What happens when clinical trial technology works exactly as requested—but makes the study worse? Jason Spivey, founder of Unifora, joins Steve to unpack the operational mistakes that can turn promising technology into expensive problems, from overwhelming participants with notifications to testing site workflows without anyone who understands how sites actually work.

They also discuss why sponsors, CROs, sites, and vendors struggle to align their incentives, how technology gets purchased without enough scrutiny, and why some integrations consume months of work without solving a real problem. Plus: carbon-copy paper belongs in a museum, Jason's enthusiasm for haunted attractions, and how much he'd pay to escape a particularly unfortunate chair-related curse.

00:00

Meet Jason Spivey & Unifora

04:48

Do Sponsors, Sites & Vendors Really Share the Same Goals?

08:02

Why Collaboration Breaks Down

10:13

The Clinical Research Museum

11:23

Haunted Houses & Halloween Horror

12:51

The $1 Million Chair-Fart Curse

14:10

When Technology Works but the Experience Fails

16:32

Who Owns a Bad Technology Decision?

18:06

The Problem With User Acceptance Testing

20:38

Are We Getting Better at Choosing Technology?

22:53

The Mistakes Sponsors Keep Repeating

26:11

How Jason Uses AI

29:25

When Technology Was the Wrong Purchase

32:51

When to Cut Your Losses

34:47

Closing & Where to Find Jason