I book that because I'm feeling slightly off. My symptom description seems innocuous enough - went for a walk in the countryside, right arm is tingling a bit, small red bump on my leg, etc. - but to someone trained in medicine they indicate that I've been poisoned by some sort of tick, and I need treatment ASAP, as opposed to in three hours. Is there a way for the nurse who processes this reservation into the hospital to call me and say "screw the booking, get here now!"?
评论 #629276 未加载
calambracalmost 16 years ago
Great idea, but why focus on the ER in your branding? The question that the end user has is "How can I get treatment for this health problem as soon as possible, without having to wait around in a waiting room"? It seems like the way that you're answering this could easily be extended to clinics and urgent care centers, couldn't it?<p>Also, I echo the calls for a map-based or local-search interface.
评论 #629364 未加载
edw519almost 16 years ago
Nice. You may want to consider a Google maps mashup centered on my location. If the hospital(s) I know aren't participating, this would be easier to use than a drop down box.
评论 #629178 未加载
byrneseyeviewalmost 16 years ago
Interesting. Actually, this is a good way to separate two of the crucial functions of health care: actually fixing medical problems, or demonstrating serious concern and sympathy for someone's medical problems.<p>A person interested in the first can use inquicker; someone more interested in the latter can still bustle off to the ER and pace around, or something.
tptacekalmost 16 years ago
Real quick: SIFR for typography not a win. I'm not some crazy paranoid, but I block Flash by default because it kills my browser.
cadalacalmost 16 years ago
Wow I think you have a great idea. We really need something like this in Canada. What are your rates? I couldn't find them on the site.<p>Oh, and one last question: where you funded by YC?
评论 #629112 未加载
评论 #629215 未加载
nerdburnalmost 16 years ago
Awesome :) Glad to see this taking off Tyler. Nice to see my new design on there. PS. Center the layout ;)
评论 #630121 未加载
ivankiriginalmost 16 years ago
Emergency services: there in minutes when seconds matter.
eriesalmost 16 years ago
Very cool.
评论 #629109 未加载