1.Taming Wicked Problems: How art and design schools can contribute to solving some of the most difficult issues in healthcare.Quality Forum February 27, 2014

2. Cathy Weir:Director, Quality Improvement and Patient Safety, Fraser HealthLinda Dempster:Executive Director, Quality, Patient Safety, and Infection Control, VCHJonathan Aitken:Director, Health Design Lab, Emily Carr University 3. Wicked Problems 4. Wicked problems... are extremely difficult and even seemingly impossible to solve because of the complex or ever-changing environments in which they arise. Jeff Conklin 5. Problems with no apparent solutions. 6. Problems with no apparent solutions. Worse, problems that shift as soon as you try to solve them. 7. Jeff Conklin 8. ? 9. How can we approach this? 10. How can we approach this? evidence led initiatives scientific method 11. New(er) strategies 12. Design Research: New Tools 13. Design Research: New Tools - evidence led research - action, qualitative research - participatory research - iteration, brainstorming - testing solutions 14. Fraser HealthProject: Patient Safety and Engagement 15. Co-creation sessions - Public - RNs - LPNs - Management - Patient Advisory - Allied Professionals 16. Co-creation materials: Allied workers 17. Spotting patient risk 18. Spotting patient risk 19. Co-creation materials: Management 20. Scenario mapping 21. Safety concerns 22. Ethnographic Probes - Patients in hospital 23. Use of an iPad as a probe 24. Communication preferences 25. Communication preferences 26. Role description 27. Results Analysis - review materials 28. Affinity diagrams 29. Principles 30. Cognitive Maps 31. Brainstorming 32. Getting Messy 33. Deliverables 34. Vancouver Coastal Health: - examples 35. Data Visualization: before 36. Data Visualization: after 37. Data Visualization: after 38. Data Visualization: afterPAT IEN T S T IME T R AC K ER Every second matters.E x AMPLE:S h A D E O N LY O N E C I R C L E MAkE DARk MARkSPATIENTS CALL FOR MEDICAL ASSISTANCE10-15 mins5Ideal time interval PICk uP+1015202530DROP OFFwE AT hERT R A FFICT EC hNIC A L DIFFIC uLT IE SOT hERC AuSE OF DEL AY(if exceed ideal time) IF OThER , S TATEFIRST FACILIT Y15 minsIdeal time interval51015202530wAIT TIME IN FIR S T FACILIT Y AT T ENDA N T SA MbuL A NC E AvA IL A bLI T YT EC hNIC A L DIFFICuLTIESOT hERC AuSE OF DEL AY(if exceed ideal time) IF OThER , S TATE20 minsIdeal time interval TR AvEL TIME TO MAIN hOSPITAL 152025303540 39. Patient Violence 40. Patient Violence 41. Patient Violence 42. Quality Academy 43. Quality Academy 44. Why we need to cooperate 45. Why we need to cooperate 46. An invitation to participate Imagine what we could accomplish if we all came together to focus on some of these problems, and shared the results openly.