Michael A. Ibara

“All progress depends on the unreasonable man”

Why A Lack of Vision Will Keep Us from Using Social Media to Improve Safety

…chronicle your inaugural experience so your friends and family can follow your adventures on Twitter, Facebook, Instagram and Pinterest. The Social Media Butler will post on all of your accounts so you don’t have to fumble for your phone to catch that perfect Facebook profile picture!”

Disclaimer

Pfizer supports and funded ASTER and continues to invest in the concepts and goals involved in this work.

During this talk, any opinions, suggestions or crazy statements are entirely my own.

Enough time has passed since the first introduction of new ideas based on social media for anyone who takes the time to see that these new concepts present fundamental challenges to our current paradigm of safety. But social media is a symptom, not a cause, of what's wrong with safety today. The digitization of healthcare data combined with the internet creates scenarios unimaginable 10 years ago. And yet, we continue to try and shoehorn these new sources of data and new business models into concepts that are over 20 years old.

No amount of re-interpreting the current regulations or messing around the edges of our current systems will fix this problem. We need to recognize that we are being given a chance to make history, or fight against it. The implications are scary but necessary: we need to rethink the regulations; we need to envision new ways to collect data; we need to move away from an assembly-line model and ivory tower mentality toward an interactive, transparent approach. And we are the ones to do this - we have the accumulated knowledge of safety and the expertise and wisdom to address it.

If we do not rise to the challenges and opportunities presented to us by this epochal change in healthcare, the current pharma safety industry will go down in history as 'those other guys'.

2007

• FDA Sentinel Hearing

• AMIA Annual Meeting

2008

• HIMSS Annual Meeting

• DIA Annual Meeting

2009

• HIMSS, DIA, AMIA

• EU

• Radio

• etc.

ASTER

2010

• Pharma

• Trade Groups

• Vendors

• Academics

2011

• Branching out

2012

• The Year of Social Media

• Diminishing returns in pharma...

“The reasonable man adapts himself to the world; the unreasonable one persists in trying to adapt the world to himself. Therefore all progress depends on the unreasonable man.”

George Bernard Shaw (1856 - 1950), Man and Superman (1903) "Maxims for Revolutionists"

DOGMA

TRANS-ACTION COSTS

PARADIGM SHIFT

MARINE LAW

If the cost of finding, capturing, reporting adverse events go toward zero, new more efficient business models will emerge.

TRANS-ACTION COSTS

“…describes how the internet is lowering Coasean transaction costs for many exchanges, to the point where ‘products’ that were previously impossible due to the cost of organisation can emerge.”

WILKOX Blog Oct 23, 2008http://wilkox.wordpress.com/2008/10/23/great-insights-about-the-internet-and-the-coase-theorem-in-this-weeks-econtalk/

A “Paradigm Shift” is a technical term coined by Thomas Kuhn in The Structure of Scientific Revolutions

PARADIGM SHIFT

What chemists took from Dalton was not new experimental laws but a new way of practicing chemistry (he himself called it the 'new system of chemical philosophy'), and this proved so rapidly fruitful that only a few of the older chemists in France and Britain were able to resist it.

Thomas S. KuhnThe Structure of Scientific Revolutions (1962), p. 133.

WE'RE USING MARITIME LAW TO DICTATE AIRPLANE USE

MARINE LAW

Why isn't maritime law sufficient for aviation?

Well for one thing… there's another dimension"

DOGMA

Dogma is the official system of belief or doctrine held by a religion, or a particular group or organization.[1] It serves as part of the primary basis of an ideology or belief system, and it cannot be changed or discarded without affecting the very system's paradigm, or the ideology itself. They can refer to acceptable opinions of philosophers or philosophical schools, public decrees, or issued decisions of political authorities.[2]

By Bishop Paul Sloan

DOGMA

What does it mean to have 4 elements a social media world…?

Why doesn’t intention to report factor in as a way to improve quality of reports?

Why shouldn’t we collect a very large number of events but weight them differently?

Lack of understanding of the new technologies..

…Lack of ability to see things in a new paradigm…

…Shoehorning today’s issues into out of date regs…

…And Dogma…

…prevents us from making progress…

“The reasonable man adapts himself to the world; the unreasonable one persists in trying to adapt the world to himself. Therefore all progress depends on the unreasonable man.”

George Bernard Shaw (1856 - 1950), Man and Superman (1903) "Maxims for Revolutionists"

We need a vision because the path is not a straight line and there are so many obstacles in our way it won't make sense to go forward and take on these problems unless we have a vision of where we could end up

We need a theory… because the path is not a straight line and there are so many obstacles in our way it won't make sense to go forward and take on these problems unless we have a vision of where we could end up

We need to rethink the regulations; we need to envision new ways to collect data; we need to move away from an assembly-line model and ivory tower mentality toward an interactive, transparent approach.

Why?

“…all progress depends on the unreasonable man.”

George Bernard Shaw (1856 - 1950), Man and Superman (1903) "Maxims for Revolutionists"

I’m looking for a few unreasonable men…

Thank You!