death by bad design
TRANSCRIPT
Healthdesignby.us Joyce Lee, MD, MPH, Doctor as Designer
Twitter: @healthbyus @joyclee #makehealth #DplusB
Death by Bad Design?
I/we have no ties to any pharmaceutical companies
#subliminalmessage
#shamelessplug Follow me on Twitter
@joyclee
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“Learning to design is learning to see”
-Oliver Reichenstein
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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!
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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].”
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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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Acetaminophen (Tylenol)
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The most common cause of Acute Liver Failure in the US
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Ingredient in over 600 prescription and
non-prescription medications
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The most frequently used medication in the US:
23% of individuals using the drug weekly
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Unintentional overdoses account for 15% of cases
of acute liver failure
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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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44% and 48% of adults incorrectly measured children
and infant liquid doses, respectively.
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85% of 16-23 year olds are unable to interpret
labeled dosage information correctly
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One-third 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.
APAP???
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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 Understand a problem
before solving it
Define Patient-defined problem
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Ideate Collaborative, creative
brainstorming
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Prototype Sketch, draw, glue, code
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Test Iterative Feedback from User
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Ground Rules
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Patients/Clients
YOU ARE THE EXPERT
We are here to serve you
If you are uncomfortable, say so
Walk away if you need to
Have fun!
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The rest of the team
RESPECT THE EXPERTS
Respect privacy
Listen
Have fun!
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Defer Judgment One conversation at a time
Go for volume Be visual
Build on the ideas of others Stay on topic
Encourage wild ideas
Everyone
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YOU are the center of the healthcare universe
Experts/Designers
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Experts/Designers
We want you to talk about YOUR experience
We want to design for YOU Don’t generalize to all patients
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Everyone
Defer Judgment One conversation at a time
Go for volume Be visual
Build on the ideas of others Stay on topic
Have Fun! #makehealth #DplusB
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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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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
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The Report Card
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Mortgage Forms
http://goo.gl/jLpAoH
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US Income Tax Form Before
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US Income Tax Form After
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Medical Records
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By B the Designer
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By B the Designer