I've been fortunate enough to deal only with large healthcare facilities. But you're right: any problems generally have involved smaller sites with fewer IT resources, meaning that they call software vendors about "Hard Drive Full" error messages, or fail to follow instructions like "ensure your SQL Server volume has at least as much free space as your existing database before running this script" and then call asking what to do. Actually I remember one clever fellow who decided to backup his folder of dbfs but accidentally "moved" rather than copying, into a folder that had a previous backup. When asked if he wanted to overwrite existing files, he answered "No to All." He then raised an urgent support call asking us how to restore the data.