death by bad design

Joyce Lee, MD, MPH, Doctor as Designer

Twitter: @joyclee @healthbyus @Ross_DnB

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Death by Bad Design?

Thanks @Ross_DnB for collaborating w/ @healthbyus on this awesome conference!

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I/we have no ties to any pharmaceutical companies

#subliminalmessage

#shamelessplug Follow me on Twitter

@joyclee

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HealthDesignBy.Us Twitter: @healthbyus FB: healthdesignby.us

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Karen Farris Janice Stumpf

Cesar Alaniz Mike Dorsch

D + B #makehealth #DplusB

Patient-centered Participatory Design

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MD to Patient Passive Solitary

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Patient to Patient Active

Collaborative

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Come to the We #makehealth Fest

August 2015!

“Learning to design is learning to see”

-Oliver Reichenstein

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#design #suckiness

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“B”

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The needle

is opposite

to the cap,

which is

counter-

intuitive

Epipen Design Flaw

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Life or

death is

stressful!

Don’t make

me think!

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>15,000 Unintentional injections from Epi-Pens in the US

between 1994-2007

There were

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It’s an awkward

size, &

doesn’t fit in your

pockets

Design Flaw

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Whoa the

cap &

needle are

at the

same end!

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It

tells you

what to

do!

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It’s thinner

and

shorter &

fits in your

pocket!

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“Bad Design Causes Injury”

“Good Design Saves Lives!”

“Aesthetics Do Matter for Health”

Design Insights

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Sicherer, 2011

“patients often forget [the device], allow it to expire”

“Children had only used their EpiPen device in 29% of recurrent anaphylaxis reactions. This is perhaps unsurprising because a fear of needles/injections is common”

“patients frequently do not understand how and when to use [the epi-pen].”

Blaming the Patient

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Patient problems are really

design problems

Joyce Lee, MD Medical Designer

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Fix the design, and it’s no longer the

patient’s problem

Joyce Lee, MD Medical Designer

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The Pediatric Resident Brain

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Why is this part of the bread and butter

of medical training?

Acetaminophen (Tylenol)

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It’s the most frequently used

medication in the US

23% of individuals use the drug weekly

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Acetaminophen (Tylenol) Toxicity

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The most common cause of Acute Liver Failure in the US

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Unintentional overdoses account for 15% of cases

of Acute Liver Failure

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#makehealth #DplusB Propublica: Use Only as Directed

http://bit.ly/1MlKd6X

Not just injury but death

Who is at risk?

Kids: teething, fever, cold & flu Younger women: menstrual, migraine,

muscle pain Pts w/ chronic pain: high doses & multiple

acetaminophen-containing meds Alcoholics: lower threshold for toxicity

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Why is this a #design problem?

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Acetaminophen is an ingredient in over 600

prescription and non-prescription medications

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85% of 16-23 year olds are unable to interpret labeled

dosage information correctly

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Close to half of adults incorrectly measure

children and infant liquid acetaminophen doses

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1/3 of individuals are either unsure of the maximum dose or

unsure if a maximum dose exists

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Just 35% of surveyed adults are aware of the

potential for liver toxicity

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Individuals may not know that Prescription Painkillers also

contain Acetaminophen

APAP Another name for Acetaminophen

#confusing

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Human-Centered Design Thinking

User-Centered Problem Solving

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Patient-Centered Design Thinking

Participatory Problem Solving

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Empathy Prototype Define Ideate Test

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Empathy Open ended questions

(Who? What? When? Where? How? Why?) Be quiet and listen

Encourage expert to talk more Dive Deeper

Explode out/record problems Assign a scribe!

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Define User-defined problem

Of the problems identified, narrow to one: “How might we…”

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Ideate Explode out/record as many ideas

as possible (50+) Be visual

Build on the ideas of others Wild ideas!

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Prototype Prototype, test and refine and be ready to present

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Test Iterative Feedback from User

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Inspiration

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https://www.pillpack.com/ #makehealth #DplusB

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http://goo.gl/Tt9C71

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http://buff.ly/1A2KbKG

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http://goo.gl/ALzA7G #makehealth #DplusB

The Ballot

http://goo.gl/ALzA7G #makehealth #DplusB

The Report Card

http://goo.gl/Tt9C71 #makehealth #DplusB

Mortgage Forms

http://goo.gl/jLpAoH

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US Income Tax Form Before

http://goo.gl/GtKEfC #makehealth #DplusB

US Income Tax Form After

http://goo.gl/GtKEfC #makehealth #DplusB

Medical Records

http://goo.gl/vdTPTF #makehealth #DplusB

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By B the Designer

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By B the Designer

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Let’s design! We #makehealth!