feedback on this Of the nine unintended adverse consequences of computer provider order entries (CPOE), I have found that the third adverse consequence, never-ending demands for system changes, is perhaps the most challenging consequence to overcome. Mcbride and Tietze describe this unintended adverse consequence as users relying "more heavily on the software and demanding more sophisticated functionality and new features" (2022). This unfortunate reality pertaining to HIT, EHR's, and the end-user experience. Every end-user has their own preference to how systems could help improve their workflow, so demands for changes to their EHR of choice will be a frequent issue. This issue is not exclusive to healthcare. All software released to the public domain for consumption will be subject to never-ending demands for system changes. This applies to everyday consumer software like Microsoft Word to the more bespoke software like EHR's. I have personally experienced this same unintended adverse consequence of CPOE in my professional experience as well. The Department of Veterans Affairs took its' first steps into using an EHR system with the creation of VistA in the 1970's and the Computerized Patient Record System (CPRS) in 2000. These two systems were among the first of their kind. However